Before the administration of Botox a “Good Faith Exam” (GFE) is performed. This is to rule out any medical conditions which may contraindicate receiving treatment. A GFE is similar to a history and physical that you would get from your primary physician or nurse practitioner. Your past medical and surgical history is reviewed along with current medications. We also discuss prior aesthetic treatments and any complications you may have encountered.
Botox® is the trademark name for the drug “onobotulinumtodinA” which is made from the toxin bacterium clostridium botulinum. Botox is FDA approved to temporarily reduce the look of moderate to severe wrinkles.
Botox was the first medication to cause muscle paralysis with the use of botulinum toxin. However there are now several other products on the market that work similarly and used for both cosmetic and therapeutic reasons. These products include:
- Dysport ® – abobotulinumtoxinA
- Xeomin ® – incobotulinumtoxinA
- Jeuveau ® – prabotulinumtoxinA-xvfs
These group of medications are also called “neurotoxins” because they block chemical signals from nerves, preventing muscle contraction.
Areas that are commonly treated with neurotoxins
- Frown lines: Front lines, also known as worry lines are vertical lines that appear between the eyebrows as the result of forehead muscles contracting as you frown.
- Horizontal forehead lines: caused by movement in the forehead area by the frontalis muscles when eyebrows are elevated.
- Crow’s feet: Also known as smile lines, crows feet form as we smile. These lines are formed by the lateral orbicularis oculi muscle and form the wrinkles on the outer corners of the eyes
- Lower eyelid wrinkles: relaxing the muscles in these area decreases the bulge Diminishing lines and wrinkles under the eyes.
- Eyebrow lift: A non-surgical AI lift can be achieved when muscles that pull the eyebrows down or relaxed. The eyebrow is lifted and eyes appear larger and more open.
- Bunny lines: Minimize the appearance of wrinkles and fine lines that appear diagonally on both sides of the nose.
- Lip lines (upper): reduce muscle movement around the mouth which leads to a decrease in vertical lines above the upper lip. These lines are also known as smokers lines.
- Gummy smile: noninvasive treatment of gummy smile can be achieved with neurotoxin. Relax the muscle of the upper lip to help keep excessive gummy show less visible. This can be done while creating a more appealing and natural smile.
- Marionette lines: Reduce the movement of muscles around the mouth which cause marionette lines to form. Can be a combination treatment with dermal fillers.
- Chin: Smooth irregular bumpiness and wrinkles on the chin to reveals smoother skin, tighter pores and decrease acne and redness to this area
- Neck bands: Relax vertical bands of the neck, making them look less prominent and achieve a smoother, younger looking neck in about 1 week. The neurotoxin is injected directly into the bands helping them to relax.
- Axillary hyperhidrosis: Block the autonomic innervation of sweat glands with neurotoxin. This treatment is used for severe underarm sweating when topical products are not effective.
Frequently Asked Questions
We ask clients to come to their appointment without applying makeup since the face would need to be cleaned off prior to receiving treatment. In addition, it is highly recommended that clients avoid consumption of foods, supplements and medications that could increase the chances of bruising and bleeding. These includes blood thinners such as aspirin and NSAIDs; certain supplements such as garlic, ginkgo, Vitamin E and fish oil. Alcohol should also be avoided before and after treatment for 24 hours.
Neurotoxins such as Botox last an average of 3 to 4 months. This may vary from person to person. We highly recommend the use of medical grade skin care to prolong the effects of neurotoxin.
Not everyone is a candidate for Botox injections. Those with neuromuscular disorders such as myasthenia gravis should not receive botulinum toxin injections. Clients that are allergic to any of the components of botulinum toxins are not candidates. Clients with droopy and skin laxity of the upper lids are not candidates for forehead treatments as this may worsen the condition.
While side effects of botulinum toxin injections are rare, common side effects that clients may report include headache and pain at the injection site.
Other potential side effects include, droopy eyelids, dropped brows, crooked smile, drooling, eye dryness. The likelihood of these effects are rare with proper technique and administration by an experienced and licensed medical provider such as an RN, ARNP, PA or MD/DO.
Seek medical attention right away if you notice muscle weakening, issues swallowing, difficulty speaking or breathing. These side effects are extremely rare but they require immediate medical intervention.
The cost of Botox treatments vary based on the area treated. Larger treatment areas require more units of medication hence these areas will be more expensive to treat. Our prices are listed on the appointment page. We treat per area and provide 50% off every additional area in the same appointment.
It is essential to follow post treatment instructions for optimal results. Our major concern is to prevent the spread of neurotoxin to unintended muscles. It is essential not to rub or apply pressure to the treatment area for 2 to 4 hours. We also recommend that clients avoid sleeping on their face for the evening of the treatment. In addition, exercise should be postponed until the following day and alcohol should be avoided for 24 hours.
Skin treatments such as facials, exfoliating scrubs and other treatments that could potentially spread neurotoxin to unintended areas should be avoided. Be sure to avoid prolonged sun exposure, which can cause flushing and increase the likelihood of bruising. Other forms of heat exposure that should be avoided are tanning beds, hot tubs, steam showers and saunas.
Our injections are performed by our advance nurse practitioners and a GFE is done prior to neurotoxin injection. GFE are good for 1 year and can be used to schedule other cosmetic procedures.
Your specific areas of concern are addressed. We also offer professional recommendations to further enhance results. Ultimately, the decision for treatment is based on your preference and budget.
All traces of make up is removed prior to treatment, and the face is sanitized with an alcohol-based solution to remove harmful bacteria from the skin prior to injection. The treatment area is marked with a skin pen. The dose of neurotoxin is administered based on the treatment area and the size and strength of the muscle being treated.
The actual procedure take 5 – 7 minutes, however the GFE, skin analysis, assessment and prep may take an average of 30-45 minutes.
When you are ready to start your Botox treatment, we at DMA Aesthetics and Skincare Clinic in Spring Texas, will be here to answer any questions or concerns you may have.
Our office provides neurotoxin services in Houston and North Houston, Texas vicinities including Spring, Tomball, Humble, The Woodlands, Shenandoah, Magnolia, Conroe and Huntsville.