What is Botox®?
Botox® is an injectable neuromodulator that works to treat certain types of lines and wrinkles known as “dynamic wrinkles.” These signs of aging are caused by the contractions of facial muscles. Botox® is also used to delay the onset of dynamic wrinkles, leading to an increase in preventative Botox® (sometimes called Baby Botox®), and people are now starting Botox® treatments in their mid-twenties and early thirties.
Botox® injections are an FDA-approved treatment for frown lines, lines on the forehead and crow’s feet. It’s also effective for other areas of the face, such as the nose, lower face, lips, and neck. Botox® softens the appearance of lines and wrinkles by blocking signals from the nerves to the muscles to disrupt the contractions.
Botox® is effective for people of all ages, from mid-twenties and older. It minimizes the appearance of existing lines, as well as weaken the muscles to prevent wrinkles from worsening as you age. Keep in mind that Botox® isn’t a miracle fix for all signs of aging. It won’t work on lines that are caused by other factors, such as sun damage.
The Advantages and Disadvantages of Using Botox®
More and more people are relying on Botox® as their preferred anti-aging treatment for a number of reasons. However, in some cases, it might not be the ideal choice. Here are the pros and cons of Botox® to consider before opting for the injections.
Pros
- Botox® is the premier treatment for fine lines and wrinkles. It is considered more effective than almost any other option for reducing lines and wrinkles that are caused by muscle movement in the face.
- Botox® is a temporary treatment, and injections last about four to six months. You can try it out, and decide if it’s right for you. If you decide against further injections, your skin returns to the same appearance as prior to the injections, with only signs of the natural aging process.
- Botox® is safe. There are very few health risks associated with using the product.
- There is little to no downtime with Botox®. You can resume your normal activities immediately after the injections.
- You see immediate results. Some people see results right after the injections, but most people see results within a few days.
- Botox® injections require very little time. The first treatment takes 30 to 60 minutes, and follow-treatments take about 15 minutes.
- Repeated treatments offer longer-term benefits. Results last four to six months, and you’ll need follow-up injections about every four months. In addition to being an effective treatment for wrinkles, Botox® helps to reduce, sometimes even remove, lines caused by repetitive facial muscle movements.
Cons
- The costs of Botox® injections can add up. Depending on where you live, Botox® injections in a single treatment area may cost between $400 and $500, but it may be as high as $2000. Depending on the number of treatment areas and the frequency of your treatments, the costs can add up quite quickly.
- Botox® must be done by a professional. It can be tempting to try to find a lower cost option. In order to ensure that the treatment is safe and effective, choose a medical practitioner, trained aesthetician, or nurse injector for your Botox® treatments.
- Botox® may limit range of motion in your face. The treatment temporarily paralyzes facial muscles to soften wrinkles. This may prevent you from making certain facial expressions. You can reduce the risk of this effect by ensuring that the individual administering the injections is experienced and properly trained.
- The temporary nature of Botox® can be a disadvantage. You’ll need maintenance injections about every four months to maintain the anti-aging benefits.
- Although rare, side effects have been reported with Botox® injections. The most common are allergic reactions that may cause pain or discomfort.
- Botox® is not recommended for women who are trying to get pregnant, currently pregnant, or breastfeeding. There is no research as to the safety of Botox® injections in these situations.
- There is a chance of bruising at the site of the injection, and this can last for up to a week.
Botox® FAQs
Here are some answers to the most frequently asked questions about Botox®.
Ask a question-
Is Botox® safe?
While Botox® remains one of the most popular minimally-invasive treatments, there are many people who have concerns. It is true that the active ingredient in Botox® is a toxin that temporarily paralyzes muscles. Complications from Botox® are rare, but it is possible that the Botox® can spread into other areas. This may result in drooping eyelids or an uneven smile. The results are not permanent and will wear off within 3 – 4 months.
The toxin, botulinum type A, has very little risk and few to no side effects when administered by a qualified professional. This makes choosing the right provider important. Choose someone who is qualified and has proven experience in successfully and effectively offering Botox® injections. Every provider that is listed on Anzolo Medical has been carefully checked to ensure that they meet the medical requirements as set by CA.
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What is Botox® used for?
Botox® works by temporarily paralyzing the underlying facial muscles. It is most often used to reduce the appearance of fine lines and wrinkles. Botox® is also used for the treatment of migraines, muscular disorders, and excessive sweating. In some cases, it is also effective for certain bladder and bowel disorders, temporomandibular joint disorder, bruxism, vaginismus, and for reducing a gummy smile.
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What can I expect from my Botox® appointment?
If you have concerns about your Botox® appointment, this should help you to understand what you can expect at each stage of the process:
- The first step is a consultation with your provider. After a thorough examination and discussion about your concerns, the provider makes treatment recommendations to help you achieve your goals. This is an ideal time to ask any questions that you might have.
