What is Botox®?
Botox® is an injectable neuromodulator that works to treat certain types of lines and wrinkles known as “dynamic wrinkles.” These signs of aging are caused by the contractions of facial muscles. Botox® is also used to delay the onset of dynamic wrinkles, leading to an increase in preventative Botox® (sometimes called Baby Botox®), and people are now starting Botox® treatments in their mid-twenties and early thirties.
Botox® injections are an FDA-approved treatment for frown lines, lines on the forehead and crow’s feet. It’s also effective for other areas of the face, such as the nose, lower face, lips, and neck. Botox® softens the appearance of lines and wrinkles by blocking signals from the nerves to the muscles to disrupt the contractions.
Botox® is effective for people of all ages, from mid-twenties and older. It minimizes the appearance of existing lines, as well as weaken the muscles to prevent wrinkles from worsening as you age. Keep in mind that Botox® isn’t a miracle fix for all signs of aging. It won’t work on lines that are caused by other factors, such as sun damage.
The Advantages and Disadvantages of Using Botox®
More and more people are relying on Botox® as their preferred anti-aging treatment for a number of reasons. However, in some cases, it might not be the ideal choice. Here are the pros and cons of Botox® to consider before opting for the injections.
Pros
- Botox® is the premier treatment for fine lines and wrinkles. It is considered more effective than almost any other option for reducing lines and wrinkles that are caused by muscle movement in the face.
- Botox® is a temporary treatment, and injections last about four to six months. You can try it out, and decide if it’s right for you. If you decide against further injections, your skin returns to the same appearance as prior to the injections, with only signs of the natural aging process.
- Botox® is safe. There are very few health risks associated with using the product.
- There is little to no downtime with Botox®. You can resume your normal activities immediately after the injections.
- You see immediate results. Some people see results right after the injections, but most people see results within a few days.
- Botox® injections require very little time. The first treatment takes 30 to 60 minutes, and follow-treatments take about 15 minutes.
- Repeated treatments offer longer-term benefits. Results last four to six months, and you’ll need follow-up injections about every four months. In addition to being an effective treatment for wrinkles, Botox® helps to reduce, sometimes even remove, lines caused by repetitive facial muscle movements.
Cons
- The costs of Botox® injections can add up. Depending on where you live, Botox® injections in a single treatment area may cost between $400 and $500, but it may be as high as $2000. Depending on the number of treatment areas and the frequency of your treatments, the costs can add up quite quickly.
- Botox® must be done by a professional. It can be tempting to try to find a lower cost option. In order to ensure that the treatment is safe and effective, choose a medical practitioner, trained aesthetician, or nurse injector for your Botox® treatments.
- Botox® may limit range of motion in your face. The treatment temporarily paralyzes facial muscles to soften wrinkles. This may prevent you from making certain facial expressions. You can reduce the risk of this effect by ensuring that the individual administering the injections is experienced and properly trained.
- The temporary nature of Botox® can be a disadvantage. You’ll need maintenance injections about every four months to maintain the anti-aging benefits.
- Although rare, side effects have been reported with Botox® injections. The most common are allergic reactions that may cause pain or discomfort.
- Botox® is not recommended for women who are trying to get pregnant, currently pregnant, or breastfeeding. There is no research as to the safety of Botox® injections in these situations.
- There is a chance of bruising at the site of the injection, and this can last for up to a week.
Botox® FAQs
Here are some answers to the most frequently asked questions about Botox®.
Ask a question-
Is Botox® safe?
While Botox® remains one of the most popular minimally-invasive treatments, there are many people who have concerns. It is true that the active ingredient in Botox® is a toxin that temporarily paralyzes muscles. Complications from Botox® are rare, but it is possible that the Botox® can spread into other areas. This may result in drooping eyelids or an uneven smile. The results are not permanent and will wear off within 3 – 4 months.
The toxin, botulinum type A, has very little risk and few to no side effects when administered by a qualified professional. This makes choosing the right provider important. Choose someone who is qualified and has proven experience in successfully and effectively offering Botox® injections. Every provider that is listed on Anzolo Medical has been carefully checked to ensure that they meet the medical requirements as set by MA.
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What is Botox® used for?
Botox® works by temporarily paralyzing the underlying facial muscles. It is most often used to reduce the appearance of fine lines and wrinkles. Botox® is also used for the treatment of migraines, muscular disorders, and excessive sweating. In some cases, it is also effective for certain bladder and bowel disorders, temporomandibular joint disorder, bruxism, vaginismus, and for reducing a gummy smile.
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What can I expect from my Botox® appointment?
If you have concerns about your Botox® appointment, this should help you to understand what you can expect at each stage of the process:
- The first step is a consultation with your provider. After a thorough examination and discussion about your concerns, the provider makes treatment recommendations to help you achieve your goals. This is an ideal time to ask any questions that you might have.
