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An illustrated guide to facial cosmetic surgery and Botox injections

Updated on June 16, 2011
You need Botox if you want to get rid of those skin wrinkles, weird expression lines, dark circles, crow's feet, and glabellar lines.
You need Botox if you want to get rid of those skin wrinkles, weird expression lines, dark circles, crow's feet, and glabellar lines.

What is Botox?

Brand name Botox medically known as botulism toxin purified form of botulinum toxin Type A is used in form of injections to smooth out brow furrows or frown lines and skin wrinkles around the facial area. The expression lines commonly called as "crow's feet" or "glabellar lines" are the marks that occur on the skin as a result of the completion of a muscular movement or gesture over a long period of time. Botulinum toxin, which is commercially known as Botox, has been used for over 20 years in the field of plastic and aesthetic surgeries and has been proved beneficial in treating these problems and improving the overall look and appearance of a person's face.

Botulinum toxin is a toxin purified protein produced by a bacteria called "Clostridium Botulinum". There are different types of toxins produced by this bacterium; however, the Botulinum toxin "Type A" is used for cosmetic treatment.

While we are talking about a toxin, Botox (Botulinum Toxin Type A) does not at all has any adverse side effects or complications of any kind. This is because the quantities used in the treatment of expression lines or skin wrinkles are very small and fail to spread into the rest of the body.

How Botox injection helps?

Botulinum toxin or Botox blocks the transmission of nerve impulses at the muscle. This results in weakening of the muscle and the toxin then interferes with the function of contraction of the muscles. In this way, muscle comes at rest and the overlying skin relaxes and there is softening of expression lines and skin wrinkles. The main areas treated with this toxin include the expression lines, forehead, brows, crow's feet, and neck.

Botox for curing wrinkles and enhancing beauty.
Botox for curing wrinkles and enhancing beauty.
Plastic surgery-Botox procedure results
Plastic surgery-Botox procedure results

How Botox procedure is performed?

The procedure is performed with the patient sitting. The technique involves injecting small quantities of Botox at the level of the muscles that produce expression lines. To achieve this, the plastic surgeon asks the patient to contract the muscles that will be treated with a shot using a very thin needle and then the surgeon injects the substance in the required area.

The effects of the toxin are felt from 5 to 10 days of injection and the effect lasts for 4 to 7 months. The expression lines improve gradually over a period of approximately 12 weeks depending on each patient.

Once the infiltration of Botulinum toxin type A is done, the patient should be kept in an upright position for about 4 hours until the toxin is distributed effectively around the connecting nerve sites within the muscles. The procedure can be repeated once the effects disappear.

Every medical procedure carries some side effects and it is true with Botox also.
Every medical procedure carries some side effects and it is true with Botox also.
Botox effects
Botox effects

Negative effects of Botox treatment

The BOTOX infiltration is really safe if it is performed by an experienced plastic surgeon and who knows perfectly all the anatomy of the face. This will prevent the patient from complications such as ptosis (abnormal dropping of muscles) or diplopia (double vision).

Some of the side effects the patients may present with treatment are:

1. Pain and inflammation at the site of Botox infiltration.

2. Headache.

3. Nausea.

These side effects are common but not all the patients may have these symptoms.

Contraindications for Botox injection

The patients with following things should not undergo the Botox procedure.

1. Myasthenia gravis.

2. Neuromuscular diseases.

3. Allergy to human albumin infusion.

4. Allergy to Botulinum Toxin.

5. At the time of pregnancy or breastfeeding.

6. Intake of alcohol on the last week before treatment.

7. Intake of aspirin or NSAIDS (non-steroidal anti-inflammatory drugs) two weeks prior to treatment.

Injectable collagen fillers
Injectable collagen fillers
Collagen fillers like Goretex and Fibril.
Collagen fillers like Goretex and Fibril.
People who are allergic to human albumin and Botox injections are not advised to undergo this procedure.
People who are allergic to human albumin and Botox injections are not advised to undergo this procedure.

What should I do before receiving treatment with Botox?

1. Do not drink alcoholic beverages.

2. Do not take aspirin or other anti-inflammatories.

What should I do after receiving treatment with BOTOX?

1. Keep yourself in an upright position for at least 4 hours after the procedure is done.

2. Do not touch the treated areas.

Can I repeat the BOTOX procedure again?

Definitely yes. The botulinum toxin injection may be repeated every 4 to 7 months.

How long it takes to get the full effect of Botox?

After the first set of shots, the surgeons perform a re-injection after two weeks allowing the localization of any resistance from the muscles. According to some recent studies, 90% of patients respond to Botox (Botulinum Toxin Type A). This leaves 10% who do not respond to this treatment. The success of treatment lies with the weakening of muscles that begins between 24 to 48 hours but the complete weakening of muscles could be determined after 7 days of treatment. The effects of treatment after the first injection last between four and seven months in majority of patients.

When a Botox re-injection is required?

The Botox re-injection is suggested every four or five months to keep the muscles paralyzed and allowing the wrinkles to vanish completely. Once the area is smoothed out completely, the surgeon instructs the patient to return to therapy only when there is regression of the treated muscles.

Who should not use Botox (Botulinum Toxin type A)?

