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Botox in San Diego

Look like you, with less
wrinkles.

Botox Injection San Diego

Botox or Dysport, generally known as onabotulinum toxin A, are a purified protein and neurotoxin complex that, when injected straight into the muscle, causes muscle relaxation. Botox or Dysport blocks the signal to nerve impulses sent to the muscle.
Repetitive creasing from our everyday facial expressions in our skin causes dynamic wrinkles. As time passes, these wrinkles become larger, deeper, and more permanent. Botox or Dysport relaxes these facial muscles that cause dynamic wrinkles, giving your skin a chance to smooth out naturally.

What is BOTOX® Cosmetic?

BOTOX® has been used in the medical field for the past thirty years. Aesthetic use of BOTOX® began about ten years ago. The aesthetic application uses tiny amounts in comparison to when it is used to stop muscular spasms.  Cosmetic BOTOX® is a prescription medicine that gets injected in small doses into facial muscles of the lower brow and the forehead in order to reduce the progress of deep wrinkles and enhance the look of frown lines, laugh lines, and fine lines.

Your Complete Guide to Botox:

Are you looking for an effective treatment to reduce the wrinkles on your skin? Are you considering Botox injections for this treatment? To be sure that Botox is the best choice for you, you will first need to educate yourself on what it is, how much it costs, and the types of wrinkles it can treat. You should also learn how it is administered and whether it can accommodate your particular lifestyle.

To assist with your education, we have created this complete informational guide to Botox injections. This is a highly detailed resource for learning all about Botox injections and how they can help in reducing the unattractive wrinkles and fine lines of your skin.

We have compiled the most relevant and important information about Botox injections into this guide. You will learn about the following:

  • Botulinum Toxins
  • The Botox Injection Process
  • Level of Safety
  • Duration for Results to Show
  • Level of Pain Involved
  • Duration the Results Will Last
  • Post-care
  • How to Move and Maintain Comfort
  • Injection cost

After learning all about Botox cosmetic, you can determine if it is the right injection for treating your wrinkles and fine lines.

Important Factors to Consider Before Choosing Botox Treatment For Reducing Wrinkles:

1) Historical Facts About Botox

Botox was not invented solely for the purpose of cosmetic treatments. In fact, it was previously used just for the purpose of treating certain muscular conditions of the body. These conditions include excessive sweating, muscular disorders and contractions, bowel disorders, bladder disorders, and eye muscle spasms and conditions.

During the late 1980s, cosmetic surgeons began administering Botox to patients who wanted to reduce the appearance of fine lines and wrinkles on their skin. The types of cosmetic conditions that Botox can treat include:

  • Frown lines
  • Crow’s feet
  • Raised smiles that reveal too much gum line
  • Hyperactive muscles in the jaw
  • Most facial wrinkles

bottles of botox

2) What is Botox treatment?

 Botox is a treatment solution, which is comprised of a neurotoxin protein that is derived from a type of bacteria called Clostridium botulinum. The name of this protein is botulinum toxin. The Clostridium botulinum comes from an organism that exists in forests, lakes, soils, and other natural environments. This bacterium is not active whatsoever nor is it toxic. But if a person were to become infected by this bacterium, they could develop a deadly disease known as botulism. Fortunately, the Botox treatment that patients receive is a purified version of this toxin. This ensures the safety of the Botox injection as it enters your muscles.

Botulinum Toxin Type A is the specific purified version of this organism that is used for the treatments. You will see this treatment marketed under different names like Botox, Dysport, Xeomin, Jeuveau,. They are each marketed by different companies throughout the world. The main difference is the potency of the toxin in these treatments.

There is a FDA warning issued for this treatment as the toxin could possibly spread to other areas after it is injected. In 2009, there were a few people who died from Botox injections, prompting the FDA to issue this warning. However, the drug is still deemed safe if it is administered by a licensed cosmetic or medical professional. The medical professional will know which dosage amount of the toxin is safe to inject. This is why most patients who receive Botox injections will never develop any medical problems or diseases. In fact, there are no experienced side effects.

The Botox injection process is not difficult for a professional to perform. When the Botulinum toxin A is purified, it looks like an extremely white powder which is mixed with a saline solution before injection in order to simplify the process for the practitioner.

3) The Various Conditions Treated with Botox

common types facial wrinkles

Forehead Wrinkles:

If you want to reduce your forehead wrinkles, Botox is a great treatment. Small Botox doses are administered across several areas on your forehead, leaving your skin with a smooth and youthful appearance.  While Botox is being administered, the forehead muscles will weaken profusely. This is why extreme care must be taken during this process. Otherwise, you could end up with droopy eyelid skin or eyebrow skin. If you want to prevent this from happening, Botox should be injected into the eyebrow area or crow’s feet on the side of the eyes.

