Botox Cosmetic Injection

History of Beverly Hills

2007-06-20T23:42:00.000+09:00

Beverly Hills is a city in the western part of Los Angeles County, California. Beverly Hills and the neighboring city of West Hollywood are together entirely surrounded by the city of Los Angeles. The area's so-called "Golden Triangle" of wealthy neighborhoods is formed by Beverly Hills and the Los Angeles neighborhoods of Bel-Air and Holmby Hills.

Beverly Hills is bordered on the north by Bel-Air and the Santa Monica Mountains, on the east by West Hollywood and the Fairfax District of Los Angeles, on the south by Los Angeles' Beverlywood neighborhood and on the west by Holmby Hills as well as Westwood Village and Century City, which are also Los Angeles neighborhoods and not separate cities. While Beverly Hills is a separate city, it is culturally very much a part of Los Angeles.

Like many cities in California, the recorded history of Beverly Hills begins with a Spanish land grant assigned to Maria Rita Vladez De Villa and known as El Rancho Rodeo de las Aguas (The Ranch of the Gathering Waters). It was the Spanish explorers and missionaries who transformed California from Indian territory to ranching and farming country.

In 1854, El Rancho was sold for $4,000 to Major Henry Hancock and Benjamin Davis Wilson who used it to farm wheat, ranch cattle, produce wool and pump oil. In the 1890s, ownership passed to Charles Denker and Henry Hammel, who planted nearly the entire tract in lima beans to supply their downtown Los Angeles Hotel.

After the turn of the century, the bean fields were sold for oil development and local families such as the Dohenys and the Richfields made their fortunes by selling the land. In 1906, Burton E. Green became the first land developer, founding the Rodeo Land and Water Company and laying out an official subdivision of wide-curving, tree-lined streets and a park-like setting.

In 1912, The Beverly Hills Hotel opened. This palatial compound of rooms, suites and bungalows was joined by The Regent Beverly Wilshire in 1927, firmly establishing the legacy of glamour, elegance, luxury and fine living that continue as the hallmarks of Beverly Hills.

In 1919, Douglas Fairbanks and Mary Pickford began the trend of Beverly Hills as "home to the stars" when they built their famous estate "Pickfair". Rudolf Valentino and Tom Mix as well as many others were soon to follow. In 1925, actor Will Rogers became the first and only honorary mayor of Beverly Hills and led the effort to build a post office on Crescent Drive.
The building, completed in 1933, is listed on the National Register of Historic Places and was recently acquired by the City of Beverly Hills to become a cultural center.

Today, Beverly Hills is a 5.7 square mile city with 33,000 residents and a daytime population of 200,000. The ties to entertainment remain strong. The city's 900 retailers serve as emporiums to the stars, many famous names reside here, and powerhouses such as Castle Rock Entertainment, The Firm, DreamWorks SKG, Imagine Entertainment, Merv Griffin Enterprises, Creative Artists Agency, William Morris and International Creative Management all have offices here. Star gazing is a major past-time with big name stars, as well as the familiar faces of supporting casts spotted regularly.

BOTOX® Cosmetic Treatment

2007-06-20T23:29:00.000+09:00

BOTOX® Cosmetic Treatment

History: Injections of botulinum toxin A or BOTOX® Cosmetic have been in use since the 1970 when they were injected into the muscles of the eye to treat "lazy eye" and then later found success in the treatment of involuntary spasms of the facial muscles (blepharospasm). Today BOTOX® Cosmetic injections have become a popular method for softening forehead lines, crow's feet, and frown lines.

There are a couple of factors that cause the skin to wrinkle in these areas - the progressive loss of elasticity due to aging and the stretching and contraction of the muscles in the upper portion of the face causing a folding of the skin. BOTOX® Cosmetic is injected into the muscles of the upper face, weakening or paralyzing the muscle, which lessens the lines of facial expression.

It can take 24 hours, up to 10 days for results to appear and they will last anywhere from three to six months.

The sites that are most commonly treated by BOTOX® Cosmetic include the forehead, which would minimize the transverse wrinkle lines, the crow's feet area, and the glabellar complex (the area between the eyebrows containing the corrugator and procerus muscles).