- The second step is the Botox® appointment. You will complete a consent form. Expect your first appointment to take about 30 minutes. Follow-up treatments may take slightly less time. Your provider explains the procedure and what to expect. Botox® is injected in the targeted muscles with a fine needle.
- Immediately after the treatment, you can expect to have a small amount of swelling and redness which will disappear after ten minutes. It is possible that you may have a slight headache afterwards, although most people experience very little in the way of pain or side effects.
- One day after Botox® treatment, you probably won’t have any symptoms, but there is a chance that you may have some minor bruising or a mild headache. You may not yet see the effects of the treatment.
- A week after your treatment, you’re likely to see the results of the injections. The skin appears smoother and plumper.
- Three months after your treatment, muscle movement starts to gradually return to normal. This is the time to schedule your follow-up appointment for additional Botox injections.
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How long will it take to see results?
The full effects of Botox® are not immediate. Botulinum type A takes some time to relax the muscles. You should start to see results around two to three days after treatment, but the full effects will take up to one week. Look for full results after about two weeks.
Keep in mind that you may still see some fine lines. The appearance of these lines will decrease as the facial muscles remain relaxed and immobile over three months. This is what makes long-term Botox® use so effective. The longer the muscles remain immobile, the fewer lines you may have.
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Do Botox® injections hurt?
The pain from Botox® is minimal. The needles are very small. After the treatment, you may have small red bumps on your face that will last for 15 to 20 minutes. There is a small risk of bruising around each injection site that may last up to one week. You can minimize the risk of bruising by avoiding anything that thins your blood, unless it’s medically necessary. This includes aspirin, ibuprofen (and other non-steroidal anti-inflammatories), fish oil, vitamin E supplements, and alcohol.
If you are worried about the discomfort of Botox injections, you can request a topical anesthetic cream to numb the area before the injections.
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How long does Botox® last?
Botox® lasts for 4 and 6 months. As the muscle movement gradually returns, you will notice the lines and wrinkles starting to reappear. At this point, you will need a follow-up treatment. With continued Botox injections, the lines and wrinkles are less severe. If you stop Botox® treatments, the effects will wear off completely, and muscles will go back to their normal movements.
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How much should I expect to pay?
The total cost of treatment with Botox® varies from person to person. It depends on how many units are needed to treat the area. Additional considerations are the size of the area and strength of the muscles that need to be relaxed. In [STATE], the cost ranges from $10 and $25 per unit. Frown lines between the eyebrows are often treated with Botox® injections. Most people require about 25 units of Botox® to soften these lines, but it may 10 to 30 units.
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When should you start getting Botox®?
Many patients start using Botox® around the age of 30 when lines and wrinkles start to become more noticeable. Others start Botox® injections around age 25 as a preventive treatment.
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Patient Testimonials
Read real reviews from the Anzolo community
I was very pleased with the results of my procedure and the level of knowledge and confidence Dr. Yaremchuk demonstrated and displayed during my procedure.
Ed Cotter on Michael Yaremchuk, MD via Google Reviews
In as much as I hate to write this review, I feel that it needs to be written.I am a professional opera singer / performer with New York cities prestigious opera company and I work in Boston at a major hospital.I’m a breast cancer survivor of 2005.I feel that Dr Yaremchuk is a great doctor so it has nothing to do with his ability, my problem with him is the way his office does his scheduling.I recently had a problem that developed which needed his consulting since he was the surgeon who did my reconstructive surgery back in 2005 .I thought that it would be best to schedule an appointment to see him to get help with my problem.I showed up for my first appointment and was told that the doctor couldn’t see me because he was in surgery, so I had no problem with the rescheduling, I know Dr.Yaremchuk is busy and things do and can happen so I didn’t mind, the problem I had was every time I showed up for my rescheduled appointment, I was told , the doctor cannot see me and that I need to reschedule my appointment.I was trying to be understanding but ! Each time I showed up for the appointment , I was cancelled.I have obligations to , I have a busy and hectic rehearsing schedule in New York , then I have to work in Boston at the hospital on weekends not to mention not getting enough sleep, I’m exhausted to be told I can’t be seen each time I show up for the appointment was enough for me.A dear of mine who is a doctor recommended a great plastic surgeon to me , I will be getting the help that I try to get from Dr.Yaremchuk .I won’t have to deal with a constant cancellation of appointments.I have no intent to seek treatment of any kind from Dr.Yaremchuks office, People should never judge a book by its cover we all have obligations and are busy to, I feel that if the doctor is to busy to see the patient don’t have the appointment scheduled at all ,refer the patient to someone who has the time to see the patient .
L Lia on Michael Yaremchuk, MD via Google Reviews
I have a long, complicated history of plastic surgery (although "complicated" is subjective). So without turning this review into an unabridged novel of endless detail, I'll try to keep things concise and relevant enough.
