It is important that you read and re-read this page before you consider undergoing this procedure.

Botox is one of the trade names of type A Botulinum toxin, which is a byproduct of a bacteria.  The toxin is used in plastic surgery to relax facial muscles which temporarily eliminates the wrinkles these muscles produce, for example, horizontal forehead wrinkles, and crow’s feet.

This procedure is useful for correcting wrinkles of these three sites:
* Horizontal forehead wrinkles
*Vertical wrinkles between the eyebrows
*Wrinkles radiating from the “crow’s feet”

Type A Botulinum Toxin is not a poison or cause undesirable side reactions; there is no need to make any skin test before applying it, does not produce allergies or deformities, provided it is injected as indicated.The application of Botox or other trademarks is by injection with a very fine needle and in tenth of a cubic centimeter in each area you need. Usually in a given case, we inject between ten to twenty areas, each with a few tenths of the substance. This may cause a quick burning sensation in susceptible individuals which disappears immediately once the application is over. Most patients endure the procedure well. However, I recommend applying a lidocaine cream called Emla ® every hour for three consecutive hours prior to the  areas that will receive  Botox injections. This greatly reduces the discomfort at the time of application.

The procedure only takes about 10 minutes and requires no skin preparation before or since. You can go to your usual activities after application, and can makeup if desired.

When injected into the muscles,the duration of action of this substance is approximately 5 to 6 months, depending on each individual. I do not recommend giving touch-ups of Type A Botulinum Toxin, and therefore it is important to review your case before applying Botox Botulinum Toxin or another, and make an inventory with a diagram or drawing annexed, to offer maximum benefit in a single application. The result is evident and highly appreciated by patients, and begins to show around the third day.

Some patients using Botox calculate the duration of action that occurred the first time, and come to the clinic for a new application therafter on a regular basis. We have a list of patients and their phone numbers and call them one to two months ahead to remind them that soon they might need a new application of Type A Botulinum Toxin if they so desire.

Is expensive, comes only in bottles with 100 units and once prepared (comes in a powder flask, and should be mixed with saline) has a short duration for application. A single patient requires, at most, 40 to 50 units leaving half a bottle wasted. This is not cost effective unless there are two patients requiring treatment within a very short period of time.

Today, there are several commercial brands of type A Botulinum toxin available. Recently, I’ve used other trademarks as they  provide the same effect as Botox ®. These products have excellent quality control and come in 50 units per vial, making it more economical and for the patient. On your application, you may receive either of these products.

Below are some important pointers for ‘before and after’  Botulinum Toxin treatment:

1. Wash your face normally before your appointment.
2. Do not wear makeup or creams.

1. You may return to your normal activities immediately following treatment.The result of the treatment will be evident in about 2 to 4 days.
2. Apply an ice pack to treated areas  every 4 hours for 15 minutes,  for two to three days.

Please, click Photo Gallery to have a look on some cases of Botox, by Dr Valero.


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