Botox® is a purified form of botulinum toxin that temporarily blocks nerve impulses to muscles. Over time wrinkles, lines and furrows in the skin are created by the action of the facial muscles. Weakening the contraction of these muscles with Botox® can reduce or eliminate the lines and wrinkles in the overlying skin. The goal is not to create a frozen face, but rather one that appears smoother and more refreshed. Clinical studies have shown that Botox® can also relieve migraine headaches and excessive sweating under the arms.
Botox® is injected into the muscles of the face or in the armpits using small needles. The most commonly treated areas of the face are the transverse wrinkles of the forehead, the vertical furrows between the eyebrows, and the crows’ feet around the eyes. The procedure takes 10-20 minutes to perform in the office, and patients can return to normal activity immediately. For patients who are concerned about discomfort associated with the injections, a small amount of topical anesthetic can be applied prior to the procedure.
Botox® is frequently performed in conjunction with fillers such as Juvéderm®, Juvéderm Voluma® and Radiesse® for non-surgical rejuvenation of the face. Filler is generally used for deeper folds, such as those found between the nose and the lips, and from the lips to the chin. It can also be added to the cheekbones for subtle volume restoration of the mid-face, and into the lips to restore youthful fullness naturally.
Dr. Naidu recommends that patients avoid exercise, eyebrow waxing, threading, and facial massage the day of treatment in order to prevent unwanted diffusion of the toxin which can lead to heaviness of the upper eyelids. Results are apparent within 3-7 days. Botox® treatments last approximately three to four months, although some patients note a longer duration of action with repeated treatments. Dr. Naidu performs all injections herself; treatment is not delegated to an assistant.