Botox

Slade Dental Practice

 

BOTOX® belongs to a class of drugs called botulinum toxins. BOTOX®, a focal agent intended to reduce muscle contraction, is the brand of botulinum toxin type A made by Allergan. BOTOX® is the most studied brand of botulinum toxins and has been helping patients worldwide for more than 15 years.

This section is designed to help you understand the way BOTOX® works, its effectiveness, and its side effects. The potential of BOTOX® for continued use is also discussed. You may find it helpful to bookmark this site for future reference.

 

 

What is Botox?

BOTOX® is a formulation of botulinum toxin type A. It is derived from the bacterium Clostridium botulinum. This bacterium produces a protein that blocks the release of acetylcholine and relaxes muscles. Type A is just one of seven different types of botulinum toxin (A, B, C1, D, E, F, and G), and each has different properties and actions. No two of these botulinum toxins are alike.

More than 100 years of research have expanded our knowledge of botulinum toxin type A from the identification of the bacterium Clostridium botulinum to the commercialization of botulinum toxin type A as BOTOX®.

In the 1960s, the muscle-relaxing properties of botulinum toxin type A were tapped for investigational use in realigning crossed eyes. These early studies paved the way for treating other conditions caused by overactive muscles with botulinum toxin type A.

BOTOX® is indicated for the treatment of cervical dystonia in adults to decrease the severity of abnormal head position and neck pain associated with cervical dystonia. BOTOX® is indicated for the treatment of strabismus and blepharospasm associated with dystonia, including benign essential blepharospasm or VII nerve disorders in patients 12 years of age and above.  

Is BOTOX® a new treatment?

Not at all! BOTOX®  has been used for more than 15 years to help patients worldwide, and it is approved by the health ministries of at least 70 countries.

How does  BOTOX®  work?

Normally, your brain sends electrochemical messages to your muscles to make them contract and move. These messages are transmitted from a nerve to the muscle by a substance called acetylcholine. When too much acetylcholine is released, muscles become overly active and spasm or tense up.

BOTOX®  blocks the nerve from releasing acetylcholine. As a result, the muscle spasms stop or are greatly reduced, providing relief from symptoms. Your healthcare provider will know how much BOTOX® is needed to treat you effectively.

It’s important to remember that botulinum toxin treatment is not a cure. For many people, however, its effects have been dramatic. With BOTOX®, the nerve will take about 3 months to recover and begin to release acetylcholine, and the muscles may become overactive again. At that point, another injection will be needed to provide relief, as long as no allergic reactions or other significant side effects occurred and clinical response was obtained.

How long will the effect last?

BOTOX®  offers sustained relief, dose after dose. The relief you’ll feel from one treatment will normally last for up to 3 months. Treatments can be continued as long as your condition responds to BOTOX®, and you do not have any serious allergic reactions or other significant side effects. When the relief begins to fade, you'll return to your doctor for your next treatment.

Usually, BOTOX® treatment is required approximately 4 times per year. Because symptoms can change over time, the amount and duration of relief you'll experience can vary. Consult your doctor, who can determine how to achieve the best possible results with BOTOX®.

Restylane

What are Dermal Fillers?

Injections which fill out lines and wrinkles, sunken cheeks and weak chins; also used to reshape noses or lips.

Skin starts to sag and wrinkle naturally with age, as underlying fat and collagen diminishes. Injecting dermal fillers into the skin plumps it up, makes it firmer and smoothes out lines and wrinkles. Dermal fillers, for example Restylane, may be based on hyaluronic acid, a naturally occurring substance widely used in medicine. Other types are made with collagen, produced from cows' skin. Newer types of filler with other ingredients claim to have a longer lasting effect, but aren't widely available.

Skin starts to sag and wrinkle naturally with age, as underlying fat and collagen diminishes. Injecting dermal fillers into the skin plumps it up, makes it firmer and smoothes out lines and wrinkles. Dermal fillers, for example Restylane, may be based on hyaluronic acid, a naturally occurring substance widely used in medicine. Other types are made with collagen, produced from cows' skin. Newer types of filler with other ingredients claim to have a longer lasting effect, but aren't widely available.

What can Dermal Fillers do?

Frequently used to fill out the lips, dermal fillers are also highly successful in reducing crows' feet, wrinkles around the lips, nose and mouth, and lines on the cheeks and forehead. They can also plump out hollow cheeks, reshape the chin or nose tip, or fill acne scars.

What happens during treatment?

Before treatment itself begins, the face is sometimes numbed with a local anaesthetic cream or injection. Fillers are applied under the skin with a series of injections – a mildly uncomfortable process, with injections close to the lip or nose the most likely to be painful.

Treatment takes up to one hour, and many people go straight back to normal daily life afterwards, although if a large area is treated it can take a few hours or even a day or two to recover. There may be slight bleeding where the needle was inserted, plus mild bruising or redness which will disappear in a few days. Repeat treatments are needed every six to nine months to maintain the appearance.

What are the risks?

Avoid dermal fillers if you have active acne, or show even a slight reaction to the filler on skin test.

After treatment, allergic reactions sometimes crop up, including itching, puffiness, and red or bumpy skin. Patients who have had cold sores in the past can suffer an outbreak. Rarely, red lumps appear under the skin some months after treatment.

Information courtesy of restylane.com

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