What Botox Can and Cannot Do

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As the most popular non-surgical treatment currently available, almost everyone has heard of Botox. This injectable is the go-to treatment for smoothing lines and wrinkles in the upper face for a more rejuvenated appearance. If you are interested in learning more about this popular injectable or are considering receiving treatments, read on to learn more about what exactly Botox can and cannot do!

What Botox Can Do and Can't Do

Botox: The Basics

Did you know that not all wrinkles form the same way? As we age, we lose elasticity in our skin, and permanent creases can sometimes develop in our skin. This can be caused by repeated facial muscle movements that happen when we make expressions. These wrinkles are called dynamic wrinkles and are the type of wrinkles that Botox is specifically formulated to treat.

Botox is an injectable treatment made up of the protein, botulinum toxin type A. It works by relaxing overactive muscles and preventing repetitive muscle movements for a smoother, more youthful look.

Injectables that are made up of botulinum toxin type A are known as neuromodulators. There are a number of neuromodulators on the market today along with Botox, including Xeomin and Dysport. At Reflections, we carry all three types of neuromodulators to help meet your individual aesthetic goals.

Many people ask us if there are alternatives to neuromodulators. However, because of the way neuromodulators work to relax overactive muscles and prevent future damage to the skin, no other procedure offers the same kind of results.

The Benefits of Botox

Botox has many benefits, which is why it is the most popular nonsurgical treatment to date! These benefits include, but are not limited to:

  • Relatively painless procedure
  • Low risks (when performed by a skilled physician injector)
  • No downtime
  • Can help you look less angry or tired
  • Makes subtle changes that give you a refreshed and natural look
  • Can help with a boost in confidence

What Can Botox Treat?

While Botox is most commonly known to treat lines and wrinkles in the forehead area, it can also address other cosmetic and health issues as well. At Reflections, Botox can be used to address a variety of issues, including the following:

Lines and Wrinkles

Botox is most commonly used cosmetically to address lines and wrinkles in the upper face, including across the forehead, between the eyebrows, and at the corners of the eyes (AKA crow’s feet). Botox has been proven to last for three months in new patients, however, longevity usually increases over time, with regular treatments. More info on how to make your results last longer with Botox can be found here.

Hyperhidrosis

Are you dealing with excessive sweat that seems to be interfering with your everyday life? If you are tired of stubborn sweat ruining your favorite clothes, Botox can help! Botox can also be used for the treatment of Hyperhidrosis excessive sweating. This condition can affect men and women of all ages, and can cause embarrassment and frustration. Botox works by disabling sweat glands for 6-9 months and can help you feel more confident without the anxiety associated with excessive sweat.

Lips and Chin

Botox can also be used on the lips, mouth, and chin to help improve your appearance. It can turn up corners of the mouth for a naturally pleasing look, smooth away smokers’ lines above the lip, and correct an overly-gummy smile. Botox can also smooth out a “peach pit” chin, which is dimpling or wrinkling on the chin.

As you can see, Botox is a very versatile product that can address a variety of cosmetic and health issues, which makes it one of the most sought-after injectable treatments in the industry.

Are You A Good Candidate for Botox?

Healthy individuals who are looking to treat their developing lines and wrinkles on their upper face can often benefit from Botox injections. Botox can also help those looking to treat hyperhidrosis, or excessive sweating. Ideal candidates will have reasonable expectations for the outcome of their procedure and follow a healthy lifestyle. The best way to determine if Botox is a good match for you is to schedule a consultation at our office.

During your consultation, we will go over your health history, any medications you are taking, and discuss your personal aesthetic goals. If you are a good candidate for Botox, our team will then create an individualized injection plan for beautiful, natural-looking Botox results!

What to Expect During Your Botox Treatment

Before your Botox treatment, you will be asked to stop taking any NSAIDs, such as Advil or Aleve, and other blood thinners, such as fish oil, and this may cause unwanted bleeding during the treatment. You also want to avoid alcohol for 24 hours before injection, as alcohol does have a blood-thinning effect. Never stop prescription medications without first speaking to the physician who prescribed them.

The Botox treatment is generally quick and simple. After meeting with a physician who specializes in cosmetic injections to determine whether Botox is the right choice for your goals, he/she will gently and precisely inject the Botox into the treatment area(s) using very fine, thin syringes. The entire injection process usually only takes about 5 to 10 minutes to complete, which makes Botox a great treatment option for those with busy schedules.

