NEUROTOXIN INJECTIONS

Botulinum toxin is a neurotoxin protein derived from the clostridium botulinum bacterium. When small quantities of botulinum toxin are injected into the target muscles it temporarily reduces muscle contraction and smooths skin wrinkles. 

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Pre Treatment 

• Schedule treatment at least 4 weeks prior to special event (wedding, vacation) to ensure adequate healing time. 

• If you have a history of cold sores, please let your provider know. They may elect to put you on an
  anti-viral medication prior to treatment.

• Treatment with NSAID’s, ASA, oral anticoagulants one week prior to treatment. 

• Avoid alcoholic beverages at least twenty-four (24) hours prior to treatment. Alcohol may thin the blood and increase the risk of bruising.

• Discontinue Retin-A two (2) days before and two (2) days after treatment.

• Come to your appointment with a clean face (no makeup).

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Post Treatment

• Avoid laying down for 4 hours immediately after treatment. 

• Avoid manipulating the treated area (facial or massage).

• Avoid activities causing facial flushing (application of heat to the face, alcohol consumption, vigorous exercise, and tanning).

• If bruising or swelling occurs a soft ice pack may be applied for 10-15 minutes to the area of concern.

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FAQ’s

• How long does it take to see the results of neurotoxin injections? Effects are not immediate and usually demonstrate partial reduction in function within 3-5 days, with maximum reduction 14 days after treatment.

• How long does neurotoxin injection last? Typically muscle function in the treatment area will gradually return in 31/2-4 months post treatment. 

• Who cannot get botox?

  • Pregnancy or nursing. 

  • Active infection in the treatment area (herpes simplex, pustular acne, cellulitis).

  • Hypertrophic or keloidal scarring. 

  • Bleeding abnormality (thrombocytopenia).

  • Impaired healing due to immunosuppression. 

  • Skin Atrophy (chronic steroid use, genetic syndromes such as Ehlers-Danlos).

  • Active dermatosis in treatment area (eczema, psoriasis). 

  • Sensitivity or allergy constituents of botulinum toxin (including botulinumtoxin A, human albumin, lactose, and sodium succinate).

  • Milk allergy with abobotulinumtoxin A products. 

  • Gross motor weakness in the treatment area (polio, bell’s palsy).

  • Neuromuscular disorder (amyotrophic lateral sclerosis, myasthenia gravis, Lambert Eaton Syndrome, and myopathies).

  • Inability to contract muscles in the treatment area prior to treatment. 

  • Periocular or ocular surgery within the previous 6 months (laser-assisted in situ keratomileusis, blepharoplasty). 

  • Medications that inhibit neuromuscular signaling may potentiate botulinum toxin effects (aminoglycosides, penicillamine, quinine, calcium channel blockers).

  • Uncontrolled systemic condition. 

  • Occupation requiring uncompromised facial movement and expression (actors, singers, musicians, public speaking).

  • Treatment with NSAID’s, ASA, oral anticoagulants one week prior to treatment. 

  • Under the age of 18.

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What are the possible adverse side effects of neuromodulator injections?

Most common side effects are mild and include: 

• Pain

• Bruising 

• Erythema (redness) 

• Edema (swelling)

• Tenderness

• Headache