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 NY.
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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
Dr Tracy Pfeifer and her staff are indeed very gentle and nice people. They are thorough and professional. I would not recommend for any revision surgery. That type of surgery requires a higher skill set and I am very disappointed and saddened by my own results with Dr. Pfeifer. I've just booked with another doctor to repair the damage she did to me. First, my breasts by the original doctor in England were beautiful-no scars-great shape etc...after 15 years I felt it was time to replace. She never spoke with me about new styles or technologies and in fact strongly recommended textured, tear drop shape 'gummy bear' implants. Research those yourself.
I said I had no interest in those so she simply looked up the exact same old ones I had and ordered those. I have since found out that no other doctor would have done that. They would have gone over options. I'm very inquisitive and would have welcomed such an educational discussion but there was none of that. I said what was very important for me was a natural result with no visible scars. She assured me of that.
The implants were 220 cc's. I previously had no scars as they had been put in through the armpit. She said she couldn't remove them that way. I have since found that other doctors can.
After surgery with Dr. Pfeifer I am left with 5 inches of inframammary scars on my chest and drain hole scars on the side of my breasts. I have since found out that other doctors put the drains through the armpit so the breast has no further scars.
The breasts initially looked the same as before as far as size and shape but over the next few months I realized she had cut all the nerves to the nipples and severed all sensation for the rest of my life.
There is no going back to a doctor and 'crying over spilled milk' I am the one who is to blame for not doing better research about revision surgery in general, which would have been easy, but I relied on web reviews about how nice and comforting she and her staff were nothing about her medical performance of revisions is out there. I did hold her accountable for the nerves and jagged scars. She said that 'nerves were tricky' and when she looked at the scars she shrugged and brushed them off as if it was all OK. She is a doctor with a very nice and gentle manner as is her staff but is of inferior ability and skill. There are excellent surgeons in Manhattan who do extraordinary breast revisions and I now have to pay one of them to re-do what she botched-replacing old technology implants with softer and better newer ones. I also have to pay for scar revision surgery.
Space Thought on Tracy Pfeifer, MD via Google Reviews
I was recommended to Dr. Pfeifer by a friend who had her breast reduction down. I had always known I wanted to have my breast reduced but never followed...
Yenifer T. on Tracy Pfeifer, MD via Yelp
I had surgery with Dr. Pfeifer about 2 1/2 years ago. I was left with terrible scars, went in for revision about a year later and still she left bad scars, not as bad but not at all what we discussed my breasts or scars from the lift would look like...Not even close. Both times I woke up from surgery she was not even in the room. First surgery, when I woke up she had already started her next surgery, second surgery, she wasn't even in the facility anymore, was gone already. I felt terrible that she treated me that way. When I came back for post-ops, she had me wait 1 1/2 only to be seen by the nurse (which I didn't mind), that seemed to be more involved with the entire surgery and selling me on the plastic surgeon. The last time I was there for a post op, I was in the room waiting 2 hours, meanwhile she was giving Botox injections next door to a patient that walked in 20 minutes after me. But the best part, I was able to listen to the entire conversation about politics, nothing related to anything that the patient was in for. I felt so mistreated I just left and said to her patient coordinator that I'm done with her, why do I have to wait two hours, what did I do to deserve that? No one deserves to have breasts that look worse off from before surgery, and no one certainly does not need to be mistreated in the way she has mistreated me and from what I understand other patients too. In hindsight, thinking about the process, I should've had a third and fourth opinion. This is your body that you have to live in take time to choose the right doctor, not one that doesn't take a personal care in her cases. I'm so embarrassed about my scars, I look like a patched up scarecrow. I did not want to write this review for a long time but reading past reviews and having great regret choosing this surgeon, people need to know about her practices, because you live with the results, not her.
Jessa Ge on Tracy Pfeifer, MD via Google Reviews
Dr Pfeifer( hope I spelled that correctly) was extremely empathetic, kind and guided me through every step of the process. She is incredibly meticulous and is gifted with great hands. Adore this woman!
Moselle B on Tracy Pfeifer, 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.