Procedure: Although there are no drugs that an otherwise healthy patient would be taking that would interact with BOTOX® Cosmetic, there are some things you should avoid before treatment. You should avoid taking anti-inflammatory medication, Vitamin E and aspirin for two weeks prior to treatment. Each of these medications may cause bruising when the BOTOX® Cosmetic is administered.

The entire procedure takes approximately 10 minutes, and is given through a very fine gauge needle, minimizing the discomfort from the injection. If patients have a very low pain threshold, it is recommended that they take Tylenol ® or other medication prior to the injection. Topical anesthesia with Emla ® or another anesthetic may be used. After the treatment, we will ice the area to reduce the swelling and discomfort. After you have received the BOTOX® Cosmetic injections, wait four hours before lying down, do not massage the treated muscles as this can cause the botulinum toxin to spread to the muscles around the eyes. Exercising the muscles every 15 minutes for one hour after the treatment probably increases the effect.

BOTOX® Cosmetic treatments can be repeated every four to six months and to date, no long term side effects have been detected. Patients will require less frequent treatments as they break the habit of contracting frown lines, thereby causing atrophy of the underlying muscle.

Complications from BOTOX® Cosmetic: There are a few possible side effects from the BOTOX® Cosmetic injections but they are rare and always reversible. Sometimes an injection is not effective and a repeat is necessary. Patients may see some minor swelling or bruising and on rare occasions, drooping of the eyebrow or eyelid can occur.

Botox Cosmetic

2007-06-09T02:43:00.000+09:00

Botulinum Toxin Type A (Botox Cosmetic) is a protein complex produced by the bacterium Clostridium botulinum, which contains the same toxin that causes food poisoning. When used in a medical setting as an injectable form of sterile, purified botulinum toxin, small doses block the release of a chemical called acetylcholine by nerve cells that signal muscle contraction. By selectively interfering with the underlying muscles' ability to contract, existing frown lines are smoothed out and, in most cases, are nearly invisible in a week.

Botox injections are the fastest-growing cosmetic procedure in the industry, according to the American Society for Aesthetic Plastic Surgery (ASAPS). In 2001, more than 1.6 million people received injections, an increase of 46 percent over the previous year. More popular than breast enhancement surgery and a potential blockbuster, Botox is regarded by some as the ultimate fountain of youth.

The FDA regulates products, but not how they are used. Approved products are sometimes used by a licensed practitioner for uses other than those stated in the product label. Botox Cosmetic, for example, is currently being used by physicians to treat facial wrinkles other than those specified by the FDA. Consumers should be aware, however, that this "off-label" use has not been independently reviewed by the agency, and the safety and effectiveness of Botox injections into other regions of the face and neck, alone or in combination with the frown-lines region, have not been clinically evaluated.

Be sure that a qualified doctor performs the procedure.
Make sure that the doctor is trained and qualified in cosmetic skin surgery of the face.
Ask questions and be informed about the benefits and risks involved in the procedure.
Avoid alcohol and remain upright for several hours following the procedure.
Choose a medical setting using sterile techniques. Necessary equipment should be available to respond to any potential problems.

Botox® Injection

2007-05-01T02:49:00.000+09:00

Botox® is a brand name for botulinum toxin type A, a neurotoxin that blocks messages from the controlling nerves to the muscles.
It eliminates frown lines, crow’s feet, forehead wrinkles and other signs of aging. Botox® also helps minimize the size of your face and stops excessive sweating.

The beauty of a Botox®　Cosmetic treatment is that it's a simple, 10-minute, non-surgical process. A few tiny injections, and within days there can be a noticeable improvement in the moderate to severe lines and wrinkles that can last up to 4 months. Although there’s no recovery time, results may vary.

Doctor will determine where to administer the injections by examining your ability to move certain muscles in your face. The location, size, and use of the muscles that create a furrowed brow vary markedly among individuals.

No anesthesia is required, although your doctor may choose to numb the area with a cold pack or anesthetic cream prior to injection. Discomfort is usually brief and minimal.

You can expect to be in and out of the clinic without downtime. You may see a marked improvement in the moderate to severe lines and wrinkles within days. Improvement may continue for as long as a month, and could last up to 4 months.

