Botox

Botox temporarily improve the appearance of both moderate to severe frown lines between the brows (glabellar region), lines on the forehead, lines around the mouth and crow’s feet(around eyes)lines in adults ages 18-65. Injecting BOTOX® Cosmetic into the muscles that cause lines temporarily reduces the activity of those muscles. The result is a reduction in the appearance of those lines.

How BOTOX® Cosmetic works

BOTOX® Cosmetic is a purified protein that smooths the muscles by blocking nerve impulses. With a few tiny injections, BOTOX® Cosmetic blocks the release of acetylcholine, the chemical that causes muscles to contract. With less movement, the skin surface gradually smooths out and the lines begin to fade. BOTOX® Cosmetic targets the repeated muscle contractions from frowning and squinting over the years. The doctor will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity so you will begin to notice a visible smoothing.

The BOTOX® Procedure

The BOTOX® Cosmetic procedure consists of a few tiny injections and takes only 10 minutes. No anesthesia is required. There may be minimal and brief discomfort, along with slight temporary bruising at the injection sight which can easily be covered up with make-up. There is no down-time

Results are typically seen in 2-10 days and may continue to improve during the first week after treatment. Results may vary. With proper unit dosing, the effects of BOTOX® Cosmetic can last up to four months. 89% of men and women surveyed rated the improvement in their appearance of brow frown lines as moderate to better after one month.

What you should know before a BOTOX® Cosmetic procedure

To ensure the best treatment outcome, each patient is individually assessed for proper dosage. Average initial treatment of forehead lines, crow’s feet, and frown lines is 30-50 units of Botox. Botox treatment can even be scheduled along with your regular dental cleaning!

Other uses for BOTOX®

BOTOX® can be used for therapeutic and rehabilitative applications, such as a muscle relaxant to relieve pain associated with chronic clenching and grinding of teeth with TMJ Disorder. Botox injections into the muscles responsible for bruxism relaxes these areas resulting in a diminished force of these muscles and the betterment of observed symptoms as a result. Botox can also be used to treat gummy smiles.

BOTOX® for Men

BOTOX® Cosmetic is certainly not just for women. If you are a man and think it's time to do something about those moderate to severe lines between your brows and forehead, talk to your doctor about whether BOTOX® Cosmetic is right for you.

  • 6% of total BOTOX® Cosmetic procedures are performed on males (313,714 procedures). [ASPS 2008 Statistics, p.10]
  • BOTOX® Cosmetic is the most popular minimally invasive physician administered aesthetic procedure for males (314,000 procedures). [ASPS 2008 Statistics]

BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

Indication

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age for a short period of time (temporary).

IMPORTANT SAFETY INFORMATION

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities

The dose of BOTOX® Cosmetic is not the same as, or comparable to, another botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Photos of paid models taken at maximum frown before treatment with BOTOX® Cosmetic and taken at maximum frown after treatment with BOTOX® Cosmetic at day 7. Individual results may vary.

In clinical trials at day 7, 74% (299/405) of people demonstrated none or mild glabellar line severity at maximum frown as compared to 6% (8/132) in placebo; at day 30, 80% (325/405) of people demonstrated the same as compared to 3% (4/132) in placebo.1

Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/ bruising.1


1. BOTOX® Cosmetic Prescribing Information, November 2012.

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).

Human albumin and spread of viral diseases. BOTOX® Cosmetic contains albumin, a protein component of human blood. The potential risk of spreading viral diseases [eg, Creutzfeldt-Jakob disease (CJD)] via human serum albumin is extremely rare. No cases of viral diseases or CJD have ever been reported in association with human serum albumin.

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; or take a sleep medicine.

Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Full Product Information, including Boxed Warning and Medication Guide, has been provided to your doctor.

Photos of paid models taken at maximum frown after treatment with BOTOX® Cosmetic at month 3 and month 4. Individual results may vary.

In clinical trials at day 90, 48% (192/403) of people demonstrated none or mild glabellar line severity at maximum frown as compared to 2% (3/128) in placebo; at day 120, 25% (102/403) of people demonstrated the same as compared to 2% (2/128) in placebo.1

Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/ bruising.1


1. BOTOX® Cosmetic Prescribing Information, November 2012.

Juvederm

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The loss of volume in and under skin is a visible sign of aging. Over 50% of the population is between 25 and 64 years of age, including the Baby Boomer generation (ages 40-60) which looks to fight aging the most. Fillers can reduce lines, restore volume, and contour facial folds.

What is Juvederm?

Juvederm is an injectable, smooth gel dermal filler for the correction of moderate to severe facial folds and wrinkles. It comes from non-animal sourced hyaluronic acid (HA), which is naturally occurring in the body.

How does Juvederm work?

Juvederm is injected below facial folds and wrinkles to fill the area just below the surface of the skin, lifting it. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth.  Using a dermal filler like JUVÉDERM® is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.

The Juvederm Procedure

In terms of the actual Juvederm injectable gel treatment, it's an in-office procedure. It usually takes 30-40 minutes. There can be some discomfort injecting into facial folds, but pain management is fairly routine with either a nerve block, local anesthetic, topical anesthetic or application of ice just before injection. It is a series of injections that yields some immediate results with full transformation occurring over 2-10 days.

Pre-treatment Considerations

Prior to scheduling your dermal filler treatment, know that you should plan carefully around your social events.  One should expect bruising and/or swelling for up to two weeks following treatment with fillers.  There will be a two-week post-operative check (at no additional charge) to evaluate your results.  We advise that you shouldn’t love or hate your results until after this two-week mark as there will be lumps, bumps, bruising and swelling.  Because of this, it is not advised to have fillers injected any sooner than a month prior to important social events. Avoiding ibuprofen, aspirin, and alcohol prior to your injectables appointment will aid in lessening the amount of swelling and bruising you’ll experience.  Also, if you’ll start taking Arnica tablets (which can be purchased from some drug stores, most health food stores or Amazon.com) at least 3 days prior to your appointment, continuing for 3 days following your appointment, you’ll notice considerably less post-operative inflammation.

Post treatment considerations

For redness or discomfort, an ice pack can be applied for brief periods. The patient is advised to avoid extended sun or heat exposure, consumption of alcoholic beverages, and strenuous exercise for 24 hours following the treatment. We will discuss with you when make-up may be applied. We are available for you to call if you have any concerns.

A Beautiful Smile Is Waiting For You

Our office provides smile makeovers to achieve the beautiful, natural look you seek. We can reshape your natural teeth to make them straighter or more youthful in appeal. Our offices are easily accessible and makes it convenient to those living near Indianapolis to get the care they deserve.

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