Botox (Thousand Oaks)
Botox (Botulinum Toxin Type A) injection is a non-surgical approach that temporarily treats wrinkles in the face. It is used primarily for addressing frown lines, the crow’s feet wrinkles around the outside of the eyes, forehead creases, and bands in the neck. It can also be used cautiously for treating wrinkles around the mouth. No matter which area is treated, the effects do not last forever.
Who is a good candidate for Botox?
The ideal candidates are women and men who have wrinkles of either the forehead, between the eyebrows or around the corner of the eyes. These wrinkles should be accentuated by smiling, squinting, and frowning, indicating that they are due to the action of the underlying muscles.
Are there other uses for Botox?
Absolutely. Botox can be used to treat patients with paralysis of one side of the face. By using Botox on the normal side of the face, more symmetry and harmony can be achieved between the two sides. Furthermore, we are learning more and more about other conditions that can be helped by Botox treatments. Many studies support its use for migraine headaches, excessive armpit sweating, severe muscle spasms, and even vascular disease of the fingers.
How does Botox work?
Botox is a nerve toxin that temporarily paralyzes the muscles into which it is injected. This stops the muscle from being able to transmit its contraction to the overlying skin and thus decreases wrinkles in the treated area.
Will I still be able to smile and have facial expressions?
Of course. The Botox is delivered only to those muscles that cause unflattering wrinkles.
How long does it take for Botox to work and how long does it last?
The effects aren’t seen for 5-7 days. The peak effect is at about 2 weeks. If no change is seen after 2 weeks, a repeat treatment may be necessary. The effects should last 4-6 months. This is the typical duration, however a treatment can last up to 9 months in some patients.
What wrinkles aren’t improved by Botox?
Very fine wrinkles in the skin that are not due to the actions of the underlying muscles but rather are due to permanent changes in the collagen structure of the skin (such as smoker’s lines) will not respond to Botox. In addition, elderly patients with very deep skin wrinkles can expect only a moderate improvement.
Who should not use Botox?
Women who are pregnant or nursing should not receive Botox. Those with certain neuromuscular disorders (e.g. myasthenia gravis) should not use it. Anyone who has had an allergic reaction to Botox in the past (or any of the ingredients in it) should not receive a second injection. Talk to your surgeon at the Kryger Institute to find out if you should not use Botox for any reason.
Is there generic Botox?
No. At the present time there is no alternative substance that can achieve the same results. No other similar neurotoxin formulations have been FDA approved.
How painful are Botox injections?
There is not much pain associated with the injections-just a quick burning sensation at each injection site. As soon as the Botox injections are over, there is no more pain. Local anesthesia is not necessary for this procedure.
What about redness and bruising?
Redness and bruising are minimal and generally resolve within 24-48 hours.
What restrictions are there after treatment with Botox?
There are no restrictions after treatment with Botox.
What if I have a problem? When should I call the office?
The Kryger Institute welcomes calls from patients. If you have any concerns at any time, please feel free to call our office. If it is an emergency, the answering service is available 24 hours a day, including weekends and holidays. There is always a plastic surgeon on call. Your surgeon will discuss all the risks and potential complications with you before surgery. You will receive detailed instructions about situations that warrant a call to the office.