- SKIN CANCER CENTER
After reading through the information available on this website, you will need to speak to a doctor to determine if BOTOX® Cosmetic is right for you. You may want to consider choosing a physician from the BOTOX® Cosmetic Find a Doctor tool. The physicians and practices that you find here focus on facial aesthetics, have a comprehensive knowledge of facial anatomy, and have experience administering BOTOX® Cosmetic.
If you are pleased with your previous BOTOX® Cosmetic results, you may want to consider a regular treatment plan to help maintain them. Don’t forget that you can receive injections every 3 to 4 months as long as you don’t have any serious allergic reactions or other significant side effects. You can also join the Brilliant Distinctions® Program for special offers and to gain access to exclusive events.
In this You & BOTOX® Cosmetic section of the website, you can learn to talk to your doctor about BOTOX® Cosmetic, read about how to get started and most importantly find help with choosing a doctor. You can also learn more about the treatment process, find out if BOTOX® Cosmetic is right for you, and once you have been treated with BOTOX® Cosmetic treatment, you can find out more about continuing treatment.
Here’s what you might expect at the doctor’s office from the moment you arrive until your procedure is done. (Please note that although this experience is typical, the routine at your doctor’s office may be different.)
Before the Treatment
Consult your doctor to determine whether you are a candidate for treatment with BOTOX® Cosmetic
Your doctor will ask you about your goals to determine where to administer BOTOX® Cosmetic. To do this, your doctor may examine your ability to move certain muscles in your brow area. The location, size, and use of the muscles that create furrow between your brows can vary among individuals
Ask the doctor any questions you may have about your expectations for treatment
Discuss treatment goals and finalize a customized treatment plan tailored to your needs
The administration of BOTOX® Cosmetic involves:
No anesthesia is required. However, your doctor may choose to numb the area with a cold pack or anesthetic cream. Discomfort is usually minimal and brief.
Your doctor will administer a few tiny injections of BOTOX® Cosmetic directly into the muscles that cause those moderate-to-severe frown lines between the brows.
Approximately 10 minutes for the entire treatment.
After the Treatment
No downtime is needed – you’re ready to get on with your day!
Your physician will give you specific aftercare instructions.
Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising.
If you’re pleased with your BOTOX® Cosmetic treatment, you might want to consider a regular treatment schedule to help maintain your results.
You can receive injections with BOTOX® Cosmetic every 3 to 4 months to help you maintain the results as long as you don’t have any serious allergic reactions or other significant side effects. Your physician’s office may offer treatment reminders to keep you on track, or you can also sign up for the Brilliant Distinctions® Program below to receive our FREE treatment reminders via e-mail.
If you discontinue treatment, the moderate to severe frown lines between your brows will gradually return to look like they did before treatment.
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:
Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities
The dose of BOTOX® Cosmetic is not the same as, or comparable to, another botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines.
Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).
Human albumin and spread of viral diseases. BOTOX® Cosmetic contains albumin, a protein component of human blood. The potential risk of spreading viral diseases [eg Creutzfeldt-Jakob Disease (CJD)] via human serum albumin is extremely rare. No cases of viral diseases or CJD have ever been reported in association with human serum albumin.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; or take a sleep medicine.
Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.
For more information refer to the Medication Guide or talk with your doctor.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see BOTOX® Cosmetic full Product Information including Boxed Warning and Medication Guide.
Karen Baker Mesa is a board-certified Physician Assistant with over 15 years of dermatology experience. Born and raised in Miami, Karen has a great appreciation for South Florida’s multi-cultural community.
In private practice since 1992, Dr. Deborah Longwill has developed a loyal holistic approach to dermatology.
Jennifer A. Martinez, PA-C is a Board Certified Physician Assistant who her Master’s in Medical Science Degree at Barry University.
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