Although highly purified, it is a cousin of botulinum toxin, which results
from botulism.
It has been used for many years in the treatment of a rather rare entity
called
blepharospasm. This is a disease combination which causes the eyelid
to contract
vigorously. The botulinum toxin was injected into the surrounding
eyelid muscles to
weaken them. This observation resulted in its being introduced to
lessen muscle
activity associated with wrinkles, particularly those of the mid forehead
area.
Botox arrives to us frozen and is reconstituted just prior to injection.
Small amounts
are injected though a tiny needle into the superficial muscles of the forehead,
particularly those between the eyebrows. When effective, it weakens
these muscles
and the forehead lines are lessened. Rarely do they completely go
away.
Systemic side effects, other than headaches, have not been reported.
Locally the
weakness can extend to the peripheral eyelid musculature and there can
be
temporary drooping of the eyelid. This is a rare occurrence and will
resolve itself
spontaneously over time without treatment.
In summary, Botox is another tool in our inventory of methods to combat
skin
wrinkles.
Length of procedure: 15 to 30 minutes
Anesthesia: None
Recovery: Several days to a week or so
Duration of results last from three to six
months. If the weakened effect has been partially achieved the procedure
can sometimes be repeated to strengthen the inactivity of the muscle.
Member
American Society of Plastic Surgeons (ASPS)