Botox in Charlotte and Gastonia

Background

There are currently two FDA approved Botulinum toxin preparations that are available for use in the United States: Botox (Allergan Inc.) and Dysport (Medicis Inc). These two agents are essentially the same molecule, but have somewhat different relative potency and associated carrier molecules.
Botulinum toxin works by preventing the release of a chemical (the neurotransmitter Acetylcholine) from the end of a nerve. The toxin therefore prevents the message from your nerve from reaching your muscle. The result is that your muscle does not function. Botox and Dysport are therefore useful in decreasing and softening the wrinkles and lines that are caused by smiling, frowning, and squinting. These lines are most commonly seen in the forehead, between the eyebrows (glabellar lines), and around the eyes (crow’s feet). Sometimes lines in other parts of the face are also treated. The FDA has only approved Cosmetic Botulinum toxin injections for treatment of glabellar lines, although it is used frequently “off-label” for many other areas.

The Procedure

The procedure is quick and simple. The area(s) to be treated are evaluated and photographs are frequently obtained. A very small needle is then used to inject the botulinum toxin with multiple small injections. Some patients say that it is almost painless, while others note that the treatment is uncomfortable. No matter what you experience, it is over very quickly.

The Outcome

The onset of action varies between Botox and Dysport. Botox usually takes at least 3-5 days before results are seen, sometimes longer. The effects of Dysport are usually apparent within 24-48 hours, although the complete effect may take longer. Both of these agents are effective for 3-4 months, although a great variation is noted from patient to patient. You can expect to see softening of the lines of the forehead and crow’s feet. Over time and with repeated use of the toxin, the lines will continue to fade.
The Risks

Both Dysport and Botox have been shown to be very safe. Common side effects include bruising and mild swelling at the injection sites. Some patients may experience headaches. In less than 5% of patients there may be some muscle weakness that can cause eyebrow or eyelid drooping. There have very rare significant complications such as severe allergic response (less than 1 in 5000). Be sure to read all of the consent form and information available to you prior to the procedure so that you are well informed.