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Botulinum toxin was first introduced to the United
States in the 1980’s and was known as occulinum. Dr.
Martin was on the first investigative panel that
investigated the use of this medication in the
treatment of facial spasm and blepharospasm. Among
these patients, it was found that one of the side
affects of the treatment was the reduction of facial
wrinkles.
It was a very short step, for botox cosmetic to be
introduced to provide treatment to our patients. The
benefits of this treatment can be seen simply by
looking around you at OptiVue. Many of your fellow
workers have had this treatment in order to minimize
the appearance of age and stress and reveal more
refreshed image. |
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Botulinum toxin works by relaxing the muscles of
facial expression which insert on the under surface
of the facial skin. Once the resting tone of these
muscles is weakened, the pull of the muscles relaxes
and the skin flattens out. This is an entirely
different approach to treating the aging face.
Silicon, Collagen and fat injections work by filling
in a wrinkle. These fillers are not as effective as
Botulinum toxin in removing wrinkles in the upper
third of the face. By physiologically relaxing the
muscles, the wrinkles are removed more naturally.
The medication takes three to five days to take
effect and lasts between three to six months. The
medication is most effective for wrinkles in the
upper third of the face, the forehead lines, crow’s
feet, and frown lines. It is not effective for
wrinkles in the middle and lower portion of the
face. While paralyzing these muscles will eliminate
the wrinkles, it may also distort your smile and
facial expressions.
Topical numbing cream and cold compresses will be
used prior to the treatment in order to decrease any
discomfort; but you may feel a small amount of
discomfort when the needle pierces the skin. This
will last for approximately five seconds. On rare
occasions, the needle may puncture a blood vessel
and you may have a black and blue area that lasts
for up to seven days. There are no serious side
effects associated with the use of the toxin with
doses we employ. Side effects can be caused if the
toxin migrates from the injection sites. For this
reason, we ask that you not rub or massage the area
for twelve hours after the injection. Possible side
effects may include a small droop of the eyebrow or
upper eyelid. Fortunately, if this occurs, it is
temporary but may last two to three weeks.
Likewise, when the crow’s feet are being treated,
migration of the toxin may rarely cause a small
droop of the lower eyelid, which also lasts
approximately two to three weeks and is temporary.
There have been no allergies, anaphylactic or
systemic side effects associated with this
medication at the dosages we employ. Botox has been
used in a safe and effective manner at a much higher
dosage for patients with near-muscular disorders for
approximately 22 years.
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