Typical treament amounts are 20 units for each area (forehead, glabella and around both eyes)
Who Is a Good Candidate?
Botox (botulinum toxin A) is used to soften and sometimes eliminate wrinkles and lines in the face. It is FDA approved for glabellar rhytids and crows feet. It is injected by Dr. Kayan (with a very small needle - smaller than a flu vaccine needle) in the office into the muscles of the face, and is most commonly used to treat the horizontal forehead lines, vertical lines between the eyebrows (glabellar rhytids), wrinkles around the outer part of the eyes (crows feet), and wrinkles around the mouth. It can also sometimes help reduce the appearance of the vertical bands in the neck known as platysmal bands. It works by paralyzing the muscles in these areas, which in turn prevents the muscles from pulling on the skin and causing wrinkles. It usually takes effect in 1-2 weeks, and lasts anywhere from 3 to 6 months. The longer you use Botox, the longer it lasts because it causes long term atrophy of the muscles that cause wrinkles. In men in particular, long term use of botox can atrophy the muscles of the forehead and brow leading to a less heavy and tired appearance. A good side effect also is that some patients report less forehead and facial sweating after botox treatment.
Botox may also be used in the feet, palms or underarms to decrease sweating.
Botox injections usually take 5-10 minutes, and are done in the office with you either sitting up or laying down. The injections are quick and superficial, and you will feel a tiny pinch. The injections are very well tolerated. Sometimes you may experience a small amount of bleeding at the injection site, but this is usually minor.
You should not lay down for 3-4 hours after receiving Botox injections, as this may cause it to migrate to places where unintended muscles become affected such as those that raise your eyelids. Otherwise, you may return to normal activities immediately. You may experience some bruising around the injection sites that will dissipate in less than a week.