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History: BOTOX® is an isolated neurotoxin
produced by the bacteria clostridium botulinum. It was first
isolated and linked to the death of people who ingested contaminated
meat at the first of the century. The toxin was first isolated
in 1940. The use of botox Botulinum toxin A was first used
medically by ophthalmologists for patients suffering from
blepharospasm, which was characterized by involuntary contraction
of the orbicularis muscle around the eye. Over the past several
years it has been used for the treatment of other spasms of
the facial musculature. Clinicians noticed that these patients
often received a passive benefit of the improvement of deep
and superficial wrinkles of the face.
Indications: BOTOX® Cosmetic treatments
are an ideal adjunct for treatment of lines from forehead
wrinkling, and facial musculature. The most common sites that
I treat are forehead wrinkles, the furrows between the eyes
(corrugator muscle), and crows feet around the eyes (orbicularis).
Additional areas that have been described are treatment of
platysmal muscle band (of the neck), and the use of botox
treatments for migraine headaches. The treatment of wrinkles
with botox is highly effective, it usually takes several days
and as long as one week before the maximal effects of the
BOTOX® Cosmetic treatment are observed. The duration of
the effectiveness can vary from patient to patient, and from
injection site. In general, the effect lasts approximately
3-4 months. Repeated injections are common, and may be performed
after four to five months.
Procedure: Patients who take daily vitamin
E, daily multivitamins, St. Johns Wort or anti-inflammatory
medications, should stop 10 days prior to receiving a Botox
treatment. This will decrease possible bruising.
The botox treatment procedure is relatively
simple, and presents the patient with minimal pain. If the
patient so desires, he/she may take pain medications approximately
1/2 hour prior to treatment. The entire procedure may take
as long as ten minutes, after which the patient is discharged
from the office, located in New York.
Post BOTOX® Cosmetic Treatment Injection
Instructions:
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The patient should keep his/her head elevated, for approximately
4-6 hours after treatment.
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The patient should avoid any heavy exercise, lifting,
or physical activity for 4-6 hours post BOTOX® Cosmetic
treatment injection.
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Frequent stimulation of the muscle that was treated can
only enhance the effectiveness of the procedure, and the
patient is urged to perform this small exercise.
Contraindications: Patients who are pregnant,
or lactating should avoid treatment. Any patient with an underlying
neuromuscular disease certainly should consult their treating
physician before receiving a BOTOX® Cosmetic treatment.
Patients who have an allergy to human albumin, and antibiotics
should make the physician aware of their sensitivity.
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