 

Crow’s Feet:

Smiling helps to exercise the muscles in your face. Squinting, laughing, or just making weird facial expressions will work the muscles too. As time passes, the crow’s feet next to your eyes will be more noticeable. You can receive Botox injections to reduce the appearance of crow’s feet. Since Botox is non-surgical, the procedure can be done quickly at different intervals over time. Again, small doses of Botox in several areas will provide the best results.

 

Glabella:

Do you know what the glabella region is on your upper face? It is that area that exists above your nose and in the middle of your eyebrows. If you want to smooth out wrinkles and fine lines in your glabella, Botox injections can be administered in this region. Additionally, some patients may notice that they get fewer headaches following this procedure.

Gummy Smile:

Gummy smiling refers to a condition where your gums are mostly exposed as you smile. Perhaps you have an upper lip that is short, too much gum tissue, or unusually small teeth. To treat this problem, a very small amount of Botox can be intramuscularly injected into the upper lip’s muscles which are responsible for elevation movement. Dentists often use this treatment method on their patients who are unhappy with their gummy smile. Botox can limit the strength of those muscles in the upper lip. After the treatment, these muscles will no longer contract and cause the gums to be exposed. But this is only a temporary treatment that will last between three to four months.

Neck Tightening :

Horizontal necklines can be relieved with Botox. The platysmal bands are the neck muscles which cause contractions in this area. If tiny amounts of Botox are injected into them, it will stop the contraction and prevent horizontal lines from forming on the neck. Please note that the skin around your neck may have a different reaction to the Botox than your facial skin would. Since the skin on the neck is not as elastic as forehead skin, there is a lot of loose skin around the neck which Botox cannot tighten by itself.

Hyperhidrosis :

Hyperhidrosis is a condition where someone sweats excessively under their arms. Anyone 18 years of age or older can receive Botox treatment for this condition. But it is only administered if traditional treatments, such as antiperspirants and topical remedies, are not able to reduce the sweating. A Botox treatment for reducing excessive sweat has only been approved for the armpits. If you have excessive sweat coming from any other areas of your body, Botox has not been approved to treat it in those areas.

Temporomandibular Joint Disorder / Bruxism :

Bruxism is the official term to describe teeth grinding. People who have this condition tend to clench their jaws because their jaw muscles are too hyperactive. These jaw muscles, which are the temporal and masseter muscles, give you the ability to chew. But if they are hyperactive, they can cause teeth grinding. Botox injections in the temporal and masseter muscles will temporarily limit the muscle strength and make it harder to grind your teeth. Only small amounts of Botox are needed. After the injection, those jaw muscles will become partially paralyzed. You will still be able to talk and eat normally, but you will not have enough mobility in those muscles to clench your teeth at all. If your jaw muscles are very strong, then a higher doser dose of Botox may be required.

Hypertrophic Masseters:

There are four muscles in the jaw which allow people to chew food. One of those muscles, the masseters, are naturally positioned near the mandibular ramus. For this reason, the masseters have a considerable influence over the look of the face. Hypertrophic masseters can change the lines on the face, making the face shaped like a square. There are no other symptoms displayed from hypertrophic masseters, but the same cannot be said for bruxism. The aesthetics of hypertrophic masseters make it necessary to treat them with Botox. The masseter muscles will receive a small dose of Botox injections, causing them to become smaller. As a result, the lower width of your face will be reduced. You could try other types of treatments for this condition, but they are usually more invasive. It is a lot easier to receive Botox injections to reduce the size of the masseters. Many Asian countries use Botox regularly to treat patients with this condition.

 

4) The Effects of Botox treatment

 

Reduces Wrinkles

 

Dermal atrophy is the process that causes wrinkles. As the facial muscles consistently contract over the years, it eventually causes wrinkles in the skin to form. Think about all the smiling, blinking, chewing, squinting, and frowning that you do each day. These actions are gradually causing wrinkles in your skin, which is all part of the aging process. Consistent facial movements like these decrease the elasticity of the skin as time passes. In the beginning, you will notice fine lines forming in the skin. As the condition gets worse, you will see deeper wrinkles instead.

There are two types of wrinkles; static wrinkles and dynamic wrinkles. Static wrinkles are the wrinkles you see at rest, and dynamic wrinkles are those that you notice when the muscles contract. Botox can treat both types of wrinkles. It contains botulinum toxin which is injected in small doses into the contracting muscles that cause the wrinkles. Your medical provider will use a small needle to do the injection.

