What is Botox®?
Ophthalmic Plastic & Cosmetic Surgery in St. Louis, MO specializes in Botox injections. Botox is a simple and effective in-office treatment for facial wrinkles. Botox was the most popular cosmetic “pick-me-up” even before it had cosmetic drug approval in 2002. The effects of this injectable can be so subtle that no one will know you have had injections.
At our practice, we also offer Xeomin & Dysport injectables. The main difference between these injectables are the manufacturer. These injectables are all derived from a naturally occurring protein that is purified and have been used in humans for over 25 years, mainly in the treatment of various neurological conditions and also cosmetically for facial wrinkle reduction. Minor uses have been in the treatment of hyperhidrosis (sweating) and migraine headaches.
Benefits of Botox®
Botox injections have both cosmetic and medical benefits. Botox can:
- Relax muscles to prevent muscle spasms and twitches
- Relax wrinkles around the eyes
- Soften or eliminate frown lines, crow’s feet, and creases on the forehead
- Soften vertical wrinkles on the upper lip, especially when combined with fillers
Candidates for Botox® Injections
If you have facial wrinkles caused by poor muscle tone, you may be an excellent candidate for cosmetic Botox, Xeomin, or Dysport in St. Louis. In minute amounts, Botox relaxes and temporarily weakens the muscles that are contracting too much. This means that it is good for people with muscle spasms, such as eyebrow twitches or alleviating wrinkles caused by years of repeating the same facial expression.
Choose Dr. Holds for Your Injections
Dr. John B. Holds was fortunate to be in on the ground floor in the use of botulinum A toxin, which became Botox. Dr. Holds began to use Botox for the treatment of facial spasm disorders beginning in 1987, three years before FDA approval for medical indications. Dr. Holds also performed what remain some of the best neuroanatomic studies on the effects of botulinum A toxin on human nerves and muscles. This plus 24 years of intensive use of botulinum toxins in the treatment of facial spasm disorders and for cosmetic indications have made Dr. Holds a well know authority on the effects and use of botulinum toxins.
“I recently saw Dr Holds for Botox Cosmetic Treatment and I am absolutely blown away by my results. I’ve been receiving Botox on and off for years now and this is by far the best results I’ve ever had. He was very professional, knowledgeable, and knew exactly what I needed. I will be be back and will be referring all my friends. Highly recommended” – Amanda H.
Botox® vs Dysport®
Dysport is an alternative to Botox that is used to relax wrinkles in the forehead and frown lines between the eyebrows. Dysport’s advantage over Botox is that it usually takes effect faster – one to two days, as opposed to the usual three to five that it takes for Botox’s results to show. There is also evidence that Dysport’s effects last longer for some people, and it smoothes out even deep wrinkles.
People who receive Dysport may be more prone to developing antibodies which prevent the injections from working, although this is uncommon. Dysport wasn’t approved by the FDA in the U.S. until 2009, which is why it isn’t as widely known as Botox, but it has been used in other parts of the world since 2001. Today, it is used in 36 countries.
Botox® vs Xeomin®
Botox and Xeomin are very similar injectables. Dr. Holds has over 24 years of Botox experience and over a year of extensive experience using Xeomin for the treatment of facial spasm conditions. Most of Dr. Holds’ medical Xeomin patients who have experienced dozens of prior Botox treatments for facial spasm cannot define any difference between Botox and Xeomin in overall effect.
Xeomin has the advantage of being a “naked” toxin molecule stripped of proteins that surround the toxin molecule. The benefits may be largely theoretical, although it appears logical to use a drug which delivers the minimum amount of protein. Small is good here, as injected proteins could potentially stimulate the immune system. Feel free to discuss with Dr. Holds and the office staff the advantages of treatment with a specific drug during your consultation.
Botox® & Xeomin for Muscle Spasms
Despite being primarily known for its cosmetic purposes, Botox and Xeomin are effective treatments for several medical conditions, including muscle spasms. Dr. Holds will administer the injection directly into the affected muscle and the injectable works to block nerve signals traveling to the muscle. This blockage keeps the muscle from contracting. Botox and Xeomin are commonly used to treat the following muscle spasm related conditions:
- Bladder dysfunction
- Lazy eye
- Muscle stiffness from limb spasticity
- Neuromuscular disorder cervical dystonia
Dr. Holds will use a very fine needle to inject tiny and precise amounts of the Botox, Dysport, or Xeomin at the sites where it needs to relax the wrinkle-causing muscles. Many of our patients receive a topical anesthetic special to our practice, which is very effective. Anxious or sensitive patients can even have a cooling blower applied as well. Most people report only minor discomfort from the injections if any at all.
Before and After Botox®
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Is there recovery after injections?
There is no real recovery period necessary after Botox, Dysport, or Xeomin. You can go home as soon as your injections are complete. You can even go to work the same day if you like and apply makeup immediately.
You will be asked not to massage the exact area where you had your injections for the first day or two, and it is best not to lie down for a few hours. Facials or treatments where your head is in a cradle or in a prolonged dependent position should be avoided for one week. Yoga, pilates, or any type of strenuous exercise should also be avoided for 24-48 hours.
The effects of Botox are temporary, but they usually last three to six months. The effects of the injections will appear gradually over a 5-10-day period following your procedure. So, you may not be able to see the full results right away. Many people get the injections three to four times per year, but you can have injections as needed to achieve your desired results.
As the treatment gradually wears off, wrinkle-producing muscle contractions will begin to recur. Some patients note a “facial training” effect in which they are less prone to wrinkle-causing facial movements. This includes movements such as furrowing their eyebrows, even after the drug wears off.
Side Effects Of Cosmetic Injections
Botox has proven over 25 years to be exceptionally safe. Doctors all over the world give these injections daily with rare side effects. In 2010, the FDA placed a “black box” warning on all neurotoxins which refers to issues unrelated to cosmetic treatments.
The most frequent side effects are a result of either inappropriate administration by unskilled injectors or very occasional spread of the drug into an adjacent muscle group. Possible side effects can include:
Patients who use blood thinners and NSAIDs will reduce the risk of bruising if they avoid these medications for 2-7 days before treatment.