Type of Surgery
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Last updated: 04/02/2009
Since the use of BOTOX® to improve the appearance of the face is a purely cosmetic procedure, the use of the agent is usually prompted by the patient. Preparation for the BOTOX® procedure begins with a discussion with a dermatologist, neurologist...
or plastic surgeon to discuss the risks and benefits of the procedure. Proper preparation includes a determination of whether the patient is at particular risk for an adverse event because of the injection. While the injection is relatively safe, it is, after all, a potent neurotoxin and proper precautions need to be taken to ensure a positive outcome.
or plastic surgeon to discuss the risks and benefits of the procedure. Proper preparation includes a determination of whether the patient is at particular risk for an adverse event because of the injection. While the injection is relatively safe, it is, after all, a potent neurotoxin and proper precautions need to be taken to ensure a positive outcome.
There should also be a discussion about the expectations of the procedure prior to treatment. Be aware that BOTOX® can create rapid and highly favorable results in most people, but the effects are not permanent. At some point, usually in three to four months, the nerve endings will heal, the muscles will again retract and wrinkles are likely to return. Sustained improvement may require frequent and/or routine treatments. Also be aware that treatments can only be administered every three months.
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Botulinum toxin is a medication and a neurotoxic protein produced by the bacterium Clostridium botulinum. It is the most toxic protein known with an LD50 of roughly 0.005-0.05 µg/kg. Despite this, it is used in minute doses, in some parts of the world, to treat muscle spasms. It is sold commercially under the brand names Botox, Dysport, Myobloc, Neurobloc and Xeomin for this purpose. Botox Cosmetic and Vistabel are available for cosmetic treatment. The terms Botox (Cosmetic), Vistabel, Dysport, Myobloc, Neurobloc and Xeomin are trade names and are not used generically to describe the neurotoxins produced by C. botulinum.
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