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How wrinkles appear:
After years of squinting, laughing, frowning, smoking, and worrying, the skin around the eyes and on the forehead develops deep lines and wrinkles often referred to as “expression lines.” A common concern is that they make us look older, tired, or stressed. Not to worry, expression lines and advanced furrows can be quickly and significantly reduced using BOTOX® Cosmetic.


What is BOTOX® Cosmetic?
BOTOX® Cosmetic is a therapeutic muscle-relaxing agent derived from a bacterium called Clostridium Botulinum. BOTOX® has been used therapeutically for over 17 years to treat a variety of medical conditions. It is approved in more than 75 countries and remains one of the most widely researched medicines in the world. As of April 2002, it has been FDA approved for the cosmetic treatment of glabella wrinkles, (area between the eyebrows just above the nose), caused by specific muscle groups. Other areas of the face and body such as crows feet wrinkles, forehead, perioral and neck bands may be treated in an “off-label” fashion. BOTOX® has also been used “off-label” to treat migraine headaches, colorectal disorders, excessive perspiration disorders of the armpit and hands, and musculoskeletal pain
disorders.


How does BOTOX® Cosmetic work?
The contractions and movements of our facial muscles are controlled by signals from the brain. BOTOX® Cosmetic simply prevents these muscles from allowing responses to such messages. As a result, the muscles relax and the overlying skin remains unwrinkled and smooth. Only small amounts of the product are injected into the muscles that cause frown lines. When administered by an experienced physician, you should not lose the ability to laugh, smile, or otherwise show expression.


What is treatment like?
With a very fine needle, BOTOX® Cosmetic is injected into the specific muscle that is contracting and causing the facial lines and wrinkles. Treatment is effective, safe, and takes approximately 10 minutes. Pain is minimal (that of a “pin prick”) and no anesthetic is required. Following treatment, patients immediately resume regular activities.


How long does a BOTOX® Cosmetic treatment last?
Effects usually last three to four months, and then gradually fade away. Following several treatments, results may last four to eight months or even longer.


Are there any possible side effects?
Side effects from BOTOX® Cosmetic, if any occur, are usually mild and temporary. Botulinum toxins contain proteins that, in some circumstances, may be naturally safeguarded against by the body’s ability to produce antibodies. If antibodies are formed, the therapy will generate a lesser response. Temporary bruising sometimes is experienced but resolves within two to three days. In rare cases, there can be a slight drooping of an eyelid or asymmetry of expression. If this should happen, return to your physician. During your consultation, the physician will go over all the possible side effects with you.


What type of results will I see?
Typically, the effects of BOTOX® Cosmetic are visible within three to seven days. Maximum benefits are reached between ten to fourteen days. Once the muscle becomes dormant, and the skin softens, patients notice a more relaxed and youthful appearance. BOTOX® Cosmetic treatments are not a substitute for a facelift. Depending on your specific goals, optimal results in appearance may be maximized by incorporating BOTOX® Cosmetic therapy with a facelift, laser resurfacing, or skin rejuvenation procedure.


How can I be sure I’m getting real BOTOX® Cosmetic?
Only licensed and trained healthcare professionals have the experience necessary to administer BOTOX® Cosmetic. Allergan, Inc., the maker of BOTOX® Cosmetic, is the only source of healthcare professionals to purchase the product, and each label has the “Allergan” hologram.


Dr. Saghy Motamedy graduated from Baylor College of Medicine in 2006. During her training, she completed extra months in cosmetic dermatology. In addition to her training, she has participated at several educational activities in aesthetic enhancements of the face and is certified by PPS (Professional Postgraduate Services), Millennium CME Institute, AAFP (American Academy of Family Physicians), and Allergan in Botox® and Cosmetic fillers, (JUVÉDERM™ and Restylane). Her passion for improving her patient’s appearances has helped thousands of people regain their confidence, feel better and overall have a different perspective in their everyday lives.