What is Botox (Botulinum Toxin)?
Botox® is the trade name for Botulinum Toxin, a nerve toxin in the form of a purified protein. It works when injected into the muscles by blocking the transmission of nerve signals to the muscle (motor nerve endings); the toxin relaxes the muscle which relaxes the wrinkles caused by the muscle activity.
The areas typically treated with Botulinum Toxin (Botox) for wrinkles are the forehead, between the eyes (glabellar region), around the corners of the eyes (crow’s feet) and around the lips (smokers lines or gummy smile). There is no loss of sensation. Once the motor nerve endings are interrupted, the muscle cannot contract, causing wrinkles in the skin to smooth. The effects of Botulinum Toxin (Botox) last approximately three to four months; then you will need another treatment. Botulinum Toxin (Botox) has important clinical applications in facial pain and bruxism (excessive grinding or jaw clenching) cases for patients with chronic TMJ (Temporo-Mandibular Joint Dysfunction) and orofacial pain. Botulinum Toxin (Botox) is also used to complement esthetic dentistry as a minimally invasive alternative to surgery.
What is Xeomin?
Xeomin (incobotulinumtoxinA), is a neurotoxin approved by the US FDA for the treatment of moderate to severe frown lines in adults. Xeomin is made of a protein purified from the bacterium Clostridium botulinum. It acts in the same way as Botox to block nerve activity in the muscles, causing a temporary reduction in muscle activity, thus a reduction in wrinkles and lines.
Xeomin is the first Botulinum Toxin that does not need to be refrigerated before use. It has no additives, containing only Botulinum Toxin type A – this may mean there is less risk of developing antibodies against Xeomin compared to other available neurotoxins. The effects of Xeomin are visible within one week, with results lasting 3 to 6 months. Xeomin should not be used interchangeably with other botulinum products. There is a risk all botulinum toxin products may spread from the area injected, causing potentially life-threatening swallowing and breathing problems. Other risks may include bleeding and bruising at the injection site and allergic reactions such as itching, swelling or shortness of breath. You will need to fill out an informed consent form which outlines these possible side effects.
Botulinum Toxin Uses
Botulinum Toxin (Botox) is used esthetically to decrease the appearance of aging by reducing muscle movement. Areas of treatment include; the glabellar area (the 11’s/frown lines between the eyes), frontalis muscles (forehead lines), crow’s feet, chin dimples, radial lip lines (smoker’s lines) and nose lines. Botulinum Toxin can also be used to reduce the muscle mass in the masseters (jawline) for a slimming facial esthetic result. Receiving Botulinum Toxin is quick and there’s no need for anesthesia
or downtime. The injections are made using a very fine needle and are virtually painless. Generally, results are visible within two to ten days. To reduce the possibility of bruising/swelling, it is recommended to avoid alcohol for at least 24 hours and aspirin/anti-inflammatory medications for a period of two weeks prior to the procedure. As always, consult your physician before stopping any medications.
The most common side effects of Botulinum Toxin injections are bruising, redness, and swelling. Other, rare side effects are possible and will be reviewed by your treating physician. To avoid adverse reactions/results, do not manipulate the treated area for 2 hours after injections and maintain an upright position. The esthetic effects of Botulinum Toxin typically last three to four months. As the treated muscles regain movement, lines and wrinkles will begin to reappear and require retreatment. Over time, these lines and wrinkles should appear less noticeable due to training the treated muscles to relax.
Before and After Gallery
Botulinum Toxin for Gummy Smile
Botulinum Toxin for Frown Lines
Botulinum Toxin for Forehead Creases