The cosmetic form of botulinum toxin, often referred to by its product name Botox®, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.
Procedure: Plump up creased, furrowed, or sunken facial skin; add fullness to lips and backs of hands. Works best on thin, dry, light-colored skin.
Length: 15 minutes to 1 hour per session.
Anesthesia: Collagen: usually none; local may be included with the injection. Fat: local.
In/Outpatient: Outpatient.
Side Effects: Temporary stinging, throbbing, or burning sensation. Faint redness, swelling, excess fullness.
Risks: Collagen: allergic reaction including rash, hives, swelling, or flu-like symptoms; possible triggering of connective-tissue or autoimmune diseases. (A skin test is required before collagen treatment to determine whether an allergy exists.) Both: Contour irregularities, infection.
Duration of Results: Variable; a few months to 1 year.
David L. Rayfield, MD 222 New Road Bldg 6 Linwood, NJ 08221
