Botox® for Anti Aging

Anti Wrinkle Treatment with Botox

Botulinum toxin (BOTOX®) is widely used in the cosmetic treatment and prevention of dynamic wrinkles that occur over time with aging and used of facial muscles. Dynamic wrinkles are those wrinkles which are observed when the muscles of facial expression are contracted. Examples are the wrinkles of the forehead when the eyebrows are raised, the wrinkles of the glabella when an angry face is made, and the wrinkles of the eyes when smiling or squinting. There are other cosmetic uses of botulinum toxin such as alleviating the nasal flare in predisposed patients, raising the corners of the mouth in patients with a chronically frowning appearance, alleviating the wrinkles above and below the lips due to pursing the lips or smoking, or tightening the skin of the neck.

Non-cosmetic uses of botulinum toxin include hyperhidrosis of the palms, axillae, and soles, and the treatment of torticollis, strabismus, and muscle spasticity.

Botulinum toxin is derived from a bacteria widely recognized to cause botulism. Botulism is characterized by paralysis of the skeletal muscles and the respiratory muscles leaving the affected person with the inability to move or breathe. This is rare as food preparation standards are currently such to limit such exposure. However, the judicious used of the toxin has been very widely accepted in medical and cosmetic treatments worldwide. The toxin works by limiting the ability of the muscle to be stimulated by the nerves to contract, thereby causing a physiologic paralysis of that muscle.

Botox® for Anti Aging

Botulinum toxin is injected in units into the intended areas. The number of units and the exact location of injection are specifically determined by the physician according to the desired degree of effect, location, size of the target muscle, and sex of the patient. Depending on the number of units injected, the effect of the botulinum toxin may last for 3-6 months, but usually 3-4 months. With injections at regular interval over time, some degree of muscle atrophy may be obtained thereby decreasing the require amount of botulinum toxin to achieve the desired effect.

Treatment with botulinum toxin does not require any preoperative anesthesia. The injections may be slightly painful. No post-operative care is needed, but patients are asked not to lay down for 4 hours after the injections. Complications and side effects include, but are not limited to: pain, bleeding, infection, bruising, headaches, paralysis of unintended adjacent muscles, eyelid drooping, over paralysis of intended muscles. The effects are usually seen within 3-4 days, but patients should wait for 2-3 weeks to see what their appearance will be before doing further “touch-up” injections. All effects are temporary, and all intended and unintended effects will diminish with time.

Botulinum toxin used judiciously may be an excellent treatment to retard the effects of aging and wrinkling. This treatment is often used in combination with lasers and fillers (such as Restylane®/Juvederm®) to enhance the prevention of aging.

Discuss any proposed botulinum toxin treatments in detail with your physician including any risks, side effects, and possible treatment alternatives.

For more information on Botox, click here.


Ask a Dermatologist

Still have questions about Botox treatments? Call us at 310.205.3555 or 818.914.7546, email us, or click on the chat box on the right lower edge of your screen. We’d be happy to help!