Following your Botox treatment, you may experience some slight redness and, very rarely, bruising, but this will dissipate quickly and can easily be covered by makeup. Be sure to avoid rubbing or massaging the treatment areas for at least 90 minutes, as this may cause unintended spreading of the Botox. The best part? There is no downtime, so you can return to work or school as soon as you feel comfortable. Results can often be seen after just a few days.

Want to see some real Botox results? Check out our Non-Surgical Before and After gallery.

What Botox Cannot Treat

Neuromodulator treatments such as Botox do not work the same way as dermal fillers, and therefore, cannot treat the same issues that dermal fillers treat. While dermal fillers help to add volume to the face and lips, Botox cannot. It also does not focus on smile lines around the nose and mouth or sagging or loose skin. If you are dealing with these sorts of issues, then dermal filler injections may be a better choice. At Reflections, we also offer a large array of dermal fillers to help meet your individual needs.

If you have any questions regarding Botox vs Dermal fillers, a complimentary consultation is a great place to receive answers!

Why Choose Reflections?

While Botox can be administered by many different practitioners such as dentists, nurses (in other states – this is not legal in NJ), and other doctors who don’t specialize in injectables, they may be inexperienced, which can cause a much higher rate of complications. Our team at Reflections perform Botox injections throughout the day, every day, and take a reserved approach when injecting for a more natural look. This has led to an array of happy patients who appear younger-looking yet still expressive.

At Reflections, we also carry all types of FDA-approved neuromodulators to help ensure that each of our patients can achieve the look they desire. So, if for some reason Botox isn’t a good match for you, we also carry Dysport and Xeomin to help smooth those stubborn dynamic lines and wrinkles!

Contact Us Today!

Time to say goodbye to those stubborn facial lines once and for all! To learn more about Botox injections at Reflections Center, contact our Martinsville or Livingston office today to schedule a consultation! We would be happy to answer any questions that you may have to ensure that you feel confident with your choice to undergo Botox treatment with us.

Botox® or Xeomin®: Which is Right for Me?

There are few other products that have made an impact on the cosmetic industry like Botox® has. In fact, the chances are pretty good that someone you know has had Botox treatments— some statistics put the number of Botox procedures performed each year in the several millions. With the wide popularity of Botox, then, it’s easy to imagine that there are alternatives on the market. Xeomin® is one alternative made by the same manufacturers of other non-invasive treatments like Radiesse®, Ultherapy®, and many more. Although Botox and Xeomin might just seem like competing carbon copies, there are a few things that set them apart— and even make them more ideal for some patients than others. If you’re looking at your options for cosmetic wrinkle reducers, then here are two excellent options to consider.

What are Neuromodulators?

Neuromodulators are made from different purified formulations of botulinumtoxin type A. This protein is created by fermenting certain types of bacteria that are known for causing side effects that weaken and prevent muscle movements. In small doses, derivations of botulinumtoxin type A can be effective for both cosmetic and medical treatments that benefit from reduced muscle movement. There’s no need to worry, though, since neuromodulators have been in use since the late 70’s and have undergone numerous studies regarding safety and effectiveness since then.

How do they work?

Neuromodulators work by temporarily blocking neurological signals from the brain to the muscles, which normally cause them to contract and move. This process is called neuromodulation. This is beneficial to your skin because, over time, these contractions can cause creases and lines in areas that commonly experience facial expressions. By injecting these products into the muscles, they can both relax furrowed expressions and prevent further wrinkle formation. For some patients, merely allowing the skin some time to recouperate without such intense dynamic movement will be enough to erase wrinkles, as the skin does some self-healing and “bounces back.” But for deeply set wrinkles, especially in older, sun-damaged skin, the damage is too deep for the skin to fully heal on its own, and in that case other treatments, like lasers and filler injections might be needed to get the best result.

What’s the difference between Xeomin and Botox?

Although Botox and Xeomin both function the same way and share the same end goal, there are a few differences that set them apart. When you’re considering your options, it can be helpful to decide which of these factors is most important to you and your treatment, so that our cosmetic physicians can guide you to the best choice for you. Here are some of the primary similarities and differences between these two options.

Ingredients

Although both options are made with the same core molecule, botulinumtoxin type A, but they differ slightly in their molecular makeup because of their different manufacturing processes. The process of making Botox has been a highly guarded secret, just like the Coca Cola recipe, because while the process to create botulinumtoxin type A is a well-known and documented process, the process of purifying it into a safe and controlled medication is very difficult and complex. That’s why for a long time, Botox was the only option.

