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Botox is the brand name of a toxin that is produced by the bacterium, Clostridium botulinum.  Small, diluted amounts of the toxin are injected into specific muscles, which cause the facial muscles to weaken.  Botox is used to improve the appearance of moderate to severe frown lines between the eyebrows.

How Botox Works
Certain types of wrinkles are created when nerve cells within the muscles beneath the skin release a chemical known as acetylcholine.  Acetylcholine triggers a muscle contraction that creates wrinkles.  Botox injections disrupt the release of acetylcholine, causing the muscle to become paralyzed and preventing the contraction.

What to Expect

The RN marks various points where the injections will be made with a marking pencil.  Points are often located in areas where the muscle contracts, but are sometimes located directly on the wrinkle.  Numerous injections may need to be administered to a single area.

After marking the areas, the Botox is then injected. The procedure can last from several minutes to 20 minutes.  Individuals may experience some brief discomfort during the procedure.

Patients are advised not to lie flat for four hours post-procedure and no rubbing the injection site for twelve hours.  Patients are able to return home immediately following treatment and can resume normal activities.

Side Effects
Bruising is the most common side effect of Botox treatment.  Other side effects associated with Botox injections include redness, swelling, inflammation, tenderness, bleeding, headache, nausea, and flu-like symptoms.  Most symptoms resolve within 24 to 48 hours.  In rare cases, patients may experience muscle weakness and drooping of the upper eyelids.  Typically, this side effect resolves within days of treatment.  If patients experience asthma symptoms such as wheezing or dizziness after the procedure, contact a doctor immediately.

The results of Botox treatment are usually apparent one to two weeks after the procedure.  The results last for approximately four months and may vary from patient to patient.  To achieve the best outcome from Botox treatment, it is important to choose an injector who is qualified and experienced.

Results of Botox treatment are not highly obvious and individuals will not appear to have had plastic surgery or any surgical procedure. Botox will not radically change a facial appearance either.  Since the muscle activity that causes frown lines to form is reduced, patients will be able to frown and make a surprised expression without wrinkles and creases forming between your brows.

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