Botox® Cosmetic (onabotulinumtoxinA) is an injectable medication designed to improve facial wrinkles. Botox® is a purified form of botulinum toxin and works by relaxing the muscles in the affected area. On a technical level, botulinum toxin blocks the release of a chemical neurotransmitter called acetylcholine that controls muscle contraction when a signal is sent from the nerve to the muscle. Since these muscles pull on the soft tissue and skin to create various facial expressions, relaxing the muscles results in a smoother appearance of the overlying skin. Over time, your body generates new nerve terminals that again allow the transmission of the neurotransmitter acetylcholine and result in return of muscle function. This is why Botox® only lasts for 3-4 months in most patients before it must be re-injected to maintain the treatment results.
Botox® injections usually start to take effect 5-7 days after treatment, and will reach their maximum effect by around days 7-10 after injection.
FDA approved for the treatment of several medical conditions including strabismus, blepharospasm, cervical dystonia, chronic migraines, upper and lower limb spasticity, overactive bladder, and excessive underarm sweating, Botox® Cosmetic is also FDA approved for the cosmetic treatment of moderate to severe frown lines of the crow’s feet and glabellar areas. Botox® Cosmetic is commonly used for cosmetic purposes to treat wrinkles and fine lines of the forehead, glabella (between the eyebrows), lateral orbital areas (crow’s feet), and lateral nasal areas (bunny lines). In some cases, Botox® can also be used to improve wrinkling of the lower eyelids and chin areas. On the chin, Botox® can be used to improve dimpling or wrinkling of the chin causing an “orange peel” appearance.
In select patients, Botox can also be used to improve down-turned corners of the mouth and vertical banding of muscles in the neck. Many of the injection locations and techniques discussed here are advanced techniques that are not commonly performed by most injectors, but both Dr. Richardson and Dr. Cain are expert injectors and personally perform all of their own injections at Texas Facial Aesthetics.
During your consultation, the doctors are happy to discuss all of your Botox treatment options with you in detail. Click here to schedule your consultation today and let them help you formulate a personalized treatment plan.