Although there are no reported birth defects by using this medicine, it is not advisable for women who are pregnant or are breast-feeding their babies. Patients with a history of neuromuscular diseases such as myasthenia gravis or multiple sclerosis or other diseases related to neural transmission should avoid the use of Botox.

What other alternatives exist instead of Botox?

Other alternatives instead of using Botox are dermal filler agents including collagen fillers and Gore-Tex and Fibril procedures, which are used in the field of plastic surgery for the treatment of forehead, temporal, neck and other regions of the face. Myobloc is another new alternative for this treatment.

Allergic Reaction to Botox

According to some recent surveys, no allergic reaction to Botox cases have been reported so far in over 30,000 treatments, but people who know they are allergic to botulinum toxin or albumin should avoid the use of Botox (Botulinum Toxin Type A).

How painful are Botox injections?

The needles used for Botox treatment are small and indistinct and the infiltrated Botox medicine itself does not hurt as much as the plastic surgeon uses local anesthesia before starting the treatment. The majority of patients experience less discomfort than with collagen filler injections. However, the pain can be minimized with the use of ice by cooling off the skin area a few moments before applying the injection. Some patients have found that taking two tablets of Tylenol before the injection reduces their discomfort.


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    • profile image


      5 years ago

      I called 18002666768 & I got glorious look because of Juvederm.......Just call this toll free number to know more about Juvederm & to get clinic details of the same within India.

    • profile image

      Houston Botox 

      7 years ago

      You've got a lot information to remove the confusion and myth about botox. The medicinal benefit of botox like treatment for migraine etc are eye opening facts for many people who are aginst

    • profile image

      Breast Reduction Sydney 

      7 years ago

      Excellent advice and nicely illustrated with all the shots.

      This is a must read for anybody considering a botox treatment.

    • profile image


      7 years ago

      it's not that bad at all after my Botox Melbourne i felt good.

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      7 years ago from New Delhi, India

      Thanks for your response Andrew.

    • profile image

      andrew jonas 

      7 years ago

      great hub - i hear albumin is a natural compound

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      8 years ago from New Delhi, India

      Thanks a lot puffyeyes for adding that incredible information. Frankly, I didn't knew before you told us that botox also helps calm down tension headaches.

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      8 years ago from New Delhi, India

      It's my pleasure kvirrueta. Thank you so much for the appreciation friend.

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      I think these hubs on cosmetic surgery written by me including many others were copied by some site and are not being indexed that's why it is receiving less visitors. Now with the copied articles being removed from that site, search engines will be going to index these hubs. Waiting for some good traffic.

    • PSChannel profile image


      9 years ago from TX, United States

      Great hub. This is something every person considering the option of botox should read.

    • stricktlydating profile image


      9 years ago from Australia

      I had Botox in my lips for Lip Enhancement, it's a good subtle result. This procedure is a relatively new use for Botox and while I'm pleased with the results, I have difficulty drinking from a cup (due to the temporary paralysis of some of the muscles) so I'm not sure if I'd have it again in my lips. But I've also had it done for my Frown Lines, and it's the best thing I've ever done! The procedure took about a minute! I could not believe how quick and painless it was, and it had an instant affect! Not only ridding me of my frown lines but also the hollows under them, I'll continue to have this procedure done, it's just done wonders for my self-confidence!

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      So how was your experience stricktlydating. Were there any complications? Or the procedure went well without any sequelae.

    • stricktlydating profile image


      9 years ago from Australia

      Great Hub, I've recently had Botox Injections for my lips!

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      Thanks a lot Anath.

    • Anath profile image


      9 years ago

      Very good info soni2006.

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      Thank you Shah and Veronica for your motivation.

    • Veronica Allen profile image

      Veronica Allen 

      9 years ago from Georgia

      Very detailed for anyone seeking this treatment! Great job soni2006!

    • profile image

      shah kamal 

      9 years ago

      very nice hub. good written.


    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      Thank you very much ocbill and for your comments and appreciation. By the way, from the above link, I have provided you can also find information on:

      1. Financing for Botox treatment.

      2. Finding an experienced Botox specialist in your area.

      3. Post Botox treatment recovery, results, side effects, risks, complications, and alternatives

      So best of luck and keep moving.

    • soni2006 profile imageAUTHOR

      Rajinder Soni 

      9 years ago from New Delhi, India

      Hi Princessa and Catherine thanks for your comments. By the Catherine, you don't have to worry about affording Botox injections in the future because with the advent of competitive market system, the price of everything is becoming reasonable. This link

      will take you to a web page where you will find up-to-date information on getting convenient Botox injections for those who are on a budget. You can also find a cosmetic dermatologist in your area via this link and there is much more information on this site about Botox cost breakdown, Botox price discounts, etc. Best of luck. No need to worry in this era of competition in the market.

    • profile image 

      9 years ago

      very thoroughly written hub, thanks Soni2006

    • ocbill profile image


      9 years ago from hopefully somewhere peaceful and nice

      Good stuff on Botox. It works from the inside out.

    • Catherine R profile image

      Catherine R 

      9 years ago from Melbourne, Australia

      Well put together informative hub. I know lots of people who have botox injections. They would probably improve me too but I can't afford them so I'll just have to get old!

    • Princessa profile image

      Wendy Iturrizaga 

      9 years ago from France

      This is all I ever wanted to know about Botox. I think that I would definetely go for this type of treatment when the time comes for me to consider it.


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