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Botox® Cosmetic & Juvéderm™

Botox® injections are a treatment for wrinkles, frown lines, crow's feet, and lines on the forehead and between the eyes. These wrinkles are caused by contractions of the underlying facial muscles. Every time the muscle is used to smile, laugh, squint, or frown, the muscle contracts and pulls the overlying skin with it. Over time, the skin shows these wrinkles even when the muscle is relaxed.

Botox® blocks impulses from the nerve to the facial muscles that are related to expression lines. It relaxes the muscles so they don't hyper-contract. After treatment, the skin smoothes out and becomes less wrinkled, all the while allowing normal facial expression. The treatment involves injecting a tiny amount of liquid, using a tiny needle, into the affected area. Results are evident in a few days; wrinkles will smooth out and your face will have a more relaxed and youthful appearance.

In addition to its cosmetic uses, Botox® injections have been used safely and effectively for over ten years to treat many ophthalmologic and neurologic disorders.

Side effects and complications have been minimal. These include, rarely, slight swelling, and/or bruising which may last for several days after the injections. Also, an adjacent muscle may be weakened for several weeks after the injections. This may lead to a slight eyelid droop. Any and all side effects are temporary. Botox® is used mainly on the upper part of the face; the lines on the forehead, between the eyes, and around the eyes. It is not considered effective around the mouth. Botox can also be used on the neck.

The injections take effect within 2-7 and last between four to six months. Many patients choose to have treatments done two or three times per year. Over time, some patients find that they need treatments less often because there can be a cumulative effect.

Patient Instructions - Before Botox® Treatment

  • Discontinue aspirin and Ibuprofen products (Advil, Motrin, Aleve) for ten (10) days prior to treatment. Tylenol is permitted.
  • Avoid Vitamin E supplements for two (2) days prior to treatment. Regular multivitamins are permitted.
  • Avoid alcoholic beverages for 24 hours prior to treatment.
Restrictions After Botox® Injections

  • Your head must remain upright for at least six hours after theinjection.
  • No lying down or leaning forward.
  • No exercise.
  • No long walks.
  • No hair washing.
  • No hair blowing.
  • No hair color.
  • No hats.
  • No makeup.
  • No touching the area.
  • No clothing changes.
  • No shoe shopping, etc.
  • No showers.
  • No cooking over a hot stove.
If your head changes position, the chance of an eyelid droop increases!

Women’s Top 10 Questions About Aesthetic Injectable Treatments

1. Are aesthetic injectable products such as BOTOX® Cosmetic (Botulinum Toxin Type A) and JUVÉDERM™ dermal fillers safe?

BOTOX® Cosmetic and JUVÉDERM™ dermal fillers are approved by the U.S. Food and Drug Administration (FDA), meaning that clini¬cal data on their safety and effectiveness were reviewed by the FDA prior to approval. BOTOX® is approved to treat 20 different conditions in more than 75 countries worldwide and has been approved in the U.S. for more than 17 years to treat a variety of medical conditions. The same formulation was approved in 2002 as BOTOX® Cosmetic for the temporary treatment of the vertical lines between the eyebrows, often referred to as the "11".

2. How much do aesthetic injectable treatments cost?

Cost varies across the country based on a number of factors, including the amount of product needed to achieve optimal results and the areas of the face that are treated. As an example, BOTOX® Cosmetic typically ranges from $300 to $500 to treat the vertical lines between the eyebrows that often look like an "11". Since positive effects of BOTOX® Cosmetic treatment can last up to four months, the cost is about $3-$5 per day.

3. Will the results look natural?

Treatments such as BOTOX® Cosmetic and JUVÉDERM™ dermal fillers can enhance the way you look. Physicians often will use multiple products, depending on the patients’ needs. BOTOX® Cosmetic is often used to relax the dominant frown muscles between the eyebrows, allowing the two vertical lines between the brows, often referred to as the "11", to temporarily diminish in appearance.

JUVÉDERM™ dermal fillers work differently, by instantly filling in and smoothing out wrinkles and folds that look like the parentheses along the side of your nose and mouth, creating a smooth, natural look and feel. In fact, the NWHRC survey* found that for those women who used or would consider using aesthetic injectable treatments, more than half (52%) reported that the treatments were appealing to them to obtain a “natural and refreshed” look.

4. How long do aesthetic injectable treatments last?

Treatments such as BOTOX® Cosmetic and JUVÉDERM™ dermal fillers are temporary. BOTOX® Cosmetic effects can last up to four months, while JUVÉDERM™ dermal fillers deliver sustained results for up to twelve months.

5. Will my insurance cover the cost of aesthetic injectable treatments?

Insurance providers do not typically cover cosmetic procedures.

6. Are injectable treatments such as BOTOX® Cosmetic and JUVÉDERM™ painful?

Injections may cause some discomfort during and after injection. Talk with your physician about pain-reducing options, such as a numbing cream, which can be applied prior to your injection.

7. Is there scarring?

No reports of scarring were documented in clinical studies evaluating treatment with BOTOX® Cosmetic and JUVÉDERM™ dermal fillers. Additionally, studies with JUVÉDERM™ demon¬strated no increased risk of hyperpigmentation in patients of color.

8. How long do aesthetic injectable procedures take?

Many procedures can be performed quickly and require minimal down-time. Following a facial analysis by your physician, as well as a discussion of your desired outcomes, procedures such as BOTOX® Cosmetic and JUVÉDERM™ dermal fillers require only a brief in-office visit and take an average of 15 minutes to perform.

9. Do aesthetic injectable procedures cause bruising or other side effects?

Following treatment with BOTOX® Cosmetic, some patients have reported minimal bruising around the injection site area, while the most common side effects following injection are temporary eyelid droop and nausea.
In clinical trials for JUVÉDERM™ dermal fillers, most side effects were mild to moderate in nature, and lasted 7 days or less. The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration.

10. Will my face still have expression?

When administered by an experienced physician, you can still smile, frown, and look surprised without those lines—also known as the “11”—between your brows. Aesthetic inject¬able treatments such as BOTOX® Cosmetic and JUVÉDERM™ dermal fillers are technique-sensitive procedures, so make sure to visit a well-trained aesthetic-specialty physician for your treatment and discuss the optimal results you would like to achieve.