Xeomin uses a different manufacturing process than Botox, but both do arrive at a very similar result, so similar that the results from each are very, very similar.

Treatment Areas

Both Botox and Xeomin have FDA-approval, but for different treatments. Botox is FDA-approved for cosmetic treatment in relaxing frown lines (between the brows), forehead lines, and crow’s feet (around the eyes). At Reflections Center, we treat many other areas with Botox that are considered off-label uses, but can be effective options in the hands of our expert injectors. Additionally, it’s FDA-approved for many different medical conditions, including chronic migraines, hyperhidrosis (excessive sweating), many types of muscle spasms, strabismus, and urinary incontinence. This makes it an effective and versatile option if you’re looking for a tried and tested solution for your cosmetic or medical concern.

Xeomin was FDA-approved much more recently than Botox, but can still address a few different cosmetic and medical concerns. Xeomin is only FDA-approved for cosmetic use in glabellar lines, also called frown lines, but it can still effectively treat many of the same concerns that Botox can, although this is considered off-label. Additionally, it can also be used on-label to treat conditions like cervical dystonia and blepharospasms.

Although it can seem overwhelming when looking at the treatment areas for each neuromodulator, it can be more helpful to focus on which area you would most like to address and how, so that our cosmetic physicians can guide you to the right choice.

Results

It can be virtually impossible to distinguish between Botox and Xeomin before and after photos, so the quality of your results should only be a factor when looking at your options for an expert injector. Botox and Xeomin do differ when it comes to their results timeframes, however. This is because, after injection, it can take some time for the botulinumtoxin to take full effect. In Botox, this timeframe can be around three days. Xeomin takes the longest out of any neuromodulator, coming into effect at around four or more days. With both options, it’s important not to massage the treatment area during the 90 minutes following injection because it can cause the product to spread to unwanted areas.

It can be difficult to judge how long each injectable will last, since this can be unique to each patient and treatment area (depending on how quickly your body metabolizes the product). Generally, Botox both last between three to four months. Since your skin has had that time period to “heal” itself, the wrinkles don’t reappear immediately after the product stops working, but over time those repetitive motions will bring the wrinkles back. Because the goal is to keep skin protected from those repetitive motions, we recommend retreating before the product fully wears off, and at the very least when it first wears off, not after the wrinkles have had time to come back (and do further damage to the skin).

Cost

Although cost should never be your primary concern when it comes to selecting cosmetic treatments, it can be worth noting that Botox and Xeomin can sometimes vary when it comes to cost (measured in units). The cost per unit can be very similar between the two, but each can require slightly different dosages based on the treatment area. During a consultation with our cosmetic physicians, you’ll receive a full estimate of your costs with Botox or Xeomin.

We do charge the same fee per unit for Xeomin and Botox, at $16 (as of 2019). In New Jersey, pricing for Botox or Xeomin typically ranges from $15 to 20 per unit. Typically, a treatment for wrinkles on the face will range from $250 to $550+ at our practice. We’re not the least expensive practice in New Jersey, but for physician injectors who are consistently ranked in the top 250 nationwide, we feel this price is an incredible value.

Which one is right for me?

When it comes down to making the decision, you’ll greatly benefit from the guidance of our cosmetic physician injectors. This is because we can take a full assessment of your unique goals and medical history to guide you to the right option. However, there are some generalities to help you guide your decision-making process.

Botox is a tried and tested option that has been in use for many years, meaning it comes with a reputation backing it. If brand and reputation are important to you, then Botox can produce great results with low risks. It’s also highly versatile, meaning you have a lot of options for treatment. Alternatively, Xeomin is a more recent addition to the market that offers a slightly different treatment experience. If you think that you’ll opt for long-term treatment (especially in the case of medical conditions) or aren’t a candidate for surgical options, then Xeomin can be your best option because of its lower risk of becoming resistant to it. Additionally, if you have a history of reactions to certain additives, then Xeomin can be a safer option for you.

Ultimately, the differences between Botox and Xeomin can be subtle, requiring the expertise of an experienced injector to decipher which is best for you. As long as you focus on your goals and preferences, we can guide you to the right options.