Essentially my entire facial skeletal structure has been crafted "bespoke" by Dr. Yaremchuk over the years. He's used predominantly porous polyethylene (PPE) to augment my posterior/anterior mandible, chin, paranasal, malar, and infraorbital regions.
The before photo attached to this review you might notice is already pretty aesthetic and well-balanced. That's because that result was already following lower- and mid-face augmentation with Dr. Yaremchuk (the changes I've listed above). So then you could ask: why did I return for yet another procedure?
One's view of ideal aesthetics is obviously subjective (i.e., in this case, chin projection posterior vs anterior to the lower lip, etc.), but I decided to come back to see Dr. Y this time around to have him augment the chin anterior to the lower lip, improve symmetry, and also widen/square-out the chin. He accomplished all three. Really well too.
The after result you see here carries increased anterior projection on profile and a more masculinized appearance. Dr. Y's performance in terms of getting the projection to this level has far exceeded my expectations.
My hunch is that my current result is actually what most males seeking chin/mandibular augmentation are looking for, but they don't know how to articulate their wants to the surgeon, and/or the surgeon doesn't have the expertise to craft the result.
My natural, underlying structure I would conjecture is slightly hypoplastic relative to the population average, so it is impossible for me to effectively convey, via just two photos here, how much aesthetic augmentation I've received from Dr. Y. As I said, the results have exceeded any expectations I had.
I should also point out that a somewhat incidental, secondary, positive outcome is I feel my nose is balanced in profile a lot better now. That hadn't been an overt concern of mine prior, but I can assess that the overall convexity of the profile has been reduced slightly, particularly since my brow/supraorbital area is fairly flat (or even slightly feminine) as it is.
As I said, I'm aware two photos in isolation don't do justice, but what I can say is from the front and oblique views, my chin is now a lot wider, squarer, and masculinized. It's a solid result.
So to recapitulate a little: in terms of surgical skill and experience, Dr. Yaremchuk is pretty much as good as it gets. I can happily put my full weight behind this review to say that I unequivocally recommend him to anyone looking for facial skeletal changes.
You can also review his literature contributions online and see that he is the leader in the field. In fact, I doubt anyone out there even comes close.
Beyond the surgical elements, his response times, willingness to engage, empathy, and overall bedside manner are great. True intent always shines through, and you can see that he really is in it for the patients - i.e., he's passionate about putting his patients first and taking on difficult cases to get people the result they're looking for.
I write this review because of my level of gratitude toward Dr. Yaremchuk.
Houjichagasuki on Michael Yaremchuk, MD via Google Reviews
I am completely happy with the Dr Yaeremchuk work has been done with my face!
4 mo passed, and my face looking better and better every day! Now, I am no longer afraid to look at myself in the mirror every morning:)
Thanks to Dc Y and his great staff.
Very nice and clean facility, everything in one place. Excellent overnight care.
Very happy with my experience!
Larisa
Kitty cat Meow on Michael Yaremchuk, MD via Google Reviews
Botox® Additional Treatments
Although Botox® is widely known for reducing fine lines and wrinkles, there are a number of other cosmetic and medical conditions that are treated with Botox®.
Migraines
Botox® is used for treating chronic migraines that are caused in part by muscle tension. If you struggle with headaches at least 15 days per month, Botox® is an FDA-approved treatment that relaxes the trigger muscles, effectively reducing the severity and duration of the headaches.
To receive treatment for your migraines, you will first need a diagnosis from a neurologist who may perform the Botox® injections. The injections can also be administered by a facial plastic surgeon or any specialist with knowledge of craniofacial anatomy.
Hyperhidrosis
Hyperhidrosis is a medical condition that causes excessive sweating. This condition can be treated by injecting Botox® into overactive sweat glands. Botox® works by disrupting the nerve signals that activate sweat glands. Its most effective in the armpit area. Treatment typically requires 20 to 25 injections for up to 50 units of Botox®.
Individual injections are quite comfortable. You may only feel a slight prick in your skin. Because 20 to 25 injections are needed, though, it is common to numb the area before the treatment. The effects of Botox® for hyperhidrosis last 3 to 6 months. Some men and women find that Botox® helps with their excessive sweating for longer.
Temporomandibular Joint Disorder
Injecting Botox® directly into the muscles of the jaw may help relieve symptoms of TMJ, teeth grinding, and a clenched jaw (bruxism). The treatment helps to prevent damage to the teeth. Botox® is often effective in reducing headaches that are caused by clenching.
The effects of the Botox® for TMJ and other jaw disorders last 3 and 6 months. During this time, the muscles learn to relax. This may mean that follow-up treatments may not be needed, or that fewer units of Botox® are needed for subsequent treatments.