Purpose and Procedure of Botox Injections | Dermatology

Botox injections

What is botox?

Botox is a drug doctor have been using for years to treat wrinkles and facial creases. Botox is a brand name of a toxin made by the bacterium Clostridium botulinum. There are other brands, such as Dysport and Xeomin. Botox is the term you hear most often because it was the first injectable botulinum toxin. Botulinum toxin is very dangerous. Some scientists estimate that 1 gram of crystalline form of the toxin could kill 1 million people and kill two kilograms of every human being on Earth.

However, Botox is used appropriately in a therapeutic context, it is safe and has some side effects, reports the American College of Osteopathic Dermatology. Manufacturers make Botox injections with very low doses of botulinum toxin. The drug temporarily freezes muscles, which can benefit people with various muscle or nerve disorders.

Botulinum toxin commercial preparations:

  • Onabotulinum toxin A (Botox)
  • Abobotulinumtoxina (Dysport)
  • Incobotulinumtoxin A (geomine)
  • Rima Botulinum toxin B (myobloc)
  • Pro Botulinum toxin A (JUV)

People often use the term “Botox” to describe all of these products, but Botox is a registered trademark owned by a company. 

Why do people get botox?

Botox injections block certain chemical signals from the nerves, mostly signs of muscle contraction. The most common use for these injections is to temporarily relax the facial muscles that cause wrinkles on the forehead and around the eyes. Botox injections are also used to treat conditions that affect how the body works. Examples:

  • Cervical dystonia In this painful condition, the neck muscles involuntarily turn the head or are put in an awkward position.
  • Lazy eye. The most common cause of laziness in the eye is an imbalance in the muscles responsible for holding the eye in the place.
  • Muscle contractions Certain neurological conditions, such as cerebral palsy, can cause your limbs to move toward their centre. In some cases, these contractile muscles can be relaxed with Botox injections.
  • Hyperhidrosis In this condition, excessive sweating occurs even when the temperature is not high and you do not exert yourself.
  • Chronic migraine If you experience migraines for more than 15 days a month, Botox injections can help reduce the frequency of headaches.
  • Bladder dysfunction. Botox injections can also help reduce urinary incontinence caused by an overactive bladder.
  • Eye rotation. Botox injections can relieve muscle contraction or twist around the eye.

How is botox used?

Reducing the appearance of facial wrinkles is a very common reason that doctors use Botox. Getting a Botox injection can help treat other conditions:

  • Severe underarm sweating (hyperhidrosis)
  • Cervical dystonia, a neurological disorder that causes severe pain in the muscles of the neck and shoulders.
  • Blinking you can’t control (blepharospasm)
  • Eyes pointing in different directions (strabismus)
  • Chronic migraine
  • The most active bladder

How does it work?

Botox is a neurotoxin. These substances target the nervous system and interfere with nerve signaling processes that trigger muscle contraction. In this way, the drug causes temporary muscle paralysis.

To contract any muscle, nerves release a chemical messenger called acetylcholine at the junction where nerve endings meet muscle cells. Acetylcholine attaches to receptors on muscle cells and causes the cells to contract or shrink.

Botox injections inhibit the release of acetylcholine, which causes muscle cells to contract. In this way, the toxin helps the muscles to become less tense.

Cosmetic uses

The main use of Botox is to reduce the appearance of facial wrinkles. According to the American Board of Cosmetic Surgery, Botox injections are the most popular cosmetic procedure in the entire country. In 2016, more than 7 million people were treated with Botox. The effects are temporary and last 3 to 12 months, depending on the type of treatment.

People often request injections in the following areas of the face:

  • Wrinkles between the eyebrows, called anger lines, globe lines or eleven
  • Wrinkles around the eyes, also known as crow’s feet.
  • Horizontal pleats on the forehead
  • Lines at the corners of the mouth.
  • Cobblestone skin on the chin.
  • However, the FDA only approves injections for use around the eyes and on the forehead.

Research has not shown whether Botox improves dark circles under the eyes. Find out more here. Some people even try Botox to improve the appearance of their hair. However, there is very little evidence that it works. Find out more here.

