Treatment with botulinum type A (Botox) can relax the muscles that cause expression lines, thereby preventing wrinkles from forming and improving the appearance of existing wrinkles caused by facial expressions.
Botulinum type A can be used in a treatment called “facial shaping” to help improve asymmetry or other facial conditions that result from muscle action.
Botulinum type A can also be used to treat a condition called hyperhidrosis (excessive perspiration).
U.S. FDA-Approved Botulinum Type A
Botox Cosmetic was approved in 2002 by the U.S. FDA for treatment of the glabella region (the area between the eyebrows.
Dysport was approved in 2009 by the U.S. FDA for treatment of the glabella region (the area between the eyebrows).
In 2004, Botox received U.S. FDA approval for the treatment of hyperhidrosis, or excessive sweating.
- The area to be injected will be cleansed, commonly with alcohol swabs.
- No anesthetic is necessary; however, you may request a topical anesthetic cream for your comfort.
- Your doctor may ask you to make specific expressions to identify facial muscle contractions.
- Your doctor may mark near the injection sites with temporary ink.
- Your doctor will make several quick injections in the region to be treated.
- The treated area may be cleansed again.
- The entire treatment process may take 10 to 15 minutes.
After Your Injections
- You may experience mild swelling or bruising from any type of injection.
- You may experience a mild headache after treatment. It is unlikely, but possible, that you may experience mild flu-like symptoms after your injections.
- If this is your first time being treated with botulinum type A, Botox Cosmetic or Dysport, you can expect your results to develop within 5 to 10 days after treatment.
- You will no longer, or only with great exertion, be able to make the expressions that have created the expression lines and resulting wrinkles on your face.
- Treatment is temporary. Within 4 to 6 months you will see movement return to the treated area. If you do not repeat treatment, your appearance will return to its pre-treatment state.
Commonly injected sites
Botox Cosmetic and Dysport are U.S. FDA approved for injection in the glabella (the region between the eyebrows).
Botox Cosmetic and Dysport are also commonly injected in the forehead region, at the outer corners of the eyes (crow’s feet), on either side of the mid-chin (to treat a down-turned mouth), and in the neck (to treat neck bands or visible chords).
Botox is U.S. FDA approved to treat excessive sweating in the underarms and palms. It is also commonly used to treat excessive perspiration of the scalp and soles of the feet.
Questions to Ask Your Doctor
- What is your board certification?
- How were you trained to do injectable treatments?
- Do you regularly provide Botox treatments?
- How many people have you treated with a condition similar to mine?
- Will you personally inject me? If not, what are the qualifications of the person who will?
- Exactly what name brand of injectable do you recommend for me?
- Is it FDA approved specifically for cosmetic purposes?
- May I see the packaging to verify the brand name?
- Are there any precautions I should take before my injectable treatment?
- Is anesthetic available if I ask for it?
- What can I expect to experience after my treatment?
- What are the potential risks of treatment?
- How long will my results last?