What Is Botulinum Toxin?
Botulinum toxin is a bacterium that blocks the release of acetycholine, the substance responsible for transmitting electrical impulses that elicit muscle contraction. In medicine, botulinum toxin is injected directly into hyperactive muscles. It has been safely and effectively used for treatment of strabismus (cross-eye) and blepharospasm (lid spasm) since the early eighties.
Hyperactivity of the facial expression muscles often results in the development of deep frown lines, forehead lines, and/or crow's feet. Injecting botulinum toxin into the affected area temporarily paralyzes the underlying muscles responsible for wrinkling, giving the face a more relaxed and pleasant appearance. The wrinkles become smoother or disappear altogether.
When and how long does botulinum toxin work?
The initial effects of treatment become visible within 48 to 72 hours. The maximum effect is reached in about 1 to 2 weeks.
Your facial expression will become more relaxed, but by no means mask-like. The overall result is very natural.
The effect of the treatment generally lasts for 4 to 6 months. Re-treatment is then required.
Botulinum toxin injection is generally a safe and effective treatment method. Nevertheless, certain side effects can occur but, like the intended treatment effect, they are mostly reversible.
At this appointment, you will be informed about the potential side effects of botulinum toxin therapy, contra-indications to therapy, and potential drug interactions.
- Bruising or swelling at the injection site
- Slight feeling of nausea
- Tiredness, pain in the arms and legs
- Temporary drooping of the eyebrow or upper eyelid
- Brief visual disturbances
- Dryness of the eyes
- Skin rash
- Itching
- Allergic reactions
- Dry mouth
- Muscle atrophy
- Pregnancy
- Breast -feeding
- Myashtenia Gravis (generalized muscle weakness - an auto-immune disease)
- Lambert-Eaton Syndrome (generalized muscle weakness similar to symptoms of Myasthenia Gravis)
- Blood coagulation disorders
Drug interactions can occur when botulinum toxin is used concomitantly with other medications. Since these medications can alter the effects of botulinum toxin, you must ensure that your doctor is aware of any current medications you are taking, especially:
- Aminoglycoside antibiotics (Usually the "Mycin" family of antibiotics.)
- Anesthetics
- Muscle relaxants
Contact Dr. Williams
Dr. J. Ladd Williams treats patients in Phoenix , Scottsdale, Mesa, and elsewhere with modern cosmetic dentistry procedures, including Zoom!® teeth whitening and tooth-colored fillings, to make their smiles healthy, strong, and beautiful. Contact Dr. Williams today for a consultation.
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