Medical uses

Botox is also used by healthcare professionals to treat a variety of medical conditions, most of which affect the nervous system. Botox is approved by the FDA for the following uses. If not specified, approval is used for those over 18:

  • Upper limb spasticity, in over 2 years
  • Crossed eyes in over 12 years or strabismus
  • Severe underarm sweating or hyperhidrosis
  • Migraines last at least 4 hours a day for 15 days or more a month
  • Reduce symptoms of overactive bladder due to a nervous condition if anticholinergic medications don’t help
  • Eyelid spasms or blepharospasm due to dystonia

A neurological disorder is known as cervical dystonia, which affects the head and causes neck pain. Some have Botox injections for unapproved or unapproved uses, including treatments:

  • Alopecia
  • Psoriasis, in which more saliva is produced.
  • Psoriasis
  • Dyshidrotic eczema, which affects the palms and soles of the feet.
  • Anemia, anal muscle dysfunction.
  • Postherpetic neuralgia
  • Vulvodynia, pain and discomfort in the vagina for no apparent reason
  • Raynaud’s disease, which affects circulation.
  • Achalasia, a throat problem that makes swallowing difficult.

Other conditions

According to a 2017 review of existing evidence, other medical problems and conditions that can benefit from unapproved Botox use include:

  • Facial flushing and redness, even during menopause
  • Keloids and wound healing scars
  • Hidradenitis suppurativa, an inflammatory skin disease
  • Blisters caused by Haley-Haley disease, a rare genetic disorder

However, more research is needed to confirm that Botox is safe and effective for off-label use. Scientists must devise appropriate ways to provide treatment in each case.

Botox procedures

Doctors use botulinum toxin by diluting the powder in saline and injecting it directly into neuromuscular tissue.

It takes 24 to 72 hours for the toxin to take effect. In rare cases, it may take up to 5 days to show the full effects. Depending on the treatment, they can last from 3 to 12 months.

People should not use Botox while pregnant or breastfeeding, or if they have ever had an allergic reaction to the medication or any of its ingredients.

Cost, time, and Effectiveness

The cost of Botox depends on a variety of factors, including:

  • It is for medical or cosmetic purposes.
  • Who will provide the treatment
  • Where the treatment takes place
  • Number of Botox units involved

For cosmetic use, the American Society for Aesthetic Plastic Surgery identified in 2016, on average:

  • Botox treatment for anger lines or crow’s feet costs $ 376
  • The procedure lasted 30 minutes.
  • An improvement was observed in 1 to 5 days.
  • Repeat treatments are required every 4 to 6 months
  • The person can return to work immediately.

Medicare covers the cost of Botox for medical purposes that doctors deem necessary. However, due to the high cost, it is important to ensure that the treatment is covered before the appointment. When considering Botox for any reason, it is important to ensure that the provider is a qualified professional with the proper training.

Before the procedure

Most people do not experience much discomfort in this process. But you may want to get rid of cramps sooner than your skin, especially if your palms or soles are being treated with excessive sweating. Your doctor may use one or more different methods to numb the area, such as problematic anaesthesia, ice anaesthesia, and vibration, using massage to reduce discomfort.

During the botox process

Botox injections are usually done in a doctor’s office. Your doctor will use a fine needle to inject a small amount of botulinum toxin into your skin or muscles. The number of injections required depends on several factors, including the extent of the area to be treated. Botox injections are usually done in the doctor’s office.

After the procedure 

Avoid massaging, massaging, or applying pressure to the treated area. These Botox Cosmetic actions can spread to other parts of the body. This will negatively affect your results. When injecting between the eyebrows, do not lean or bend for three to four hours. Doing so can cause the Botox to slip below the rim of the orbit. Lower the eyelid.

It is very rare that it does not work sometimes after treatment. In most cases, you will be able to resume your normal activities right away.

It is important to understand the possible improvements and have realistic expectations. Significant results can be expected within 1-2 days after treatment. The full effect of Botox Cosmetic usually lasts up to four months. It Relaxes muscles and helps prevent the reappearance of fine lines.

Additional Botox injections can be given to maintain your results.

Risks and side effects

People generally tolerate Botox injections well and side effects are rare. However, depending on the cause of the injections and the individual’s response, botulinum toxin can cause some unwanted effects, including:

  • Dry eye, followed by cosmetic uses.
  • Abdominal pain
  • Numbness
  • Mild pain, swelling or bruising around the injection site.
  • Headache
  • The temporary eyelids droop
  • Unwanted temporary weakness or paralysis of nearby muscles
  • Urinary problems after treatment for urinary incontinence.
  • Exacerbation of neuromuscular disorders.
  • Spatial confusion or double vision after strabismus treatment
  • Ulceration of the cornea after blepharitis treatment.
  • Cardiovascular events such as arrhythmia and myocardial infarction

Botox should not be used if people have:

  • Sensitivity or allergy to it
  • Injection site infection

Depending on the type of treatment, there are concerns that the effects of Botox could extend beyond the injection site, possibly leading to symptoms such as shortness of breath. It is more likely to occur in some individuals than others, and genetic factors play a role.

Also, some people who receive botulinum toxin type A injections develop antibodies against the toxin, rendering subsequent treatments ineffective.

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