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Botox is a medication used for the treatment of certain muscle related disorders as well as cosmetic applications. Botox is made from Botulinum Neurotoxin Type A, which is produced by Clostridium Botulinum Bacteria. Although it is a fairly strong poison when taken orally, it has a variety of benefits when administered to the correct muscle in the correct amount. Botulinum toxin is a medication that has been widely used in medical practice for over 50 years.
It was firstly used in the treatment of lazy eye, blepharospasm (inability to move the eyelids properly) and cervical dystonia. In 2002, it began to be used in the improvement of the appearance of wrinkles between eyebrows caused by frowning. In 2004, it was approved for the treatment of hyperhidrosis of armpits and then migraine in 2010.
The wrinkles and fine lines, formed over face with aging by contraction of facial mimic muscles, can be eliminated with Botox. It works by partially blocking the nerve impulses to any muscles that have been injected and reduces excessive contractions of these muscles. As a result of this, facial mimic muscles are relaxed for a while and formation of wrinkles and fine lines stops.
Botox is also used as therapeutic purposes as well, other than cosmetic applications. It is possible to use in the treatment of muscle related disorders such as; Cervical Dystonia, hyperhidrosis (excessive sweating) of armpits, chronic migraine, bladder dysfunctions, lazy eye & blapherospasm.
In Botox treatment, botulinum toxin is directly injected into the neuromuscular junction after dilution. Local anesthetic is applied to the injection site approximately 20 minutes before injection. After the injection site is sterilized, the toxin is injected into the relevant muscles in the area with fine-tipped needle in small doses. Application takes approximately 15 minutes. The clinical improvement generally occurs within the first week after injection.
Botulinum toxin is one of the most toxic substances over the world when it swallowed. The recommended dosages and frequencies of administration of BOTOX should not be exceeded due to the potential for overdose, exaggerated muscle weakness, distant spread of toxin and the formation of neutralizing antibodies.
Botulinum toxin, which can cause respiratory insufficiency and death due to the improper applications, is also a very good protein. During application to the face, this toxin should be applied in considerably small doses as described in patient leaflet.
All injectable substances are used during application, should be prepared in accordance with FDA standards and injection should be performed by a qualified medical doctor. Injecting inappropriate doses of Botulinum toxin to the patient by an inexperienced doctor may result in fatal consequences and many side effects.
The injections applied to the muscles during Botox application are generally well tolerated and have considerably few side effects. Sometimes, serious adverse effects can rarely be seen in individuals excessively sensitive to the active substance. Below are the listed some of the undesirable adverse effects can be seen depending on the injection site:
Above listed undesirable adverse effects may vary depending on the injection site / treatment type. For instance a person who had injection around eyes may experience drooping of the eyelids or dry eye condition. The injections applied around the mouth may accompanied by twisted smile. Those adverse effects mostly temporary and automatically disappear without the need of any intervention. Nonetheless, it may take a couple of weeks to disappear asymmetry or drooping of eyelids.
WARNING: If you experience severe adverse effects such as difficulty in breathing, difficulty in speech, difficulty in swallowing, and vision problems, you should immediately see the emergency department of the nearest hospital!
Botox should be only be applied by medically qualified physicians. The undesired effects usually disappear automatically in a short time. However, due to the maximum duration of the effect of Botox is 4 months, patients should visit their physicians regularly for renewal. There is no data about the side effects in long term cosmetic applications of Botox, other than listed above.
The procedure called Nefertiti Lift is a new technique for specific re-contouring of the jawline. This method, named after the Egyptian queen Nefertiti, aims to drape the skin of the jawline contour and provide the visual effect of a ‘mini lift’. Botox applications for the men are called “Brotox”. Brotox mostly used to eliminate the forehead lines.
The forehead lines, neck wrinkles, fine lines over the upper lip, lines between eyebrows leading to an angry look can be prevented for 3-6 months with Botox applications.
The wrinkles known as “Crow’s Feet Lines” and the wrinkles between eyebrows can be eliminated with Botox applications. It is possible to make eyebrows lifted with Botox applications.
This Botox application targets the masseter muscle to prevent the appearance of masculine appearance on the face. Masseter hypertrophy brings square shape to the face in women. With Botox injection to the enlarged masseter muscle, square shaped face can be shaped into more oval and slim look. The individuals having round or square shaped face can have more oval or heart shaped face by this way.
The duration of Botox may vary from injection site, between individuals or depending on the dose used during injection. It mostly changes between 4-6 months.
Botox is a medication used in the treatment of many diseases:
Botox is used for the treatment of severe sweating of palms, soles and armpits. The nerve stimulation to the sweat glands is blocked and excessive sweating can be prevented for up to 6 months with this treatment.
Botox is also effective in the treatment of muscle spasms and migraine headaches. Botulinum toxin is injected into 7 key muscle areas of the head and neck. The recommended re-treatment schedule is every 12 weeks.
Unconsciously teeth grinding is a problem that can cause physical pain and many dental problems. This problem is more common in people who clenches their teeth during sleep.
The large muscle named Masseter, responsible for the jaw movement, is weakened by injecting of botulinum toxin. By this way, the complications of dental grinding may be prevented even temporarily.
Medically Licensed and certified Dermatologists, plastic surgeons and medical aesthetic specialists are qualified to apply Botox for aesthetic applications. The Medical Doctor who will perform aesthetic Botox applications, should have a comprehensive knowledge about the facial anatomy and how the facial muscles work.
Botox prices are depending on the type of Botox, the application site and the doctor who is going to perform application. Some of the clinics suggest to come with a friend. By this way, a vial can be applied to 2 people with more advantageous prices. Botox prices change between $200-$500 for each area injected.
In order to have successful in Botox application, we can list some points you need to pay attention to before and after Botox:
Especially tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal products and if you:
BOTOX and BOTOX Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX or BOTOX Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
References: 1- Botulinum toxin A (Botox Cosmetic), 2- Botox injections, 3- FDA - Botox guide, 4- Botox injections