Botox
BOTOX is a toxin produced by the bacteria Clostridium botulinum that is injected into muscles and used as a paralyzing agent for the muscles of expression. This weakens the fine muscles in the forehead, around the eyes and the glabella areas as a result forehead creases , crows feet andfrown lines are reduced or eliminated. It is injected directly into the muscles . It works by blocking nerve impulses to the injected muscles and reduces the muscle activity. BOTOX is also being used to reduce sweating in the axilla, palms of hand and feet.

How is injection given ?
Treatment is in the form of multiple injections made using very fine needles with ice or local anesthetic cream to numb the area. The injections are not painful. The effects start to appear in a couple of days and the best result is seen in a week. The results generally last about 4-6 months and then the injection has to be repeated. The injections done multiple times may give a longer lasting result.

What are side effects?
BOTOX injections appear to be very safe. Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, bleeding / bruising. The most serious side effect is drooping of the upper lid due to paralysis of the lid muscle or double vision caused by paralysis of small muscles of the eye. This complication is temporary and will disappear once the effect of botox wears off. This is avoided by keeping the injection away from the lid and not lying down for 4 hours after the injection. No systemic side effect has been reported to date. There may be some minor bruising which can be covered up with makeup.

Is treatment with BOTOX® Cosmetic painful?
Discomfort is usually minimal and brief. Prior to injection, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes.

After Care
The head should be held elevated for 4 hours or more (no lying down). Ice application to the injected area will help in reduction of bruising and swelling. Makeup can be used within a hour.
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