Botox Facts & Info

The two injectables used by Siren Medical Aesthetics are Botox and Dysport. Botox is onabotulinumtoxin-A, while Dysport is abobotulinumtoxin-A. These neurotoxins are used for their ability to lessen the appearance of wrinkles in the face for aesthetic purposes and injected into muscles in targeted locations on the body for therapeutic effects such as chronic migraine relief.

After injection, some individuals start to see results in as little as 1 to 2 days and 30 days for full results. Results last up to 4 months, and another Botox appointment, other than touch-ups or enhancements at 1 to 2 weeks, should be at most every 12 weeks. If Botox is injected sooner than 12 weeks, individuals may develop Botox resistance and a different neurotoxin may be needed to provide the desired results.

Botox by Allergan results are seen after 1 week.

Dysport by Galderma results are primarily seen at 2 to 4 days. 

Both products see peak results at 2 weeks post-injection. 

Botox manufacturers recommend not lying down for 4 hours post-treatment to avoid Botox spreading to unintended areas which may cause undesired effects. 

There are several key things to avoid after treatment with a neurotoxin. 

1. Rubbing or massaging your face.

2. Lying down or lying on your face within 4 hours of treatment. 

3. An extensive workout session. Straining can cause the neurotoxin to settle incorrectly. So avoid the gym for 24 hours. 

If you are worried about bruising, avoid doing these things: 

1. Taking anything that thins your blood, such as NSAIDs like ibuprofen or aspirin.

2. Alcohol can increase the risk of bruising. Bruising can last 2-7 days and, rarely, up to 2 weeks. Same as above, it won't affect the results of the neurotoxin.

3. Avoid heat and sun. These can irritate the skin and cause inflammation, prolonging healing from bruising. 

Warnings and Considerations for Neurotoxin Injections for Aesthetic Purposes

Botox, a brand name for botulinum toxin type A, is widely used for cosmetic treatments to reduce the appearance of wrinkles and fine lines. While it is generally considered safe when administered by a qualified professional, there are several warnings and precautions to consider before undergoing Botox injections for aesthetic purposes : 

1. Allergic Reactions and Sensitivities. 

Some individuals may experience allergic reactions to Botox. Symptoms include rash, itching, swelling, dizziness, and trouble breathing. Although rare, severe allergic reactions (anaphylaxis) can occur. A patch test or consultation with a healthcare provider about any known sensitivities or allergies to botulinum toxin should be considered before proceeding with the treatment.

2. Pre-existing Neurological Conditions

Botox works by temporarily blocking nerve signals. Because of its mechanism of action, individuals with certain neurological conditions should exercise caution. People with the following conditions should discuss their medical history with their healthcare provider before considering Botox:

• Myasthenia Gravis: A neuromuscular disorder that causes weakness in the skeletal muscles.

• Lambert-Eaton Syndrome: A condition affecting the nervous system and muscles.

• Motor Neuron Diseases: Including conditions like amyotrophic lateral sclerosis (ALS). These conditions can increase the risk of side effects from Botox injections, such as muscle weakness or difficulty swallowing.

3. Pregnancy and Breastfeeding

Botox has not been extensively studied in pregnant or breastfeeding women, so it is generally advised to avoid Botox treatments during pregnancy or while breastfeeding. The safety of Botox for the fetus or infant is not well understood, and the potential for adverse effects on pregnancy or lactation is unclear.

4. Infection Risk at the Injection Site

Like any procedure involving injections, Botox carries a risk of infection. The injection sites should be sterile, and the procedure should be carried out by a trained, licensed practitioner to minimize the chance of introducing bacteria or causing an infection.

5. Bruising, Swelling, and Redness

Common side effects of Botox injections include temporary bruising, swelling, and redness at the injection site. These effects usually resolve within a few days. However, in some cases, more severe bruising can occur, particularly in people who are prone to bruising or are taking medications that increase the risk (e.g., blood thinners, aspirin, or certain supplements like fish oil or vitamin E).

6. Drooping Eyelids and Other Unintended Effects

Botox injections can cause temporary side effects such as:

• Drooping eyelids (ptosis) if the toxin spreads beyond the targeted muscle. This can occur especially when injections are near the eyes.

• Asymmetry in facial expressions, where one side of the face may not respond to Botox in the same way as the other side.

• Headaches or flu-like symptoms, although these are usually short-lived.

Ensuring that the injection is performed by a skilled and experienced professional can reduce these risks. For example, injecting Botox into the wrong muscle can cause temporary paralysis of unwanted muscles, leading to facial asymmetry or other cosmetic concerns.

7. Resistance to Botox Over Time

Some individuals may develop antibodies to Botox over time, particularly if they undergo frequent treatments. This can reduce the effectiveness of the treatment. In such cases, the aesthetic results may become less noticeable, and alternative treatments might be considered.

8. Interactions with Other Medications

Botox can interact with certain medications, particularly those that affect the neuromuscular system. These include:

• Antibiotics, especially aminoglycosides (e.g., gentamicin), which can enhance the effects of Botox and lead to muscle weakness.

• Muscle relaxants, which may increase the risk of side effects.

• Blood thinners (e.g., warfarin or aspirin), which increase the risk of bruising and bleeding at the injection site.

Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs, to ensure safe administration.

9. Unintended Spread of Toxin

Though rare, Botox can spread beyond the intended injection site, potentially leading to symptoms of botulism, a serious condition caused by the spread of botulinum toxin in the body. This can cause:

• Muscle weakness beyond the treated area (e.g., in the arms, legs, or chest).

• Difficulty swallowing, speaking, or breathing.

• Vision problems, such as double vision.

These symptoms require immediate medical attention.

10. Long-Term Use Concerns

While Botox is generally safe for short-term use, the long-term effects of repeated Botox injections are not fully understood. Some studies suggest that prolonged use could lead to changes in facial muscle tone or, in rare cases, permanent muscle weakness. Regular treatments should be discussed with a healthcare provider, who may adjust the timing or dosage based on individual results.

11. Not Suitable for Everyone

Botox is not suitable for individuals under the age of 18 or those who have certain conditions, including:

• Infections or skin conditions at the proposed injection site.

• Severe muscle weakness in the area to be treated.

• History of adverse reactions to botulinum toxin.