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Neuromodulators also known as neurotoxins (Botox, Dysport, Xeomin) are the most popular non-surgical cosmetic treatment, with more than 6 million Botox treatments administered each year. Botox injections are noted primarily for the ability to reduce the appearance of facial wrinkles. They’re also used to treat conditions such as neck spasms (cervical dystonia), excessive sweating (hyperhidrosis), an overactive bladder and lazy eye. Botox injections may also help prevent chronic migraines.
Botox injections use a toxin called onabotulinumtoxinA to temporarily prevent a muscle from moving. This toxin is produced by the microbe that causes botulism, a type of food poisoning. Neuromodulators begin to take effect 3 to 4 days after injection by gradually relaxing the targeted muscles. The full effect is visible within two weeks, at which point muscle movement in the area is temporarily inhibited. These results typically last 3 to 6 months, depending on the treatment area.
Botox is most effective on wrinkles that haven’t quite set — “dynamic” wrinkles that appear while you’re moving your face, such as when you frown. “If you don’t move the muscle too much, you won’t form the wrinkle,” says Columbia University dermatologist Monica Halem, MD. She considers Botox preventive.
If you’re breastfeeding, pregnant, or plan to become pregnant, the FDA recommends that you talk to your doctor before starting Botox, Dysport, or Xeomin.
The primary use of Botox is reducing the appearance of facial wrinkles.
According to the American Board of Cosmetic Surgery, Botox injections are the most popular cosmetic procedure nationwide. In 2016, over 7 million people had Botox treatments.
The effects of Botox are temporary, lasting 3–6 months, depending on the treatment area.
… In rare cases, an individual may have a genetic predisposition that results in a mild, transient unusual response to the drug.
Botox injections Possible side effects and complications include:
Stay Upright: Do not lie down or bend over for 4 hours.
No Touching: Do not rub or massage the treated area for 24 hours.
No Exercise: Avoid strenuous workouts for 24 hours.
Avoid Heat: No saunas, hot tubs, or direct sun exposure for the rest of the day.
Alcohol: Avoid alcohol for 24 hours to prevent bruising.
Facials: Wait 2 weeks before any facial massages or laser treatments.
Makeup: You may apply makeup gently after 24 hours; do not press hard on the skin