When will I see results?
It takes 2 to 4 days for the frowning, squinting and forehead muscles to relax after the initial injection. Although fine lines often disappear immediately, deeper furrows may take longer to fade away. In older patients or very deep wrinkles, lines will be improved but not completely eradicated.
How long will the results last?
Benefits initially last about 3 to 4 months. With continued treatments, the duration of muscle relaxation generally becomes longer. Some patients can eventually wait 6 months or longer between treatments.
Are there risks to the procedure?
Transient bruising at injection sites can occur, particularly if you have had aspirin or ibuprofen (Advil, Motrin) within 1 week, or alcohol within 48 hours of treatment. Occasional brief tenderness or headache may result for a few hours, and rarely longer. Mild, temporary eyelid or eyebrow drooping can last 2-3 weeks or longer and may occur in about 1 percent of patients. Extremely rare side effects include temporary double vision, reduced blinking resulting in corneal injury, allergy and development of antibodies which may decrease the duration of results for future Botox® treatments. When used in very high doses for serious medical conditions in ill patients such as limb contractures in cerebral palsy, there have been case reports of muscle weakness and death, for which there is a black box warning.
Who should not be treated with Neuromodulators (Botox®, Dysport®, Xeomin®)?
You may not be treated with neuromodulators if:
- You are pregnant or nursing.
- You are allergic to benzyl alcohol or botulinum toxin.
- You have neuromuscular disease (such as myasthenia gravis).
- You are taking aminoglycoside medications (Streptomycin, Neomycin, Gentamycin)