How does Botox work?

Botox Cosmetic works by temporarily blocking nerve signals and muscle contractions. This improves the appearance of wrinkles around the eyes and between the eyebrows. It can also slow the formation of new lines by preventing contraction of facial muscles.

It’s a minimally invasive procedure. It doesn’t involve incisions or general anaesthesia. If you’re concerned about pain or discomfort, a topical anaesthetic or ice can numb the treatment area.

During the procedure, your provider will use a thin needle to administer injections of botulinum toxin type A.
The entire procedure takes approximately 20 minutes.

Preparing for Botox

Botox Cosmetic involves a nonsurgical, in-office treatment. It requires minimal preparation. You should let your treatment provider know about your medical history, allergies, or medical conditions before your procedure.
For optimal results it is advisable to:

• Avoid alcohol and caffeinated drinks 24 hours before treatment
• Avoid any blood thinning medication such as aspirin, ibuprofen, Vitamin E or fish oil, as this can increase bruising/bleeding, and may make the healing process longer
• Are fully hydrated –ideally drink 2-3 litres of water a day on the run up to your treatment
• Make sure you have eaten something before your treatment as to avoid feeling faint.

What areas of the body can be treated with Botox?

Cosmetically, the injectable can be used in the following areas:

• The area between the eyebrows (glabellar region), to treat moderate to severe frown lines
• Around the eyes, commonly known as crow’s feet lines

Botox also received FDA approval to treat various medical problems, including:

• Overactive bladder
• Excessive underarm sweating
• Lower limb spasticity
• Chronic migraines

Are there any risks or side effects?

Minor bruising or discomfort may occur, but should improve within a few days. Other side effects may include:

• Swelling or drooping in the eyelid area
• Tiredness
• Headache
• Neck pain
• Double vision
• Dry eyes
• Allergic reactions, such as rash, itching, or asthma symptoms

Contact your provider if you are concerned about any side effects following procedure.

Contraindications

Botox may not be an appropriate treatment if you:

• Are Pregnant or breastfeeding
• Have a Neurovascular disorder such as Myasthenia Gravis
• Are taking certain muscle relaxants or antibodies such as aminoglycosides
• Those with bleeding disorders
• Those with infection or inflammation of injection site

What to expect after Botox Cosmetic?

It’s important to understand possible improvements and have realistic expectations. Whilst Botox can be very effective in wrinkles due to muscle contractions, it will not have an effect on fine lines produced by sun damage, and lines due to facial sagging of skin. In those clients with very heavy lines, repeated treatments may be required to produce optimal results.

Noticeable results can be expected within 2-4 days post-treatment, with optimal results around day 14. The full effect of Botox typically lasts up to four months, however movement will gradually begin to return during this time. It can also help prevent the return of fine lines through relaxing the muscles.

For Optimal results post treatment:

• Avoid rubbing, massaging, or applying any pressure to the treated area. These actions can cause Botox Cosmetic to spread to other areas of the body. This can negatively affect your results.
• When being injected between the brows, do not lie down or bend over for three to four hour. Doing so may cause the Botox to slip under the orbital rim. This could possibly cause an eyelid droop.
• Smoking will delay the healing process and can have a negative effect on your outcome or any bruising that may occur
• Ensure you drink 2-3 litres of water a day post treatment for faster healing
• Avoid alcohol for 24 hours after your treatment. Alcohol can have a negative effect on the outcome of your treatment.
• Avoid vigorous exercise for 24 hours.
• One side of the face can sometimes start to take affect sooner than the other – this is normal and will usually rectify once the healing process is complete
• Bruising & swelling can occur but will subside with ice, light compression and arnica gel