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BOTOX injection Q&A

Q1. What are the indications for BOTX?

BOTOX is mainly aimed at reducing wrinkles or muscle hypertrophy resulted from muscle overuse, such as worry lines, frown lines, crow's feet, bunny lines, square face, obscured V-shape facial contour, double chin, and calve hypertrophy. In addition, BOTOX can also be applied to treat hyperhidrosis and underarm odor.

Q2. What is the mechanism behind BOTOX?

All serotypes interfere with neural transmission by blocking the release of acetylcholine, which is the principal neurotransmitter at the neuromuscular junction. Intramuscular administration of botulinum toxin acts at the neuromuscular junction to cause muscle paralysis by inhibiting the release of acetylcholine from presynaptic motor neurons, which in turn inhibits muscle from contracting and gland from secreting to reduce wrinkles, improve hypertrophy and reduce excessive sweat.

Q3. Will I experience pain during the BOTOX treatment process?

With a tiny cosmetic needle, your doctor will precisely inject BOTOX into the muscles that give rise to your wrinkles. Before the treatment, application of some ice packs or anesthetic ointment can help relieving the pain and discomfort. During the injection process, you may feel slight pricking pain which is generally acceptable by most people.

Q4. How long does the treatment effect last?

Under general conditions, the treatment effect may last from 4 to 6 months depending on the patient's physical conditions. Treatment effect may fade away faster for those who use their muscle frequently, take on irregular daily routine, stay up late at night, and experience greater stress.

Q5. How long does it takes before the treatment result shows up?

Total time it takes for a perceivable treatment result to show up largely depends on the treatment area's thickness and patient's physical condition.

1. For reduction of facial lines, it generally takes at least 1~2 weeks to see some gradual effects and 1~2 months to have optimal result, depending on patient's physical condition.

2. For reduction of hyperhidrosis or underarm odor, it generally takes at least 2~3 weeks to see some gradual effects and 1~2 months to have optimal result, depending on patient's physical condition.

3. For square face or V-shaped face-lift, it generally takes at least 3~4 weeks to see some gradual effects (muscle softening or face shape changing) and 1~2 months to see optimal effects, depending on patient's physical condition.

4. For reduction of calf hypertrophy, it generally takes 1~2 months to see some gradual effects (calf softening and changing) and 1~2 months to see optimal effects. The result becomes most obvious after 3~4 months and it is recommended not to wear high heels in order to maintain the treatment effect linger.

Q6. Is it true that BOTOX treatment makes the patient’s facial expression looks both rigid and unnatural?

Please consult certified doctor before BOTOX injection, so that you will maintain natural facial expression after the treatment. As the first timer, you may experience some degrees of muscle weakness as the facial wrinkles are reduced, which may take some time to get used to.

Q7. What is the exact time interval between every two BOTOX injections?

Since different patients have different BOTOX metabolism and requirements, it is recommended that you return once every 4~6 month to receive another BOTOX injection. Since some patients wish to keep their skin in a perfect condition without any wrinkle, they would receive another injection shortly after some wrinkles reappear on their faces.

Q8. Will the wrinkles become even more severe if I stop the BOTOX injection?

No. Without additional BOTOX injections, your skin will gradually regain its strength so that your wrinkles will restore to the original state according to your muscle using habit (such as frowning or raising eyebrows). If you don't change your habit and the amount of collagen diminishes as you get older, deeper wrinkles may still appear on your face. You will see a similar result if you have other muscle using habit such as chewing food in a special way, long-term standing, or wearing high heels. Therefore, it is recommended that you receive BOTOX injection regularly to reduce or prevent wrinkle formulation.

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Yachiyo Cosmetic Surgery Group

Cosmetic Surgery Clinic