- The second step is the Botox® appointment. You will complete a consent form. Expect your first appointment to take about 30 minutes. Follow-up treatments may take slightly less time. Your provider explains the procedure and what to expect. Botox® is injected in the targeted muscles with a fine needle.
- Immediately after the treatment, you can expect to have a small amount of swelling and redness which will disappear after ten minutes. It is possible that you may have a slight headache afterwards, although most people experience very little in the way of pain or side effects.
- One day after Botox® treatment, you probably won’t have any symptoms, but there is a chance that you may have some minor bruising or a mild headache. You may not yet see the effects of the treatment.
- A week after your treatment, you’re likely to see the results of the injections. The skin appears smoother and plumper.
- Three months after your treatment, muscle movement starts to gradually return to normal. This is the time to schedule your follow-up appointment for additional Botox injections.
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How long will it take to see results?
The full effects of Botox® are not immediate. Botulinum type A takes some time to relax the muscles. You should start to see results around two to three days after treatment, but the full effects will take up to one week. Look for full results after about two weeks.
Keep in mind that you may still see some fine lines. The appearance of these lines will decrease as the facial muscles remain relaxed and immobile over three months. This is what makes long-term Botox® use so effective. The longer the muscles remain immobile, the fewer lines you may have.
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Do Botox® injections hurt?
The pain from Botox® is minimal. The needles are very small. After the treatment, you may have small red bumps on your face that will last for 15 to 20 minutes. There is a small risk of bruising around each injection site that may last up to one week. You can minimize the risk of bruising by avoiding anything that thins your blood, unless it’s medically necessary. This includes aspirin, ibuprofen (and other non-steroidal anti-inflammatories), fish oil, vitamin E supplements, and alcohol.
If you are worried about the discomfort of Botox injections, you can request a topical anesthetic cream to numb the area before the injections.
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How long does Botox® last?
Botox® lasts for 4 and 6 months. As the muscle movement gradually returns, you will notice the lines and wrinkles starting to reappear. At this point, you will need a follow-up treatment. With continued Botox injections, the lines and wrinkles are less severe. If you stop Botox® treatments, the effects will wear off completely, and muscles will go back to their normal movements.
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How much should I expect to pay?
The total cost of treatment with Botox® varies from person to person. It depends on how many units are needed to treat the area. Additional considerations are the size of the area and strength of the muscles that need to be relaxed. In [STATE], the cost ranges from $10 and $25 per unit. Frown lines between the eyebrows are often treated with Botox® injections. Most people require about 25 units of Botox® to soften these lines, but it may 10 to 30 units.
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When should you start getting Botox®?
Many patients start using Botox® around the age of 30 when lines and wrinkles start to become more noticeable. Others start Botox® injections around age 25 as a preventive treatment.
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Patient Testimonials
Read real reviews from the Anzolo community
Geoffrey Keyes is amazing! Highly recommend this doctor! He is a genius in rhinoplasty, I got my nose done with him, and even though there is a huge...
Hair By K. on Geoffrey R Keyes, MD,FACS via Yelp
I broke my nose extremely badly playing soccer in college. After the break, I had a doctor tell me that due to the severity of how deviated my septum was, it would be impossible to make my nose straight without making it much wider and compromising the look of my nose. I have small features and so I didn't want to have my nose widened so I had surgery with a doctor in Minnesota knowing that I wouldn't be coming out of the surgery with a straight nose. At the time, I believed that was my only option. I went on living life, knowing that if I had the opportunity to change one thing about myself, it would be my nose. It was the one feature I was most self-conscious about because every time I looked in the mirror I saw the "S" shape of my nose. When I would smile, my nose would droop and appear much larger than it was. It bothered me so much that I would edit photos of myself to make my nose straight.
Several years later after moving to Los Angeles I found and met with Dr. Keyes. I cannot even begin to explain how blessed I was to have found him. When we first sat down together, I didn't even have to tell him what was wrong with my nose. He started explaining everything that he saw that needed fixing. He said my septum was pushed out of place, then incorrectly fixed by a doctor that wasn't properly trained which resulted in the "S" shape, that the cartilage in my tip wasn't strong enough which was causing my nose to droop when I would smile and he explained to me that he knew exactly what would need to be done to fix my nose. I have never felt so much confidence in a doctor. Dr. Keyes made all my fears and all my reservations go away in that instance. I put my faith in Dr. Keyes, rightfully so. Dr. Keyes and his team took the best care of me; before surgery, during and after. Kimberely held my hand as I went under anesthesia and made sure I was comfortable and felt safe the entire time.
I never thought I would get to a place where I truly felt confident in the way my nose looked. Dr. Keyes proved to me that when you find the right doctor, who knows exactly what they're doing, it's more than a possibility. Now, it's my reality. I could not be happier with the outcome and I could not be happier with the experience. I would highly recommend anyone looking for an amazing plastic surgeon for a rhinoplasty, to set up a consultation with Dr. Keyes. I promise he will exceed your expectations the same way he did mine.