Small Botox injections will affect the central nervous system by interrupting the signals between the neurons and the muscles. Doing so will cause the muscles to become weakened to the point where they will stop contracting and causing wrinkles.

Normally, muscle contractions take place because nerves release acetylcholine in the area where the nerve endings meet with the cells of the muscles. Acetylcholine is a chemical that locates the nerves and then attaches itself to the muscle cell receptors. This is how a contraction of the muscle cell takes place.

When a doctor injects Botox (or botulinum toxin) into the contracting muscle area, it prevents acetylcholine from getting released to that area. In other words, the Botox stops the acetylcholine from reaching the nerves and attaching to the muscle cell receptors. As a result, the muscle cells are no longer able to contract.

Excessive Sweating (Hyperhidrosis)

botox for Excessive Sweating

The body’s activities are all controlled and managed by the brain. This is made possible through the use of nerves and the chemical signals they carry with them. The only reason the sweat glands produce sweat is that the brain sends chemical signals to the glands which causes them to produce sweat. If you suffer from excessive sweat in the armpits, small doses of Botox can be administered into the sweat glands under your arms. This will temporarily prevent those brain signals from reaching the glands and causing the excess sweat to form.

The body relies on sweat to expel its internal waste products and toxins. Botox injections do not actually reduce the production volume of sweat. Instead, the sweat is released from other areas. The underarms have a potent odor because there is less free air moving through them. As a result, moisture stays under your arms for longer. Meanwhile, the bacteria which cause the odor will thrive under these moist conditions. This is different than most other bodily areas because they receive the proper amount of free air and ventilation to dry up quickly after the sweat is produced there. That is why body odor doesn’t usually form anywhere else other than the armpits. If you suffer from this excessive sweat disorder, Botox can provide you with life-changing results.

C) For Hypertrophic Masters, Bruxism And Temporomandibular Joint (TMJ) Disorder

Botox Temporomandibular Joint Disorder

Botox Temporomandibular Joint Disorder

 

To treat conditions like Temporomandibular Joint Disorder & Bruxism, Botox can be injected into certain muscles such as the medial pterygoid, masseter, and temporalis. There are many factors that cause painful symptoms of TMJ and Bruxism. Botox can lower this pain because it affects the trigeminal motor nucleus by blocking its signal transmissions. Once the mandibular muscles become paralyzed, Bruxism is stopped. Alternatively, if mastication is the reason for your condition, then Botox treatment can be used to reduce the strength of the periodontal mechanoreceptors.

5) Are Botox Injections Painful?

Medical providers always want to ease the worries of their patients when it comes to pain. They will often say that you won’t feel any pain from an injection. Usually, there is only minor pain and discomfort experienced by any injection. Botox injections are typically not something you should be concerned about in terms of pain. The average Botox injection won’t cause you any moderate pain. At most, you may experience a small amount of discomfort while the needle is injected into your skin. This is perfectly normal as you will only feel a small sting or pinch.

If there is any moderate or severe pain experienced, it would likely occur in more sensitive areas of the body. For instance, receiving a Botox injection near your lips or eyes will certainly be more painful because of the sensitive nerves in these areas. If Botox is injected into your forehead, it is usually not so painful because the skin is thicker and therefore less sensitive in this area. The injection site is a large factor in determining the level of pain experienced by Botox.

Skin sensitivity is not an exact science. Some patients may experience more sensitivity in certain skin areas than others. Genetics plays a part in this, so you will have to learn by experience. Although most patients do not experience any severe pain after they have received Botox injections, do not be deceived by the Botox advertisements which describe the injection process as simple and pain-free. There is no way to guarantee a pain-free experience since everyone has different pain thresholds based on multiple variants.

If you fear any discomfort or pain, your practitioner can administer a local anesthetic to numb the injection site beforehand. This will all be discussed with your practitioner prior to injecting it.

6) How long does the Botox injection procedure take?

The entire Botox injection treatment process takes only a few minutes. When you make an appointment, the practitioner should have  the dilutions prepared ahead of time so that they are ready to be injected prior to the appointment. The practitioner will simply inject the diluted toxin into the appropriate muscles under the skin. There is a small amount of downtime post-injection. The patient should not lie down for at least four hours after the injection, and also refrain from intense exercise for 48 hours after receiving injections as it could cause the Botox to move to a different area under the skin.

7) How Long Will It Take to Notice Results After the Injection?

