Botox and Dysport (Injectable Neurotoxins)

Botox® cosmetic is a non-surgical intervention for the aging face which originally gained popularity as a treatment for frown lines in the central forehead.  This area is known as the glabellar region.  Other areas of the face which develop characteristic patterns of wrinkles as a result of function of the delicate facial muscles are also amenable to treatment with Botox.  These include the upper forehead or brow, the upper nose, the areas surrounding the eyes (crow’s feet), a dimpled chin, and the neck.

 At Richmond Plastic Surgeons, we use both Botox® Cosmetic and Dysport®.  These neurotoxins are purified proteins of botulinum toxin and are approved by the FDA for cosmetic use.  Treatment involves injection in small doses in the areas where temporary weakness or paralysis of a facial muscle is desired.  The protein blocks transmission of the signals that are conducted between nerves and muscles.  The effect of the injection does not occur immediately.  Rather it takes approximately 3-7 days following the procedure to see a decrease in the muscle action and a softening or elimination of the associated wrinkle.

The Procedure

Injection is performed in the office setting.  Taking approximately 10-15 minutes, it does not require local anesthesia and there is minimal down time following the procedure.  Although you may experience some temporary bruising, these products have been shown to be very safe through extensive testing and research.  After the injection, you may return to normal activity and may wear make-up.  We encourage patients not to engage in vigorous activity on the day of injection.

After Your Procedure

Results typically last approximately 3-4 months, however there can be some variability among individuals.  Certain people should not undergo Botox injection.  These include patients with neurological disorders including myasthenia gravis, ALS, MS, or Lambert-Eaton syndrome.  Also, mothers who are breast feeding, pregnant women, or women attempting to become pregnant should not undergo injection.