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BOTOX is a clear liquid that inhibits the nerve signals when injected. It is the brand name for a toxin that is produced by the bacterium clsotridium botulinum. It is the same toxin that can cause food poisoning if consumed in large quantities. However, if injected in a scientifically controlled way, it gets rids of wrinkles, crow's feet and other signs of ageing. There are a number of muscles in our face that control the way we look. With age, the working of these muscles is affected. BOTOX mitigates the effect of age by relaxing these muscles.

Forehead Lines
BOTOX procedure before and after – 1

Frown Lines
BOTOX procedure before and after – 2

Crown Feet (Smile Lines)
BOTOX procedure before and after – 3

Working Of BOTOX:

When injected in small, diluted quantities in certain muscles, BOTOX blocks nerve impulses / signals. Since the injected muscle cannot contract, it relaxes, leaving the injected part smoother and looking rejuvenated. It is applied with a simple injection, with or without a numbing cream. The treatment lasts not more than a few minutes, and leaves no noticeable side effects. It takes about 2 or 3 days to see the full effects of BOTOX. The skin looks smooth, feels soft and rejuvenated. The effects of BOTOX last for 4 to 5 months.

Working of BOTOX

BOTOX can be administered to almost all areas that have wrinkles, though it is mostly applied to the facial muscles.

Do remember that wrinkles caused by sun damage and gravity will not respond to BOTOX.

It is important to go to a qualified doctor for BOTOX injection. This is because unscrupulous clinics may use less BOTOX than recommended, resulting in unsatisfactory results or complications. Used correctly, BOTOX produces results that are stunning and last for months.

Side Effects of BOTOX

The side effects of BOTOX are very minor and include headache, flu and some pain in certain individuals. BOTOX is not recommended for individuals with drooping eye syndrome (ptosis) and intolerance to albumen. It is not recommended for pregnant women.

Frequently asked questions

Q: What is BOTOX®?

A: Manufactured by Allergan, BOTOX® is a natural purified protein that relaxes wrinkle causing muscles, to create a smooth, rejuvenated and youthful appearance that lasts up to 4 months.

Q: How does BOTOX® work?

A: BOTOX® is used to treat dynamic wrinkles by relaxing the muscles that create wrinkle causing facial expressions. Dynamic wrinkles occur during facial expression.

Q: How is BOTOX® made?

A: BOTOX® is a natural purified protein. The active ingredient is derived from bacteria in much the same way penicillin is derived from mould.

BOTOX® is manufactured by Allergan and is refined and purified in sterile laboratory conditions using a proprietary manufacturing process.

Q: What is a BOTOX® treatment like?

A: BOTOX® is a non-surgical procedure whereby a small amount of product is diluted in a saline solution and administered into selected facial muscles using a very fine needle.

Generally, BOTOX® treatment takes around 15 minutes.

The discomfort is typically minimal with no anaesthetic required. The injection may sting for a few seconds but normal activities are usually resumed immediately after treatment.

Q: How long does BOTOX® last?

A: BOTOX® treatment usually starts to take effect 2-3 days post-treatment with visible results by 7 days1 and is at its peak effect at approx. 30 days.

Results last up to 4 months.

The treatment result will wear off progressively - not suddenly and patients are advised to visit their doctor after 4 months to repeat the procedure.

Q: How long has BOTOX® treatment been used?

A: BOTOX® has been used in 11 million cosmetic treatments worldwide.

BOTOX® has a 20-year safety profile in clinical practice.

Q: How is BOTOX® different?

A: BOTOX® is the only botulinum toxin type A approved in India to treat frown lines.

BOTOX® has a proven 20-year safety record of use in millions of patients worldwide.

The manufacturing and formulation of BOTOX® results in distinct properties compared to similar products in the same therapeutic class. No two products are the same.

Q: How are wrinkles formed ?

A:Many facial lines form when we use our muscles to make facial expressions. The lines formed during these expressions are dynamic wrinkles.

When dynamic wrinkles are left untreated, in due course of time because of repeated muscle action; they can form permanent lines on the face.

Lady with wrinkles on face

Q: What are the possible side effects?

A: Side effects are usually mild and temporary.

The most common side effects are localized to the area of injection.

Possible side effects include headaches, pain, burning / stinging, bruising, swelling or redness at the injection site.

Swollen eyelids, skin tightness, tingling sensations, itching / aching forehead, nausea and flu-like symptoms can also occur.

Local muscle weakness resulting in drooping eyelids / eyebrows is also possible.

Safe and effective use of BOTOX® depends upon proper storage of the product, selection of correct dose, proper reconstitution and administration techniques by doctor.

Q: Which Areas can BOTOX Treat?

