Wrinkles In Motion - The Ultimate Guide to the Power Of Botox

Wendy Lewis

by Wendy Lewis | August 16, 2010 @ 03:00PM

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Surely by now most of us have come to terms with the plain truth that the hottest wrinkle cure on the market is actually a very potent toxin. Botulinium Toxin Type A, or BOTOX ®, as it is affectionately called by those of us who love it, has been found to eliminate worry lines, crows feet, laugh lines, frown lines, forehead lines, and other lines known as 'dynamic' or wrinkles in motion. BOTOX® works by chemically weakening facial muscles that form wrinkles and frowns when they contract. Although new uses seem to crop up almost daily, the most popular place to have it injected is still the glabellar or the area between the brows. It is also commonly used to improve dynamic wrinkles of the forehead, crows feet around the eyes, the muscle bands of the neck, soften fine lines around the mouth, muscle rolls of the lower eyelids, the little ''bunny lines'' around the nose, creases in the chin line, as well as little annoyances like excessive sweating in the armpits, palms, and the soles of the feet. It has also been shown to bring relief to migraine sufferers by relaxing the muscles that contract when the pain response is triggered. BOTOX® is more commonly used for aging of the upper two thirds of the face, while injectable fillers like Collagen and Fat are more often used for the lower third of the face from around the mouth to the jowls. That tide is turning and new uses for BOTOX® are arising all the time.

The goal of BOTOX® in facial rejuvenation is really only a softening, not necessarily the complete elimination of wrinkles. Very minute amounts of this precious solution are injected to paralyze the muscle. The procedure is performed in an office setting without anesthesia and takes just minutes to complete. The BOTOX® may take up to 14 days to fully take effect, and sometimes a touch-up treatment is needed after that point. Although BOTOX® does a great job, it is not permanent and does have to be repeated. A treatment generally lasts from three to six months, about four months on average. When the BOTOX® starts to wear off, the wrinkles will begin to reappear again. Don't be alarmed. You won't just wake up one morning and all of your pre-BOTOX® wrinkles will face you in your bathroom mirror. They reoccur gradually, as the toxin wears off little by little.

Too much of a good thing may leave you looking a little wooden or frozen. If BOTOX® is injected beyond the midpoint of the brow laterally, brow 'ptosis' or drooping can occur. This drooping has been known to be only temporary, but it can present a nuisance if you have a big event coming up before it subsides. If your whole forehead is treated with BOTOX® to eradicate every last horizontal line or furrow, sometimes the position of the eyebrows can drop, and may make you look flat or expressionless or very tired. A clever BOTOX® injector who is highly skilled in the technique can raise or lower your brows slightly, and produce an effect like a chemical browlift with the mere stick of a well-placed needle. If you know what you're doing and have done it thousands of times, you will strive to utilize the least amount of toxin needed for the best result. The 'less is more' philosophy is best. If you do get overinjected though, the good thing about BOTOX® is that it will start to settle in a few weeks, and in a few months, it is gone.

Almost anyone is a candidate for BOTOX injections. Over 30, there aren't many women or men who wouldn't benefit from a little improvement to our frowns and furrows. It's very popular with the male species as well, although they are less apt to admit it. There is a trend afoot among beauty junkie circles to start your BOTOX® before your creases are so deep that they need something else to plump them up, like bovine collagen or fat. For example, BOTOX® injected into the glabellar region paralyzes the muscles that enable you to frown, called the 'corrugator' and 'procerus.' By relaxing these muscles, you can actually slow down your brow descent and prevent the deepening of a glabellar crease.

The newest formula is MYOBLOC (Botulinum Toxin Type B) Injectable Solution from Elan Pharmaceuticals, the first BOTOX approved by the FDA to stop spasms for people with neurological problems, but it is thought that additional clinical (i.e., wrinkles) uses will emerge in the near future. This new strain of BOTOX, Elan's Botulinum Toxin Type B, has just been launched in Europe under the name NEUROBLOC. There is a glimmer of hope that any rare individual unlucky enough to naturally produce antibodies to Botulinum Toxin Type A, may be able to have wrinkles and lines frozen with this new strain. According to New York Dermatologist and BOTOX guru Patricia Wexler, M.D., "Studies have shown that MYOBLOC, because of its potency, has been associated with dry mouth and difficulty swallowing, especially noted in children with Cerebral Palsy where the dosages used are higher." Unlike the traditional kind that has to be freshly diluted before it is ready to inject, MYOBLOC comes in a ready-to-use solution, which may help to cut down on bargain BOTOX advertisements that are a sure sign it has been over-diluted to keep the price down. Your frown lines may end up frozen temporarily, but the cheap stuff won't keep them still for very long. So, if your BOTOX shot didn't work, make sure your doctor isn't giving you less than the usual dose and that he's putting it in the right spot. (Wexler says only one patient in about 8,000 can't be treated). In the early years, before BOTOX became a household name, doctors had BOTOX days when clients lined up to have their fix before the supply was used up. Once the vial was opened, the poison was thought to lose most of its power within 24 hours and couldn't be used after that. Doctors have now learned that its shelf life is up to six weeks. If your clinic still does ''BOTOX Days,'' it probably means they don't do much of it. "I dilute my BOTOX differently for each patient I am treating. Every face is different and has different needs," says Dr. Wexler. "We stopped doing BOTOX days 11 years ago. Now, every day is a BOTOX day." The bottom line is that BOTOX B has more limited clinical uses that will be determined when additional studies are completed.

Fees for a BOTOX® treatment range from $300 – 600 per area treated, and like any other cosmetic procedure, vary from region to region. The amount of BOTOX® used in necks, hands, and underarms is considerably greater than in delicate facial wrinkles, and therefore more costly. These areas also tend to be more tender to the touch of a needle, so a topical anesthetic might be used to keep you comfortable. There is a learning curve with BOTOX injections, and the more treatments a physician does, the better he or she gets at determining precisely how much to use and where to place it. Choose a surgeon whose personal aesthetic judgment reflects a wise and confident use of these techniques with consistently good results. BOTOX has a wide variety of applications and the future lies in the endless imagination and creativity of medicine and science.

Wendy Lewis is the author of The Lowdown on Facelifts and Other Wrinkle Remedies (Quadrille). www.wlbeauty.com.

This article provided by www.healthnewsdigest.com

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