Botulinum Toxins

Botulinum Toxins Anti-Wrinkle Injections

What are Botulinum Toxins?

Type A Botulinum toxins are a drug class that includes several different products. We currently carry Dysport, Botox, Daxxify and Letybo. These injectables are used to relax overactive muscles that create moderate to severe wrinkles and frown lines. These products can temporarily improve the appearance of wrinkles without changing the look of your whole face. The untreated facial muscles will still work normally, allowing you to freely show facial expressions in untreated areas. There are some subtle differences between the different options. Your injector will discuss this with you and help you decide which medicine is right for you.

What areas can be treated with Botulinum toxins?

Botulinum toxins can be used to relax the muscles between the eyebrows (the glabella), the upper forehead (the frontalis), and the crow’s feet — the area at the edges of the eyes. It can also be used in specific areas of the lower face and neck to address concerns there. These drugs are also used to stop excessive sweating — a condition known as hyperhydrosis.

How long does it take to work? How long does the effect last?

Botulinum toxins typically begin to work to relax the muscles starting within a few days and peaking in effect in 1-3 weeks. Longevity of their effect varies between individuals, but generally ranges from 3-6 months. The dose of medicine injected will also determine how long the effect lasts, with smaller doses wearing off more quickly.

Is the treatment painful?

The injections are done using a very small needle. You may feel a slight prick, but often there is little to no discomfort at most injection sites. Any discomfort is over very quickly. Side effects are similar among all of the products in this category, with headache being the most commonly reported. If you experience a headache after your injections, take whatever you would normally use for a headache and it should go away. Interestingly, many patients with chronic, frequent headaches notice a decrease in headaches after their treatments.

Are there patients who shouldn’t use Botulinum Toxins?

Patients who have serious neuromuscular disorders such as myasthenia gravis, Lou Gehrig’s disease, or Lambert-Eaton syndrome could be at increased risk for complications. This treatment is also not recommended for women who are pregnant or nursing.