Botox and Dysport

Botulinum toxin can be used to treat dynamic wrinkles, or wrinkles caused by muscle movements. Delivered precisely into the offending facial muscles, botulinum toxin relaxes the contraction of muscles by blocking nerve impulses.  The end result is lessening creasing of the skin, leaving a more refreshed, youthful appearance. Anti-wrinkle injections can be used to smoothen and eliminate forehead lines, the brows (commonly called the 11’s), crow’s feet (area around the eyes), bunny line (the nose),  lips, and neckbands.

Botulinum toxin is also effective for the treatment of severe hyperhidrosis, commonly called excessive Botox and Dysport at your south Charlotte Dermatologistsweating, of the underarms and palms.

Why Choose BOTOX® and Dysport®?

Anti-wrinkle injections are one of the most popular facial procedures in the world.  In one short session, anti-wrinkle injections visibly remove wrinkles, even out fine lines and produce a more youthful appearance by tightening the skin and re-energizing your look.  The procedure also has no significant downtime.

What is the procedure like?

This is a simple procedure performed in our office.  The first step is to call our office to set up an appointment.  During your appointment, we will discuss your areas of interest, then map out and customize the amount of doses you will get .  The second step is administering the anti-wrinkle treatment.  This procedure can usually be done in less than 15 minutes. First, the area to be treated is thoroughly cleansed and sterilized.  A fine needle is used to inject the product to minimize discomfort.  Each injection feels no more painful than a small pinprick.   Once the procedure is completed, patients will begin to see the results within 48 hours, and full effect in about a week.   Typically, you’ll see the best results after multiple appointments.  Scheduling repeat appointments often provide optimal results.

The results of your anti-wrinkle injections usually last from four to six months.  If you are dissatisfied with the benefits from a single injection, a second injection can be given after 1 week.

What are the main side effects?

BOTOX® is a relatively safe procedure, which is why it is one of the most common cosmetic procedures performed.

Patients may experience some tenderness and swelling at the injection points immediately after the procedure, which usually subside within 48 hours.  Patients usually can return to work immediately after the procedure.  Less common side effect is bruising and a mild headache.  Other less common side effects include double vision, drooping or swollen eyelid, dry eyes, and reduced blinking.  During your appointment, we will discuss all side effects and address all your questions and concerns.

Temporary drooping of one eyelid or both is the most significant complication that can occur following injection and occurs in 1 to 2% of all injections.  If this occurs, it is usually minimal and resolves within 2 weeks.  The drooping occurs due to dissemination of the toxin in the injection site.  Accurate dosing, proper placement, and keeping the patient in an upright position three to four hours after injection can reduce the risk of this side effect.  If drooping eyelid occurs, there are two ophthalmological medications that can be helpful.

What can I do to minimize side effects?

There are a few things that you can do to reduce the possibility of bruising after your treatment.

  • avoid alcohol consumption prior to your treatment
  • if you are not prescribed one by your medical doctor, stop taking your anti-inflammatory medicine and aspirin 2 weeks prior to your treatment
  • after the procedure, avoid rubbing the treated area or lying face down for at least 24 hours

Who should not use BOTOX®?

  • Patients who are nursing or pregnant
  • Patients who have a history of neuromuscular disease (such as multiple sclerosis or myasthenia gravis) or other types of diseases involving neurotransmission
  • Patients who are taking the following medications should alert their provider prior to injections: aminoglycoside antibiotics (streptomycin, tobramycin, garamycin injections), penicillamine and calcium channel blockers (calan, Cardizem, dilactor, Norvasc, Procardia, verelan)

Is BOTOX® just for my face and neck?

Even though BOTOX® is commonly used for anti-wrinkle injections for the face and neck to produce a refreshed, youthful appearance, Botox (OnabotulinumtoxinA) is a neurotoxin indicated for severe primary axillary hyperhidrosis, commonly called severe underarm sweating.

BOTOX® for Hyperhidrosis

BOTOX for Hyperhidrosis- contact your south Charlotte DermatologistExcessive, uncontrollable sweating is a medical condition called hyperhidrosis.  In people who have excessive sweating, the sweat glands overreact to stimuli and produce more sweat than is necessary.  Not all sweating is the same and there are two types of hyperhidrosis.  When sweating is not caused by another medical condition or is not a side effect of medications, it is termed primary focal hyperhidrosis.  If the sweating is caused by a medical condition or medication, it is called secondary hyperhidrosis.

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Hyperhidrosis may significantly affect the social and psychological well being of a patient causing physical discomfort, social embarrassment, at times may cause social isolation and may even affect occupational and daily activities.  There are several treatment options that can be discussed at your appointment with Metrolina Dermatology and Skin Surgery Specialists.

BOTOX® is an FDA approved treatment option for the treatment of severe primary axillary hyperhidrosis in patients unable to obtain relief using antiperspirants.   Research has also demonstrated that treating excessive sweating of the hands, feet, head and face is also safe and effective.  Results usually are noticeable in 2 to 4 days with full effects noted within 2 weeks.  Dryness typically lasts for 4 to 12 months, with repeat treatments leading to more successful longer lasting results.

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