Botox® Treatment for Excessive Sweating

If underarm sweating is significantly interfering with your daily activities and topical agents haven't worked, you may be a candidate for Botox® treatment.
Botox® is FDA-approved for severe underarm sweating that is not adequately managed with topical agents. Botox® treatment helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don't receive chemical signals, the severe sweating stops.

Botox Price

2007-04-30T01:53:00.000+09:00

Botox : Wrinkle Injections
1 product unit $ 14

Botox-days offer
The number of Botox product units that are injected are determined by the extend of the wrinkle weakening and varies from patient to patient. Most people need 25 units for correction of the frown between the eyebrows or 20 units for treating forehead wrinkles.
$ 12

Botox: Profuse Sweating
Botox injections in both armpits $ 1000

It got me thinking: If you feel 28 but look 42 (as so many of us do), Botox is pricey ($300 to $600 per shot)

Estimate Fees: Plastic Surgery

2007-04-30T01:46:00.000+09:00

FACE

APTOS - Extended suture lift
Local anesthesia:
Wellness ES lift: 1 X left and right $ 2000
Wellness ES lift: 2 X left and right $ 2700
Wellness ES lift: 3 X left and right $ 3300

Mini face lift
Local anesthesia or Sleep sedation:
Quick Mini Face Lift $ 4000
Soft of S- Mini Face Lift $ 4000
MACS Mini Face Lift + permanent threads $ 5500
Wellness SMAS Mini Face Lift + resolvable suspension loops $ 5800

Facial skin rejuvenation
Sleep sedation + Overnight stay:
Tel-Aviv Mask $ 4200

Facelift
Sleep sedation + Overnight stay:
Facelift SMAS $ 6400
Facelift SMAS + Neck Lift Platsysma $ 8700
Facelift SMAS + Neck Lift SMAS $ 10400
Facelift SMAS + Endoscopic forehead and brow lift $ 10600
Totale Facelift: facelift SMAS + neck lift SMAS + endoscopic forehead lift and brow lift $ 14600

Forehead & browlift
Endoscopic
Sleep sedation:
Brow Lift $ 3600
Forehead Lift and Brow Lift $ 4800

Suspension loops
Local anesthesia:
ESL: Eyebrows $ 2000
ESL: Eyebrows & Cheekbones $ 2700

Neck correction
Local anesthesia:
Neck Lift: Platsysma correction $ 2300
Liposculpture of neck and jawline $ 2400
Adam's Apple: Tracheal Shave $ 2600

Sleep sedation:
Neck Lift: SMAS muscle correction $ 4700

Injections: Permanent fillers
Autologeous dermis transplant $ 1700
Lipostructure: fat transplant Coleman method $ 2400
Lipofilling: filling with own fat, per area $ 950

Bio-Alcamid ® Eyelids: per 1 ml $ 1000

Bio-Alcamid ® Lips: per 1 ml $ 580

Bio-Alcamid ® Naso - labial folds: 1 ml $ 580
Bio-Alcamid ® Naso - labial folds: 2,5 ml $ 1000
Bio-Alcamid ® Naso - labial folds: 5 ml $ 1900

Bio-Alcamid ® Cheek bones: 1 ml $ 600
Bio-Alcamid ® Cheek bones: 2,5 ml $ 1000
Bio-Alcamid ® Cheek bones: 5 ml $ 1900

Bio-Alcamid ® Chin: 1 ml $ 600
Bio-Alcamid ® Chin: 2,5 ml $ 1000
Bio-Alcamid ® Chin: 5 ml $ 1900

Bio-Alcamid ® Hands: 1 ml $ 580
Bio-Alcamid ® Hands: 2,5 ml $ 1000
Bio-Alcamid ® Hands: 5 ml $ 1900

Bio-Alcamid ® creases and Folds: 1 ml $ 600
Bio-Alcamid ® creases and Folds: 2,5 ml $ 1000
Bio-Alcamid ® creases and Folds: 5 ml $ 2000

Botox vs. Dysport

2007-04-30T01:36:00.000+09:00

Botox is the only FDA-approved botulinum toxin A, but a potential competitor, Dysport, has an FDA approval application pending. In this manufacturer-supported, double-blind, randomized, parallel-group study, the authors compared Dysport and Botox for the treatment of glabellar rhytids in 62 patients. The patients received either 20 total units of Botox or 50 total units of Dysport in their corrugator and procerus muscles and then underwent blinded assessments at maximal frown at 2, 8, 12, and 16 weeks after treatment.

