Botox is a toxin produced by a bacteria called Botulinum. Botox blocks the chemicals that cause muscles to contract, thereby relaxing them. Botox has been used for over 15 years to treat a variety of medical conditions. The same product with dosing specific to cosmetic indications was approved in 2002 as BotoxÂ® Cosmetic. The wrinkles caused by overactive facial muscles and repetitive facial expressions are called dynamic wrinkles. They include frown lines, crowâ€™s feet, forehead wrinkles, and lip wrinkles. Botox can dramatically improve and often eliminate those wrinkles.
The lines and creases that appear in the face result for repetitive muscle movement and the passage of time. For instance, the frown lines between the brows are created by two specific muscles, when they contract, the brows are drawn together. As skin becomes less elastic over time, repeated frowning will result in moderate to severe lines between the brows. Injecting Botox into those muscles will relax the muscles with improvement or elimination of the frown lines.
Drs. Pelosi uses the smallest available needle in the market called the “Gucci Needles.” Most people experience no pain whatsoever but some may experience brief mild discomfort as they are being injected. If needed, the areas to be injected are numbed with ice or a local anesthetic cream. Following injection recovery is immediate, and you can return to work immediately.
You will begin to see changes in your wrinkles within 24 hours and continue to see improvement for the next 5 days. Visible results can last up to 4 months. After that, you may be ready to return for a follow-up treatment. Your own results may vary (the range varies from 3 to 6 months). The effects of Botox are not permanent and are only effective for dynamic wrinkles.
Botox has been used safely for over 20 years. It has an excellent safety record and a low incidence of side effects. A few patients may experience mild bruising that disappears within a few days. The most common side effects following injection of BotoxÂ® Cosmetic include headaches, respiratory infection, Flu syndrome, temporary eyelid droop, and nausea.
Most doctors charge by area of injection without disclosing to the patient how many units of BotoxÂ® Cosmetic will be injected in each area. You must be aware that dilution matters, ask the doctor how much saline solution he or she uses to dilute the vial of BotoxÂ® Cosmetic and how many units will be injected in each area. Each vial contains 100 units and should be diluted with no more than 4 ccs of saline. If the doctor dilutes the Botox with more then 4 ccs of saline, then you will be getting a smaller dose of BotoxÂ® Cosmetic which will be less effective and shorter lasting.
When comparing BotoxÂ® Cosmetic injection prices among different offices, be sure to ask each office how much they dilute the pure Botox. Be aware that a physician who offers Botox injections at very low prices may be suspect for over diluting the Botox. Highly diluted BotoxÂ® will usually give a short and less than the optimal result – NOT what you want!
You are better off asking the doctor to charge you the BotoxÂ® Cosmetic injections by the unit, rather than by area of injection. Drs. Pelosi charges BotoxÂ® Cosmetic injections by the unit.