Clinic Services

BOTOX®

What Is BOTOX®?

BOTOX® (botulinum toxin A), a prescription medicine, is a purified protein that is derived from a bacteria named Clostridium botulinum. It is FDA approved.

It works by blocking nerve impulses to the injected muscles. This reduces muscle contractions that cause persistent lines to form.

Botox® has quickly become the most popular non-surgical, aesthetic procedure in the United States today.  The American Society for Aesthetic Plastic Surgery estimates that almost 3 million procedures were performed in 2009.

What can BOTOX® do?

  • Improvement of wrinkles.(Glabellar lines, forehead lines, crow's feet, bunny lines, puckering of chin, marionette lines, etc)
  • Lifting and shaping of eyebrows.
  • Facial contouring. (Square Jaw Reduction)
  • Calves contouring and slimming.
  • Reduction of excessive sweating. (hyperhidrosis)
  • Treatment of cervical dystonia.
  • Treatment of migraines and tension headaches.
  • Treatment of strabismus. (eye squinting)

Am I suitable for botulinum toxin A?

BOTOX® is generally suitable for everyone.
It is contraindicated only in a small group of people with the following:
  • Previous allergic reactions to other botulinum toxins. (eg. Myobloc, Dysport, etc)
  • Skin infection at the planned injection sites.
  • Neuromuscular disorders. (Lou Gehrig’s disease, Myasthenia Gravis, Lambert-Eaton Syndrome)
  • Breathing problems such as asthma or emphysema.
  • Swallowing problems.
  • Bleeding Disorders.
  • Previous facial surgery or immediate plans for facial surgery.
  • Weakness of facial muscles and drooping eyelids.
  • Pregnancy or plans for pregnancy.
  • Mums who are still breastfeeding. (it is not known if botulinum toxin A passes into breast milk)

What is the downtime for BOTOX® injections?

There is no downtime. You can return to work immediately after the procedure. Any slight needle marks or bruising can easily be concealed with make-up.

Are there any precautions that you need to take before the procedure?

Yes. You should avoid anticoagulants and specific painkillers as these may increase the tendency of bleeding and bruising.

As bruising may develop, you should try to schedule important events two weeks after the procedure. This is also the time when the effect of BOTOX® is maximal.

How is the procedure done?

Botox injections are very simple "lunch time" procedures. It is usually completed in 10-20 minutes.

  • Most clients do not require any topical anaesthesia prior to the injections. Ice compression is usually applied before and after the procedure to minimize discomfort, swelling and bruising.
  • The group of muscles responsible for the wrinkles will be identified and very fine needles are used for injecting the botulinum toxin.
  • Mild pressure will be applied to the injected sites for brief moments to stop any bleeding.

What happens after the procedure?

  • You should remain upright for the next 1-2 hours.
  • Do not massage the injected sites to avoid spreading the toxin to other sites
  • Exercise and drinking should be avoided for the next 8 hours.
  • Avoid saunas, steam baths and facials for the first week.
  • Avoid taking blood thinners or specific painkillers for the first week. (Panadol can be taken)

Are there follow-ups after the procedure?

Yes. A follow up appointment is always arranged 2 weeks after the procedure to review the effects of botulinum toxin. Minor touch ups may be required at this point to enhance the anti wrinkling effects.

What are the possible side effects of botulinum toxin A?

BOTOX® has an excellent safety profile. Side effects are usually minor and are self-limiting.

Immediately after the procedure, you might feel a bit of lumpiness, discomfort or bruising over the injected sites. Mild pressure and ice compression would suffice.

Other potential side effects include: dry mouth, dry eyes, double vision, blurred vision, drooping eyelids, decreased eye sight, tiredness, headache, neck pain and allergic reactions.

When will you see results? How long does botulinum effects last for?

Visible effects can take place between 3-4 days. Maximum effects will usually set in by 2 weeks.

BOTOX® effect usually lasts for 3-6 months. After which, the effects starts to wears off and wrinkles may reappear. The procedure will have to be repeated to maintain the anti-wrinkling effects.

With long term regular injections, the effects of wrinkle reduction will be more evident and prolonged. Maintenance visits to the clinic will become less frequent.

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