New patients expect to see immediate results following their Botox treatment. On average, most patients will notice visible results after 3 days. Some may experience them sooner while others will experience them later. Maximum results are seen after 14 days.

If you are needing your Botox to kick in before an event, it is best to schedule your treatment two or three weeks prior to the event date. This will ensure that the full effects of Botox are noticed and that all potential discomfort, pain, or bruising after injection will have subsided.

8) Will the results last for a long time?

The results of Botox injections will vanish after about three to six months, causing wrinkles to become noticeable again. Botox requires regular maintenance if you wish to keep the wrinkles reduced.

When Botox paralyzes the injected muscles, it is only temporary because the muscles slowly build their mobility again. As this happens, the wrinkles start to become visible again. This is a sign that you need another Botox injection because the last one is wearing off. If you keep receiving Botox injections on a regular three to six month basis, your muscles will begin to shrink because they have not contracted in a long period of time. This is a beneficial result of Botox because your wrinkles and fine lines will continue to reduce in size.

For best results, you need to keep the skin injection site hydrated with various topical serums and creams that contain hyaluronic acid. You will achieve some amazing long-term results if you continue to regularly receive Botox injections and keep your skin hydrated.

9) What are the risks involved with Botox? 

The Food & Drug Administration has approved Botox as a form of treatment for certain conditions and areas of the body. A medical professional must administer the injection if you want to be safe and reduce your chances of experiencing side effects. There is always the risk of side effects whenever a drug is involved. Based on the nature of the Botox treatment, the injections can, though not often, cause the skin to swell or bruise in the affected areas. If you experience these symptoms, then you may also experience discomfort and pain. Over-the-counter painkillers can be taken to reduce the pain. However, if you continue to feel pain and discomfort for prolonged periods of time, talk with your doctor about ways you can alleviate this pain.

Whenever you get Botox injections near your eyes, it is common for the eyelids to become droopy because of Botox migration. Unfortunately, this droopiness will not go away until the effects of the Botox injection wear off. This can take anywhere from three to six months. If you are experiencing symptoms such as double vision, talk with your doctor about your options to alleviate the symptoms.

If you have had Botox injections near your lips, this will put you at the greatest risk for side effects. It is important that the injections are performed properly otherwise your lip muscles can become paralyzed by the Botox which will make you unable to move your lips, resulting in the incapability of speaking clearly.

There are some reports of other minor side effects to Botox injections, but they typically clear up within one day after the procedure. The minor side effects that you might experience include flu-like symptoms, sore throat, dry mouth, nausea, and/or tightness of the face. If these symptoms persist after 24 hours, see a doctor immediately. You might be experiencing a serious allergic reaction to Botox. If you have such a reaction, you will notice it immediately following the injection. Your licensed practitioner should have the appropriate provisions set in place for such a situation, but if the allergic reaction takes place after leaving the office, you should seek emergency medical care if the symptoms include chest tightness, breathing difficulty, itchy skin, or a swollen tongue.

Medical researchers continue to study the long-term side effects of Botox injections. As of now, they have not found any side effects which affect the long-term health of a person, but they did find that people who regularly receive Botox injections will likely develop muscle atrophy as well as wrinkles in other locations.

Botox comes with a warning about the risk of major complications, but the only way a complication will arise is if the practitioner fails to dilute the toxin adequately. Also, the toxin must be prevented from circulating throughout the system and spreading to different locations within the body. If you develop botulism, then you will experience symptoms such as difficulty seeing, fatigue, slurred speech, and weakness. Seek an emergency care physician immediately if this occurs.

These symptoms will usually occur if you receive an injection from someone other than a licensed practitioner. Make sure your practitioner is registered in this field of medicine.

Before receiving any Botox injection, talk to your doctor about other medications you are taking. Patients may experience a negative reaction to Botox if they are taking blood thinners, antibiotics, sleeping pills, muscle relaxants, prescription drugs, flu medicine, and any over-the-counter medications. Taking these substances may also influence the effectiveness of Botox. Additionally, avoid getting Botox injections while pregnant, there is no concrete evidence that shows whether it is safe or not.

If you currently suffer from joint disorders, bleeding disorders, muscle disorders, or any other disorder, talk to your doctor before getting Botox injections.

Botox Post-Treatment Care

Once your Botox treatment is completed, there are aftercare instructions to follow in order to achieve the best results. You must be very careful during the first four hours after the procedure. You cannot touch, massage, rub, or lie down on the injected area during this time. Failure to comply can result in the toxin spreading to non-desired areas of the face. This is known as Botox migration which can cause symptoms such as droopy eyelids. If you have had the injection near your eyes, then you need to take additional caution. Your doctor may recommend that you perform facial exercises for one to four hours after the procedure. This includes moving your facial muscles around without touching your face. These facial exercises will help the botulinum toxin to form a stronger connection with the nerves.

