Botox, Dysport, Jeuveau, Xeomin
BOTOX, DYSPORT, JEUVEAU, XEOMIN
These products are made of proteins derived from the bacterium Clostridium Botulinum. These medications temporarily reduce the appearance of facial wrinkles on the forehead, around the corners of the eyes, nose, and between the brows, by decreasing muscle activity that causes the formation of wrinkles. It can also be used to decrease the show of gum lines with smiles and reduce smoker or water bottle lines around the mouth as well as give a brow lift and produce additional lip show or lip flip.
Botox Cosmetic can also be used for Hyperhidrosis, or excessive sweating in areas such as the palms of hands, soles of feet, and armpits, as well as the treatment of TMJ and chronic migraines. Jeuveau can also be used for Hyperhidrosis. While treating TMJ pain, the shape of the face at the masseter muscles can also be changed and softened. This occurs as the muscle activity is decreased and these muscles relax leaving a smoothed and reduced look.
What should I expect during Botox/Dysport/Jeuveau/Xeomin treatments?
Two weeks prior to the procedure avoid aspirin and non-steroidal anti-inflammatory medications such as ibuprofen, Motrin, Advil, and naproxen to minimize the risk of bruising. One week prior to the procedure, avoid alcohol, as this will also increase your risk of bruising. On the day of the procedure, please present to the appointment with clean treatment areas that are free of cosmetics and lotions. The treatment areas will be thoroughly cleansed with antiseptic. Small injections will be administered using a very fine needle to the areas of the face that require treatment. Post-procedure for Botox/Dysport or Xeomin it is advised to avoid cosmetics and lotions for 24 hours to reduce the risk of infection.
Patients that are at least 25 years old and suffer from moderate to severe wrinkling of the skin due to overactive facial muscle activity are excellent candidates. As well as those suffering from chronic migraines and TMJ pain are also excellent candidates.
Recovery time of 24 hours is recommended. During this time it is advised to refrain from exercise and strenuous activity. It is also recommended no lying down for at least 4 hours after injections. Avoid touching or massaging areas of injection as this may cause the medication to migrate to undesirable areas.
Bruising is the most common side effect however this is usually minimal and temporary. There may also be a small raised area and mild tenderness at the injection sites, which usually resolve within one hour. Application of ice post procedure can reduce risk of bruising, tenderness, and swelling as well as avoiding alcohol, aspirin, and non-steroidal anti-inflammatory medications prior to procedure. There is a rare possible side effect of a dull frontal headache that may persist for one week. Though rare, other possible side effects can include headache, which typically presents as a dull frontal headache and subsides within one week. Other rare side effects include temporary dropping of the upper eyelid or blepharoptosis. Some patients may also experience nose and throat irritation, upper respiratory tract infection, temporary headaches, or dizziness. Other rare complications can include flu-like symptoms.
Absolute contraindications for treatment include pregnancy, women that are currently breast feeding, and active skin or soft tissue infections in the treatment areas. Relative contraindications include defined neuromuscular disorders including, but not limited to as Myasthenia Gravis, Eaton-Lambert Syndrome, and Amyotrophic lateral sclerosis or ALS.
Most patients will start seeing results within two to fourteen days. Results will usually last between 2-5 months, however those with high metabolisms such as athletes may have shorter duration of effect. It is not recommended to repeat treatments within 90 days unless within two weeks of initial treatment to only optimize results.