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Botox

How Does Botox Work

Botox is a trade name for botulinum toxin, which comes in the form of a purified protein. Botulinum toxin A is the most commonly used form of a few thousand articles supporting its use in scientific and medical literature. The mechanism of action for botulinum toxin A is really quite simple. It is injected into the facial muscles and, within a few hours, it attaches itself to the nerve endings of the motor muscles, thereby affecting the nerve transmission to these muscles. It takes anywhere from two to ten days to block the nerve transmitters which innervate the muscles where it was injected. There is no loss of sensory feeling at all during the time that botulinum toxin A is effective. Once these motor nerve endings are interrupted, the muscles cannot contract. When the muscle does not contract, the dynamic motion that causes wrinkles in the skin will then cease. The only reason there are wrinkles in the skin in the first place is that the muscle is moving underneath it, thereby these are called dynamic wrinkles. Approximately three to ten days after treatment, the skin above these motor muscles becomes nice and smooth. The effects of Botox last approximately three to four months depending on various factors including the amount of botulinum toxin A injected, the metabolic activity of the patient and lifestyle choices, which may cause the Botox treatment not to last as long. When the patient sees the wrinkles reappear, the patient needs re-treatment.

This is one of the reasons that Botox has such an incredible safety record. Botulinum toxin A treatment by its nature is a temporary treatment and when the treatment effects are gone, they are gone completely. 

Botox and Facial Aesthetics

The most common uses for Botox is smoothing of the facial wrinkles of the forehead, between the eyes (glabellar region) and around the corners of the eyes (crow’s feet). These are the most common cosmetic uses that have put Botox on the aesthetic map.

Our Nurse practitioner Lisa Della Ratta has many years of experience with cosmetic injectables such as Botox, Restylane, and Juvederm. Lisa also specializes in laser treatments for hair removal and other cosmetic procedures now offered here, as well as sclerotherapy - a treatment for varicose and spider veins.

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