Mary Stringini on Geoffrey R Keyes, MD,FACS via Google Reviews
Don’t look any further than Dr. Keyes for a plastic surgeon. He and his assistant Kimberly will surpass your expectations.
Let me begin by stating that, as someone who had a rhinoplasty performed several years ago, and was somewhat dissatisfied with the results, it was imperative that I find the right surgeon to perform a revision rhinoplasty.
It was difficult to make a selection from the abundance of skilled surgeons in the Los Angeles/Beverly Hills area. I researched several surgeons in-depth, and had consultations with a handful of them. Of the surgeons with whom I had consultations, I was immediately struck by Dr. Keyes’s candor, vision, and competence.
Although I had rough ideas of how I wanted my nose changed, it wasn’t until Dr. Keyes patiently reviewed, prodded, and probed (conversationally and physically!) that I not only had a more defined sense of what I wanted – but what was possible.
I'd like to note that, throughout my odyssey of consultations, I have found that surgeons can promise you the moon and the stars without so much as performing a cursory examination of your nose, the thickness of your cartilage, etc.. Unlike other surgeons, Dr. Keyes actually performed these kinds of examinations during my initial consultation, and after understanding the realities of my nose structure, he provided me with a detailed explanation of changes he could safety make to temper and highlight the figurative ones I had previously expressed.
Shortly thereafter, I booked an appointment with Dr. Keyes for my revision rhinoplasty. I never looked back.
The changes Dr. Keyes made to my nose were subtle, but they fit my face. Oftentimes friends and family will comment that “I look better” without knowing that I had a revision rhinoplasty. Pictures of the profile of my nose before my surgery (farthest left) a week after my surgery (middle), and six weeks after my surgery have been posted below. It is worth noting that my nose is still inflamed, and will continue to change slightly (i.e., smoother "slope" of the nose). However, I am already astounded by the changes that have materialized thus far.
My experience with Kimberly was equally positive. Indeed, her professionalism, efficiency, and warmth were factors that contributed to my decision to book my revision rhinopolasty with Dr. Keyes.
Natalie Rygiel on Geoffrey R Keyes, MD,FACS via Google Reviews
I had a breast augmentation done with Dr. Keyes almost 4 years ago. To this day I recommend his practice to friends, family and colleagues interested in plastic surgery. It was five minutes into my consultation that I knew I had found my doctor to complete this surgery. He was thorough, informative, and was patient and forthcoming of answers to my several, several questions. He was also honest and ensured the alterations to my body were congruent with my body type and looked as close to “natural” as possible and i didn’t look “obvious fake.” He and his assistant Kimberly made me feel so comfortable, and this did not stop at the consultation. From start to finish and even after Dr. Keyes and his staff went beyond to make their doctor-patient relationship unique and personal. And of course, I could not be happier with the results of my surgery. Dr. Keyes did an incredible job. Will definitely return to him for any future plastic surgeries. HIGHLY recommend.
Veronica Hernandez on Geoffrey R Keyes, MD,FACS via Google Reviews
Botox® Additional Treatments
Although Botox® is widely known for reducing fine lines and wrinkles, there are a number of other cosmetic and medical conditions that are treated with Botox®.
Migraines
Botox® is used for treating chronic migraines that are caused in part by muscle tension. If you struggle with headaches at least 15 days per month, Botox® is an FDA-approved treatment that relaxes the trigger muscles, effectively reducing the severity and duration of the headaches.
To receive treatment for your migraines, you will first need a diagnosis from a neurologist who may perform the Botox® injections. The injections can also be administered by a facial plastic surgeon or any specialist with knowledge of craniofacial anatomy.
Hyperhidrosis
Hyperhidrosis is a medical condition that causes excessive sweating. This condition can be treated by injecting Botox® into overactive sweat glands. Botox® works by disrupting the nerve signals that activate sweat glands. Its most effective in the armpit area. Treatment typically requires 20 to 25 injections for up to 50 units of Botox®.
Individual injections are quite comfortable. You may only feel a slight prick in your skin. Because 20 to 25 injections are needed, though, it is common to numb the area before the treatment. The effects of Botox® for hyperhidrosis last 3 to 6 months. Some men and women find that Botox® helps with their excessive sweating for longer.
Temporomandibular Joint Disorder
Injecting Botox® directly into the muscles of the jaw may help relieve symptoms of TMJ, teeth grinding, and a clenched jaw (bruxism). The treatment helps to prevent damage to the teeth. Botox® is often effective in reducing headaches that are caused by clenching.
The effects of the Botox® for TMJ and other jaw disorders last 3 and 6 months. During this time, the muscles learn to relax. This may mean that follow-up treatments may not be needed, or that fewer units of Botox® are needed for subsequent treatments.