Botulinum toxin type A, better known as BOTOX®, is a product used in aesthetic surgery to correct annoying expression lines in the face. The correction occurs because botulinum toxin temporarily paralyzes the muscles responsible for these lines. This allows the skin to recover from years of squinting and frowning. Since the early 1990s, botulinum toxin has been used to treat disorders such as exaggerated blinking, facial spasms, and muscle contractions affecting partly paralyzed patients. These applications have provided sufficient experience to know the product well. It is perfectly safe so long as it is used properly. The aesthetic effects of botulinum toxin were discovered over a decade ago. Since then it has also been successfully used for this purpose.
There are several brands of botulinum toxin available* including BOTOX®, Dysport®, and Xeomin®. The best indications for treatment with botulinum toxin lie in the upper third of the face, for correction of vertical frown lines between the eyebrows, horizontal furrows on the forehead and crow’s feet. Other uses are less common, and are best performed by experienced practitioners. Light under-treatment is usually preferred. Over-treatment can result in a diminished expression in the face.
Ten to thirty minutes.
None or topical anesthetic cream.
Outpatient or office procedure.
Possible Side Effects
Immediately after treatment only the small pinpricks are visible. Light bruising. Some patients experience a slight headache during the first week.
There are no permanent risks in healthy individuals. Myasthenia Gravis is a contraindication. Asymmetry. Drooping of the eyelid can occur in one to five percent; it always recovers spontaneously within three to four weeks.
The effect only arises after three to four days, and lasts for four to six months very much depending on the metabolism of the patient. Thin and active individuals use it up quicker. When treatment is not repeated the original movement always comes back spontaneously.
Correction of expression wrinkles, which improves with repetition of the treatment. More relaxed facial expression. Botox Dubai.
Botox Dubai - Botulinum toxin blocks the transmission of nerve impulses to the specific treated muscle(s) and therefore induces relaxation of the muscle in a dose dependent manner. Botulinum toxin also blocks nerve impulses to sweat glands and can subsequently be used to treat excessive sweating – Hyperhidrosis of the underarms (axilla), face, hands and feet. Because receptors that are blocked by the botulinum toxin are continually being replaced, the effects are never permanent, but typically last 3–4 months in muscles and 6–12 months in sweat glands.
Botox Dubai - If you are particularly concerned about the appearance of facial lines or wrinkles in areas with over-active muscles, such as the frown lines or crow’s feet, then treatment with botulinum toxin to the underlying muscles will have a beneficial effect on these concerns. It should be noted that deep lines may not disappear with muscle relaxing injections alone, but may require an injectable dermal filler products in order to further soften these areas. However, some deep wrinkles can disappear by repeated Botulinum toxin injections, as skin has the capability to restore itself. Botulinum toxin treatments should not be used during pregnancy or breastfeeding.
Botox Dubai - Most people find that the injections cause only mild local pain and tenderness. Immediately after the injection there may be mild swelling at the injection site which usually subsides within hours. Slight bruising is also possible. Side effects of these treatments are extremely rare. Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time. As with any medicine an allergic reaction may occur, this is however very rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.
Botulinum toxin treatments have been used for over 20 years and does not appear to cause any negative long-term effects. Once administered, Botulinum toxin treatments typically leaves the body within 3-4 days, although, as with any medical procedure, it is important to seek advice from a qualified professional beforehand.
Botox Dubai - Botulinum toxin treatments can certainly achieve a nice lift for eyes with mild hooding, if administered by a highly skilled and experienced practitioner. It can be injected in a specific way to exert a lifting effect on the eyebrow and eyelid. However, if the hooding is more severe, and especially if it is affecting your vision, it might be that you would benefit from having excess skin removed surgically.
Botox Dubai - Although Botulinum toxin treatments can relax the masseter muscles, which can have a softening effect on the jawline, it might be that another treatment is better for lessening the appearance of sagging cheeks or jowls.
Botox Dubai - Botulinum toxin treatments is extremely effective for reducing the appearance of wrinkles but arguably it does not ‘fill in’ wrinkles; instead, it relaxes the muscle under the skin that causes the wrinkle. It is dermal fillers, as the name suggests, that fill the line or crease to make it appear plumper and smoother. For deep-set frown lines and wrinkles, the two treatments can be extremely effective when used in combination.
Botox Dubai - Botulinum toxin treatments cannot help to reduce the appearance of under-eye bags and dark circles; however, it might be that fillers are a better option for this common complaint. This is because it is usually a deep tear trough with volume loss that gives the appearance of bags under the eyes. A hyaluronic acid-based filler can be really effective to add volume and soften the appearance of under-eye bags. In some cases when there is no excess bag, Microbotox, that is low dose Botox in small quantities and injected very superficial may improve the under eye fine lines.
Botox Dubai - An initial consultation will be carried out to determine the goals for your treatment, make note of any associated asymmetries/abnormalities, and a treatment plan will be determined in order to achieve the ideal result for each individual. Photos may be taken before your treatment in order to document your concerns efficiently. The treatment is carried out in an outpatient setting, taking approximately 15-20 minutes. Facial marking will be done, and a cold pack applied to the treatment areas. Botulinum toxin will then be injected with a fine needle into each specific treatment area, with only minor discomfort experienced.
Botox Dubai - Most improvements seen will last for approximately 3 months after initial treatment. In order to achieve an optimal result, it is recommended to repeat the treatment every 3 to 5 months for longer term effects to be noted.
Botox Dubai - Yes, Botulinum toxin treatments is a highly effective treatment for reducing the appearance of crow’s feet around the eyes. It is one of the most commonly treated areas with Botulinum toxin treatments thanks to the good results patients see.
Botox Dubai - Please do not massage or rub the treated areas following your procedure for the first 24 hours. A localised redness (known as erythema) may be present in the treatment areas, usually lasting 1-2 hours – this is a normal reaction. Cooling the treated areas with a cold pack at home will aid in reducing any initial discomfort or swelling. Please avoid bending over or lowering your head for the first 4-hours following your treatment. Please avoid any strenuous activity or vigorous exercise for the first 4 hours following your treatment. Please avoid any excessive heat or hot environments for the first 24 hours following your treatment.
Botox Dubai - Botulinum toxin is a very safe and well tested drug, with minimal side effects or risks; this is provided the treatment is performed by a qualified and trained practitioner. Common side effects include mild pain and redness (erythema) at the injection sites and mild bruising; however, these are temporary and limited. Further risks include ‘over treatment’ of an area, which may give a frozen, undesirable appearance. Weakness of muscles in close proximity to the treated areas can also occur if individuals are non-compliant to post-treatment advice and aftercare. Allergic reactions to Botulinum Toxin are rare.
Botox Dubai - Firstly, it depends what we mean when we say ‘smile lines’: some people mean crow’s feet around the eyes, which form when we smile; others mean the creases that form from the outside of the nose to the corners of the mouth (nasolabial folds). To reduce smile lines around the eyes (crow’s feet), Botulinum toxin treatments is a very effective treatment, whereas dermal fillers could be far more effective in lessening the appearance of nasolabial folds.
Botox Dubai - Botulinum toxin starts becomes effective in 5–7 days and reaches its peak at 10-14 days. Most patients notice a softening of lines and wrinkles at approximately 2 weeks, and a further improvement in deeper lines or wrinkles at 4–6 weeks.