A: BOTOX can be used to treat the following areas : frown lines between the eyebrows, also known as 'elevens', 11's and glabellar lines, crow's feet around the corners of the eyes, forehead lines, lateral brows, vertical lip lines, corners of the mouth, muscle bands on the neck, jawline, top of the nose (bunny lines)

Lady after BOTOX treatment

Q: How Much BOTOX do I Need?

A: The amount of BOTOX you need depends on many things, including : Severity of your lines and wrinkles, Facial anatomy, Lifestyle, Gender, Aesthetic goals.

Q: What is a BOTOX® Brow-Lift?

A: A BOTOX brow-lift is a BOTOX treatment which can give your brows a subtle lift. It is also known as a non-surgical brow-lift.

Some facial muscles pull the brows down, while other facial muscles pull the brows up. When BOTOX is strategically placed in the muscles that pull the brows down these muscles weaken. The result is a slight temporary lift of the brows. When administered correctly this gives the eyes a more open and attractive look.

BOTOX Brow-lifts should only be done by experienced BOTOX Injectors. If the BOTOX is placed incorrectly, or if too much BOTOX is used, the brows will droop and fall.

Q: Can BOTOX Be Injected under the Eye?

A: If your skin forms small crinkles under your eyes when you smile, Botox can be used to smooth the crepey skin.

A very small amount of BOTOX (1-2 units) is placed underneath each eye. The result is a subtle smoothing effect. Again, only experienced Aesthetic Injectors should inject this area because proper placement and dosage are required. If too much BOTOX is injected under the eyes, it can cause sagging and drooping. To be most effective this treatment should be combined with treating the Crow’s feet.

BOTOX cannot remove bags, or excess skin from under the eyes. These may need to be treated surgically.

Q: Do BOTOX Injections work on Neck Bands?

A: BOTOX can be injected in the neck bands (platysmal bands). In some patients this can create a sharper profile of the neck.

As proper placement and dosage are required, only experienced BOTOX injectors should inject the neck bands. If injected incorrectly, patients can experience complications such as difficulty swallowing.

Not all people are candidates for this procedure. In some cases a surgical neck lift is more appropriate and will provide better results.

Q: Which area is the Most Popular for BOTOX Cosmetic injections?

A: Glabellar lines, also known as frown lines, or the 'elevens'. These are the wrinkles that form between the eyebrows.

Q: What Is The Right Age To Start BOTOX® Procedure ?

A: It is globally approved for the age group of 18yrs to 65years.

Q: How long will it take for the procedure?

A: BOTOX® is a simple non surgical procedure. It generally takes 15 minutes. Procedure is so quick, many consider this as a lunch time procedure. You'll also need to allow time to consult with your doctor prior to the treatment. There is no down time involved. Person can get back to normal routine immediately after the therapy.

Q: Where does Dr. Shrirang carry out the BOTOX® procedure?

A: Doctor Shrirang has a well equipped clinic located on J.M. road, Pune. Apart from BOTOX treatment, Dr. Shrirang carries out other cosmetic procedures at this clinic.

Q: Will my facial appearance look natural?

A: Yes.

Although your moderate to severe frown lines between the brows will improve, it will not radically change your facial appearance.

You will still be able to smile, frown, or look surprised without the lines and creases between your brows.

Q: Can Men Take BOTOX® ?

A: BOTOX® is equally effective on both men & women.

Over 220,000 BOTOX® procedures were performed on men in United States in 2004, making it a leading cosmetic treatment for men.

Q: What is the cost for BOTOX® procedure?

A: Cost varies from client to client depends on the areas treated, severity of lines, bulk of the muscle and gender.

Every client would need different number of units

Your cosmetologist will be able to give you the costing after facial analysis.

Cost of BOTOX treatment

Q: Will The Lines Worsen If I Discontinue BOTOX®

A: No. The lines gradually revert to their pre-treatment appearance. It does not cause more wrinkles to form.

Q: How Painful is BOTOX®

A: Injection may cause some discomfort. Many describe this as an "ant bite".

Pain threshold varies from person to person. Generally, it is less painful than beauty treatments like threading, waxing, etc.

Your doctor may choose to use ice cubes or local anaesthesia to reduce the discomfort.

Q: Who should not use BOTOX®?

A: As with many drugs, BOTOX® should not be given to :

  • Pregnant or Lactating Women
  • Patients who have a Neuromuscular Disorder
  • Unrealistic Expectation
Happy BOTOX patient

Q: Post injection care

A: Post care with BOTOX® is very simple.

  • Avoid massaging the injected area for 2 days
  • Avoid bending or lying down for 4 hrs post injections.
  • Should avoid exercises for 2 days