
Botox
Injection of Neuromodulators for facial and neckline wrinkles (cervical dystonia), and for
reduction of excessive sweating in various body areas..
Overview
Botox injections are noted primarily for the ability to reduce the appearance of facial wrinkles. They’re also used to treat conditions such as neck spasms (cervical dystonia), excessive sweating (hyperhidrosis).
Botox injections may also help prevent chronic migraines.
Botox injections use a toxin called onabotulinumtoxina to temporarily prevent a muscle from moving. This toxin is produced by the microbe that causes botulism, a type of food poisoning.
Botox was the first drug to use botulinum toxin. Other products now include abobotulinumtoxinA
(Dysport), and incobotulinumtoxinA (Xeomin). Each is a little different, particularly when it comes to
dosage units, so they aren’t interchangeable.


Why it's done?
Botox injections block certain chemical signals from nerves, mostly signals that cause muscles to
contract.
The most common use of these injections is to temporarily relax the facial muscles that cause wrinkles in the forehead and around the eyes. Botox injections are also used to treat conditions that affect
how the body functions.
Examples include: Hyperhidrosis, Migraines’ Headache, Jaw pain due to teet clenching and face pain due to trigeminal neuralgia.
Risks
Botox injections are relatively safe when performed by an experienced doctor. Possible side effects and
complications include:
Pain, swelling or bruising at the injection site
Headache or flu-like symptoms
Droopy eyelid or cockeyed eyebrows
Crooked smile or drooling
Eye dryness or excessive tearing
Doctors generally recommend against using Botox when you’re pregnant or breastfeeding. And Botox
should not be used in people who are allergic to cows milk protein.
Select your doctor carefully
Botox must be used only under a doctors care. It’s important that injections be placed precisely in order to avoid side effects. Botox therapy can be dangerous if its administered incorrectly. A skilled and properly certified doctor can advise you on the procedure and help determine if it best suits your needs and health.to avoid side effects. Botox therapy can be dangerous if its administered incorrectly. A skilled and properly certified doctor can advise you on the procedure and help determine if it best suits your needs and health.
How you can prepare
Tell your doctor if you’ve had any type of Botox injection within the past four months. Also tell your doctor if you take muscle relaxants, sleeping aids or allergy medications. If you take blood thinners, you may need to stop taking them several days before your injection to reduce your risk of bleeding or bruising.

What you can expect
Most people don’t feel much discomfort during the procedure. But you may want your skin numbed
beforehand, especially if your palms or soles are being treated for excessive sweating. Your doctor might
use one or more of various methods available to numb the area, such as topical anesthesia, ice and
vibration anesthesia, which uses massage to reduce discomfort.
Botox injections are usually performed in a doctors office. Your doctor uses a thin needle to inject tiny
amounts of botulinum toxin into your skin or muscles. The number of injections needed depends on many
factors, including the extent of the area being treated.
You can return to your normal activities right after the procedure.
Botox injections usually begin working one to three days after treatment. Depending on the problem being
treated, the effect may last three months or longer. To maintain the effect, you will need regular follow-up
injections
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