Frequently Asked Questions about Botox

Do I have to pay for the “touch-up” treatment?

No. Unlike in many other practices, there is a one time charge per area only. Touch-up treatments are free of charge. This way, there is no pressure on us to inject too much initially, and there is no worry on the side of the patient that if they need more, it will cost them more.

But I heard that BOTOX is a toxin, isn’t that dangerous to inject?

Simply put, no. BOTOX Cosmetic is a carefully purified version of the toxin and the amounts injected are tiny. BOTOX only works on the muscles in the small area of injection, and is not capable of traveling long distances to impact other organs and systems in the body. No serious complications have occurred from using BOTOX Cosmetic for facial muscles.

Are BOTOX and Dysport dangerous?

BOTOX and Dysport Cosmetic are not dangerous. BOTOX has been approved by the FDA for treatment of the frown lines between the eyebrows, but for many years before, it was used for neurological disorders, ophthalmologic problems and treatment of migraine headaches. Over the years, there has been a lot of experience with BOTOX and the FDA-approved BOTOX Cosmetic has not been known to result in any serious complications.

I am worried about looking “frozen”.

A very valid concern. With BOTOX and Dysport sometimes there can be “too much of a good thing”. Dr. Adelglass prefers a relaxed, rather than the frozen look and always recommends a conservative start. After the BOTOX takes effect, usually in 5 to 7 days, Dr. Adelglass asks the patients to return for a touch-up. If indicated, Dr. Adelglass will inject more BOTOX to the targeted areas. This prevents an overly excessive treatment and avoids the motionless, unnatural look.

Who is a candidate for BOTOX and Dysport?

Anyone with wrinkles resulting from facial expression is a candidate. Dr. Adelglass treats women, as well as men. Ages range from early to mid 30’s and into the 70’s or older. Occasionally, hereditary wrinkles develop very early on and Dr. Adelglass has treated such patients in their 20’s.

Which wrinkles respond to BOTOX?

BOTOX is most commonly used to soften the frown lines (the so called 11’s) between the eyebrows, eliminating the “angry” look. It can also be used for the horizontal lines of the forehead, the crow’s feet around the eyes, the “bands” on the neck, and can help turn up the corners of the mouth from their downward position as a result of aging. It also works on vertical lines on the upper lips that are common in smokers, and has even been used to lift the tip of the nose.

What about the nasolabial folds and other wrinkles?

The nasolabial folds and in general most of the lower face wrinkles are a result of gravity and loss of elasticity, not dynamic muscle movement. Therefore, they don’t respond to BOTOX; rather, those can be treated by injecting fillers, such as Restylane, Perlane, Radiesse or others.

Is the treatment painful?

BOTOX or Dysport is injected with a tiny, thin needle. Many of our patients have no trouble tolerating it without numbing. However, for the ones who hate the idea of pain, Dr. Adelglass offers a topical numbing cream, which is applied in the office for about one hour and makes the treatment virtually unnoticeable.

How will I look after the BOTOX treatment?

Initially after treatment there is a tiny amount of redness and perhaps a tiny “bump” where the needle enters the skin. On very rare occasions, there can be a bit of bruising, which can be covered up by make-up and resolves over the period of about one week. BOTOX produces no visible change immediately. However, over the course of five to seven days, the injection begins to take affect and you will suddenly realize that the muscles injected are not moving very much. This is what lasts and gradually wears off after 3-5 months. Generally, Dr. Adelglass recommends for the BOTOX treatment to be timed about two to three weeks before any big events – such as weddings, or parties, etc., – so there is time for it to take hold and any possible marks or brusing to be gone.

Will I look worse if I don’t continue with BOTOX or Dysport treatments?

No, in fact often the opposite is true. If you stop the treatments, the skin will simply return to the natural look you had prior to the treatments. Often, due to decreased muscle use while the BOTOX or Dysport is effective, there is a natural improvement of the original wrinkles.

Are BOTOX and Dysport treatments expensive?

The materials used in BOTOX and Dysport are costly, and once a bottle is opened, it will have to be discarded if not used. The initial cost of the 1st area covers the cost of the material; additional areas carry a greatly reduced charge. Generally, pricing by area is more advantageous for the patient, since pricing by unit, as practiced by many doctors, is usually more expensive per treatment.

What about the creams I see advertised that are supposed to be as good as BOTOX and Dysport?

If there was anything living up to that promise, BOTOX and Dysport Cosmetics would be out of business already. Think about the ads for pills that promise miracle weight loss virtually overnight – without exercise or dieting… would you those products delivered what they promise?…. Apply the same thinking to “just like BOTOX” topical products. You can put that money to better use by saving it up for a genuine BOTOX or Dysport treatment that will restore your youthful look.