The injection site must be disinfected to reduce the chances of infection. Since the injection creates a tiny wound in the skin, it should only take about 24 hours for the area to heal. If you need to touch your face at all during this time, then be sure to wash your hands first. If the injection site starts to experience a lot of redness, swelling, or pain, simply put an ice pack on the area and you should notice these symptoms alleviate.

To make an ice pack, put ice in a towel and wrap the towel around it. Apply the wrapped ice towel to the injection site with a mild amount of pressure. Do not put makeup on this area. If you need to clean the area, use the recommended hydrating creams that are available.

If a professional is administering Botox, there should not be any complications. After the treatment, you are able to resume your daily activities without any setbacks. Avoid intense physical activity and sauna use for 48 hours after injection.

Botox Brands and Types

Botox Brands and types

Botox Brands and types

In the United States, botulinum toxin is sold by commercial businesses under various names. Botulinum toxin type A is found under the names of Botox, Dysport, Xeomin, and Jeuveau.

Botox Outline

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Longevity
2-5 months

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Recovery Time
0 to minimal downtime

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Treatment Time
30-45 minutes

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Estimated Price
$99-$699

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Where
Allurant Aesthetics
by Dr. Kat Khorrami MD
858-222-1444

 

 

Ask Dr. Kat a Question:

Botox Frequently Asked Questions:

What causes wrinkles?

When we smile, laugh, or make other expressions, muscles in our face create creases. Over time this can result in a variety of lines and wrinkles, including crow’s feet, and laugh lines.   As we age, our skin becomes drier, thinner and our skin’s elasticity also decreases. Combined with the repetitive usage of our facial muscles, these changes could cause wrinkles and lines to be deeper and even more pronounced.

How is Botox procedure conducted?

In order to reduce bruising you should avoid alcohol for at least a week prior to your Botox or Dysport treatment and anti-inflammatory medications such as ibuprofen or Blood thinners such as aspirin for two weeks prior to your Botox treatment.

The Botox  procedure takes a few minutes. Generally, our patients experience very little discomfort thanks to the numbing cream application prior to the injection.

During the treatment, Botox  will get injected into your specific facial muscles using a syringe with a tiny needle.

Please avoid rubbing or massaging the treated area for at least 12 hours after your Botox  treatment.

You should not lie down for at least 3 to 4 hours after your Botox treatment. To keep the toxin from moving to other than where it is supposed to be.

How can Botox help with wrinkles?

Botox  (abobotulinumtoxin A) medical formula come from bacteria that cause botulism. their objective is to interrupt communication between neurons to restrict nerve signals from reaching our muscles, causing the muscles to relax. When Botox are injected into facial muscles, it stops the muscles from flexing and contracting. Once our facial muscles are relaxed, we have a smoother complexion.

Botox expected results?

While both BOTOX® Cosmetic injections are used to reduce facial wrinkles, the results of Dysport® are usually seen within 24 to 48 hours and last for 4 to 5 months. Versus, the results of BOTOX® Cosmetic are usually seen within 3 to 5 days and last for 3 to 4 months. it is important to keep in mind that the results of each treatment will vary by patient.

Botox can effective in reducing the appearance of:

  • Frown lines on your forehead
  • Lines between your eyebrows
  • Smile lines around your mouth
  •  Wrinkle at the outer corner your eyes (Crow’s feet)

 

Is the Botox injection painful?
Generally, our patients experience very little discomfort thanks to the numbing cream application prior to the injection
What should I expect post-treatment?

There is absolutely no downtime. Minor swelling around the injection site could be present post treatment which is temporary.

Will Botox or Dysport help improve the overall complexion of the skin?

Botox or Dysport are used strictly for dynamic lines and wrinkles that are visible when the facial muscles are contracted. This treatment does not improve non-dynamic expression lines, skin texture, or even out the skin tone. For the ultimate anti-aging treatment, Botox could be combined with dermal fillers and PRP to restore and rejuvenate the skin.

Besides Botox  for lines and wrinkles, Allurant Aesthetics offers dermal fillers like Juvéderm and Restylane that smooth lines and wrinkles with hyaluronic acid. When injected into different sagging or marked with lines and wrinkles area of the face, it softens it by adding volume to those areas.

 

Botox or Dysport injection
botox