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 WA.
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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
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XX mastectomy and reconstructive surgeries by Fletcher and Molene(oncologist) wasn’t perfect but everything was taken care of. The treatment I received including education, questions answered, pre and post surgery care was amazing. I felt that Dr Fletcher really cared, took as much time as we needed for each appointment. I’ll be going back in November to complete the next step on reconstruction. I’m confident that this will be smooth and forming a natural looking breast. Thank you for your work!!
Timothy Lafleur on Christopher Pannucci, Dr via Google Reviews
I just want to say how much I love Plastic surgery Northwest and their doctors nurses everybody I had breast cancer and in the lymph nodes and radiation on the left side and even though radiation has left my muscles hard to move on the left my chest and my stomach from the deep flap surgery is amazing It’s gave me my life back. I’m hoping to keep improving the quality of life. I have a couple more surgeries to look forward to and then maybe I’ll get back out there, but I just wanna say thank you from the bottom of my heart. What a great job and you guys took such good care of me. God has a hand over you guys. Amen.
Erica Hagen on Christopher Pannucci, Dr via Google Reviews
UPDATE:
I emailed Audrey back as requested over a month ago and never received a response.
I’ve waited nearly 2 years (August of 2023) before writing a review, just to make sure I gave myself plenty of time to heal and swelling to subside. I am extremely, extremely unhappy with the results of my rhinoplasty. My results at 6 weeks looked fantastic, as far as the shape, however I was still upset that I was left with a scar on the bridge of my nose, which wasn’t there before and I was hoping it would fade with time. Now almost 2 years later, the scar is still there, and my nose seems to have reverted back to the original shape. There is no definition, it looks NOTHING like my six week photos, and nothing like what I had envisioned or talked to Dr. Wheeler about at my consultation. Every issue I had to begin with (large tip, no shape) is present again now.
At the three month mark, my nose seemed to be going “backwards”, and the shape seemed to be less defined/more swollen than at the 6 week mark. I was also experiencing a constant runny/stuffy nose. So, I contacted the office, showed them photos and shared my concern. The nurse or whomever I messaged with said it did look concerning and that I should expect the swelling to decrease and the results to continue improving as time went on, she suggested I come in to see Dr. Wheeler.
At this follow up appointment with Dr. Wheeler, he said he was happy with my results and proud of his work. I felt like my concerns were minimized, and I was told to just “give it time”. I could take Flonase or Afrin for potential congestion. It was basically implied that I was wasting their time to even have come in.
Two years later and it looks even worse than it did at the three-four month mark. I’ve grown increasingly unhappy with the appearance. Comparing photos from pre-op to now, there is almost no difference, unless you’re counting the scar I didn’t have before.
At my initial cast removal, I was given no follow up care instructions, and I to ask what I needed to do. I don’t know if it was the surgery techniques, or the lack of any follow-up care that left me with poor results, but I was told nose taping wasn’t necessary, (I asked when he didn’t bring it up, because I assumed it was a part of all rhinoplasty recovery) and when I brought up my concerns at a subsequent appointment the only solution was Flonase or Afrin. I don’t know if steroid shots were needed, if it’s scar tissue build up or what exactly went so terribly wrong but at this point I’m 12k out to have the same nose shape I had before.
This was something I had wanted for over 15 years, and it’s been an extremely disappointing experience.
Alissa Bird on Christopher Pannucci, Dr via Google Reviews
Dr. Janelle Sousa was amazing. She is thorough and knows what she’s doing. I am extremely happy with my reconstructive surgery. I would recommend Dr Sousa to anyone looking for a plastic surgeon.
Stephanie Hegel on Christopher Pannucci, Dr 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.