Botox injections

Cosmetic Botox Injections have been available by prescription in the United States since the FDA approved it in 2002. The exact same Botox injections are used for other clinical medical purposes (such as uncontrolled muscle spasms) was first approved by the FDA in 1989. Botox injections are also used for to treat a variety of other medical conditions, including, among others, excessive sweating or hyperhidrosis and migraine headaches.





Woman receiving Botox Cosmetic injection in her forehead.
Cosmetic Botox Injections are FDA-approved to smooth the frown lines between your eyebrows, though it is used off-label for other facial wrinkles, such as crows feet and frown/smile lines as well.

In 2015, it was the top nonsurgical cosmetic procedure in the U.S. among both women and men, with 4,267,038 injections (of Botox, Dysport and Xeomin) performed by physicians and their physician assistants and nurse injectors. Men received 10.3 percent of the injections.



What are Botox Injections?


Botox injections, or onabotulinumtoxinA, are used for three main purposes: muscle spasm control, severe underarm sweating and cosmetic improvement. In this article we concentrate on the third use, achieved with the product called Botox Cosmetic, which contains botulinum toxin type A (the active ingredient), human albumin (a protein found in human blood plasma) and sodium chloride.


Best Candidates for Cosmetic Botox Injections:

facial lines and wrinkles:
  • Procedure time: about 10 minutes
  • Typical results: smoother, younger-looking skin; lasts about three to six months
  • Recovery time: a couple of days to a week to see full effects
  • Cost: around $250 to $350 per region

Cosmetic Botox Injections used for the temporary smoothing of glabellar lines (also called frown lines), which are the lines between your eyebrows that can make you look tired, unhappy or angry.

It is FDA-approved for this use and in this area only. However, it is often used off-label for horizontal forehead lines, crow’s feet, marionette lines at the corners of the mouth and smoker’s lines around the lips.


In most states, Botox injections have to be performed by a licensed Medical Doctors (MD), Doctors of Osteopathy (DO), Doctors of Medical Dentistry (DMD) or Doctors of Dentistry (DDS). In other states they can also be performed by Registered Nurses (RN), Nurse Practitioners (NP) and Physician Assistants (PA). Botox injections are most often performed in dermatologists and plastic surgeons offices, however, they are also performed in dentists offices, medical spas and other types of medical specialty offices, including family practices and women’s centers.


How To Know If You Are A Candidate For Botox


In the United States, the FDA has approved Cosmetic Botox Injections for people aged 18 to 65. But you shouldn’t use it if you:


  • Are allergic to any ingredients in Botox or Botox Cosmetic.
  • Are allergic to another botulinum toxin brand (such as Myobloc, Xeomin or Dysport) or had any side effect from these products in the past.
  • Have a skin infection or other condition in the injection area.
  • Have ALS (Lou Gehrig’s disease), myasthenia gravis, Lambert-Eaton syndrome or another disease that affects your muscles or nerves.
  • Have breathing problems, such as asthma.
  • Have difficulty swallowing.
  • Have bleeding issues.
  • Plan to undergo surgery.
  • Have had facial surgery.
  • Have weakness in your forehead muscles.
  • Have drooping eyelids.
  • Are taking or have recently taken certain medications, vitamins or supplements



How Long will the Effects from Botox Injections Last?


The effect from Cosmetic Botox injections lasts about tree to five months, depending on a variety of factors. Ask you doctor what factors may contribute to a reduced effect or duration of effect.



Are Botox Injections Painful?

Any injection can hurt, but the needles used for Botox injections are very small, so pain is usually minimal. The area can be numbed with a topical anesthetic cream 15 – 20 minutes before the injections are given, so you may not feel much pain, if any.




Botox injections
NeuroMed Topical Anesthetics are supplied in single-use, sanitary packets designed to reduce the risk of cross contamination as compared to compounded creams




Do NOT use this information as medical advice or to diagnose or treat any medical condition. Ask your doctor about Botox injections, their effect, risks and any related questions.

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