Schedule a Consultation

At Reflections Center, we believe in highlighting and enhancing the individual’s unique beauty in such a natural way that it appears to be a genetic gift, not the result of a treatment. During your free consultation, we’ll discuss the best options for you based on your goals, and together we’ll create a plan that fits your budget and lifestyle, so that you can age gracefully and beautifully. If you decide to have Botox or Xeomin, you’ll be injected by an expert physician injector who has the experience to make the procedure comfortable and effective, with the natural-looking results you’re after.

We warmly welcome you to our offices for a complimentary consultation.

CBS Sunday Morning comes to our Martinsville, New Jersey office to celebrate 10 years of Botox, America’s favorite wrinkle treatment.

Dr. Chasin joins News 12 NJ to share the good news with migraine suffers in New Jersey – Botox has been approved by the FDA to treat chronic migraines2 . The popular beauty treatment works well to reduce the frequency and intensity of migraines4.

How Botox for Migraines Works to Lessen frequency and Intensity of Migraines

Physicians aren’t sure exactly how the treatment works at this time, but we do know Botox injections reduce the frequency and intensity of migraines for patients who receive the treatment, including reducing the number of days patients used acute migraine medications (those which work to lessen a migraine in the short-term) and migraine-induced vommiting 4. Not all migraine sufferers are ideal candidates for treatment with Botox. Botox is fda-approved to treat chronic migraine2, which is defined as migraines that occur for more than 15 days each month.

When compared to the prescription Topiramate (TOPAMAX®) for preventing migraines, Botox appears to just as effective at reducing the number of migraines suffered, but produces adverse events in significantly fewer patients than the prescription medication (2.7% vs. 24.1% for Topamax)3. This study documented Botox’s comparable effects to Topamax waned after month 9, so patients are advised to seek retreatment with Botox for migraines at or around month 9. We tend to recommend earlier rather than later follow-up for patients, so migraine frequency doesn’t increase as the botox wears off.

Is Botox for Migraines Different Than Botox for Wrinkles?

Injections for migraine treatment with Botox are different than injections for wrinkle-relaxing with Botox. Botox injected to relieve migraines is  specialized and advanced injection technique, and you should select a provider who has received specialized training in this type of injection. Botox for migraines is injected into the muscles of the face and neck, usually covering over 30 different injection sites, and with a different dosing schedule and depth than is used for wrinkle relaxing 4.

Am I a Candidate for Botox Injections for Migraine Relief?

Many patients complain of migraines, but have never been formally diagnosed by a headache specialist. It’s important to seek formal diagnosis because migraines occasionally signal larger concerns, but are also often well-controlled by prescription medications. Botox injections for migraine relief are only approved for those suffering intense, chronic migraines that are not well-controlled on other medicines (without adverse events).

If you think you have migraines that could be treated with Botox, but haven’t seen a specialist, start here:

  • Step 1: See your primary care physician to discuss your headaches and symptoms: If they agree you are suffering from migraines, move on to step 2.
  • Step 2: See a neurologist who specializes in headache and migraine medicine: If they agree Botox injections may help your chronic migraines, move on to step 3
  • Step 3: Find a specialized injection, like Dr. Mitchell Chasin, who is experienced with and knowledgeable about Botox injections for migraine relief

If you’re ready to see a specialist for Botox for migraine relief, please call our office at (732) 356-1666 today.


Sources:
1. William J Binder, MD, FACS, Mitchell F Brin, MD, Andrew Blitzer, MD, FACS, Larry D Schoenrock, MD, FACS, Janice M Pogoda, PhD; Botulinum toxin type A (BOTOX) for treatment of migraine headaches: An open-label study; Otolaryngology – Head and Neck Surgery,Volume 123, Issue 6, December 2000, Pages 669–676

2. FDA Clearance of Botox to Treat Migraines

3. Mathew, N. T. and Jaffri, S. F. A. (2009), A Double-Blind Comparison of OnabotulinumtoxinA (BOTOX®) and Topiramate (TOPAMAX®) for the Prophylactic Treatment of Chronic Migraine: A Pilot Study . Headache: The Journal of Head and Face Pain, 49: 1466–1478. doi: 10.1111/j.1526-4610.2009.01566.x

4. Silberstein, S., Mathew, N., Saper, J., Jenkins, S. and for the BOTOX Migraine Clinical Research Group (2000), Botulinum Toxin Type A as a Migraine Preventive Treatment. Headache: The Journal of Head and Face Pain, 40: 445–450. doi: 10.1046/j.1526-4610.2000.00066.x

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