Fifty-nine patients completed the study; none dropped out because of side effects or lack of efficacy. Efficacy peaked at 8 weeks in both groups, but by 12 weeks the Botox group showed greater residual effects. By 16 weeks, this difference was statistically significant: On a four-point wrinkle-severity scale, a one-point or better improvement occurred in 53% of Botox recipients and 28% of Dysport recipients. At week 16, 23% of Botox patients and 40% of Dysport patients had recurrence of rhytids. Patient satisfaction was consistently higher with Botox. Other than infrequent bruising and one small lump, there were no significant side effects.

When will I see results

2007-04-30T01:30:00.001+09:00

Q: When will I see results?

Answer
BOTOX® works within 2-4 days. The benefit is seen at 14 days.

Are there any precautions

2007-04-30T01:29:00.000+09:00

Q: Are there any precautions?

Answer
You should keep your head elevated for 3 hours if you have frown lines treated (so pick up your bag while bending at the knees after treatment.) It is important to utilize the treated area for the first 3 hours to help the drug diffuse well. Mild exercise is allowed 4 hours after the treatment.

How long does a BOTOX® injection last?

2007-04-30T01:25:00.000+09:00

You can expect the effect of your BOTOX® treatment to last anywhere from four to six months. As acetylcholine production returns to normal, your muscles will once again begin to contract and the wrinkles will reappear. That's the bad news. The good news is that your wrinkles may be less prominent after BOTOX® treatment because your muscles may be somewhat "trained" to be in the more relaxed state.

Who you choose is important. The actual injection techniques, the saturation of Botox with saline and other individual factors can effect efficacy. Typically results can last several months.

As the wrinkles reappear, you will have to have repeat BOTOX® treatments to get them to disappear again

Leg BOTOX® Injections

2007-04-30T01:24:00.001+09:00

Before its rise to fame as a cosmetic wrinkle-reducer, BOTOX® had a long history of use for treating muscle spasms. BOTOX® was actually originally developed for people with Parkinson's disease, multiple sclerosis, strokes, cerebral palsy, and traumatic brain injuries.

Sufferers from these types of diseases and ailments, through the use of BOTOX®, can dramatically improve their range of motion and overall lifestyle. For example, Ryan Gilchrist, who had long suffered from cerebral palsy was unable to walk until he was 13 years old. For this reason, he was excluded from many school activities, had to use a wheelchair, and required extra time and assistance to move from class to class. Even at home, where many accommodations had been made to make his life easier, Ryan still needed someone to cook, clean and generally look after him. Ryan's main problem was his legs and the fact that he couldn't walk, something many able-bodied people take for granted.

As Ryan moved into puberty and began to grow, his condition didn't improve. With this increased growth came other problems. His muscles grew tight and he became the victim of more muscle spasms than ever before. This, however, was before he discovered BOTOX®.

Ryan began treatment with BOTOX® at the advice of the doctor who recommended BOTOX® injections in Ryan's legs. Ryan's doctor had treated other cerebral palsy sufferers who did not have the full range of motion in their legs. This form of treatment had proved effective for other patients that Ryan's doctor had treated, So, after agreeing to the procedure, Ryan's doctor began BOTOX® injections in his legs.

Ryan's doctor was able to isolate the muscles in Ryan's legs that he wished to treat such as his hamstrings and calves. With these injections, Ryan's leg muscles no longer contracted involuntarily. Instead, these muscles were allowed to relax. BOTOX® worked on Ryan's leg muscles by blocking the passage of acetylcholine across the nerve endings in the muscles. Since acetylcholine is the chemical primarily responsible for "telling" the muscles to contract, when it was blocked, the muscles did not contract. It took only a couple of weeks before Ryan was able to physically perceive the results of the BOTOX® injections in his legs. After only one month, he was able to walk unassisted and using a walker. Ryan was overjoyed. This increased freedom of movement also amounted to an increased freedom in his life overall.

Ryan is still undergoing BOTOX® treatment but has, with time, been able to reduce the amount of BOTOX® needed to achieve the same results. His legs have become "used to" the BOTOX® and the muscles remain relaxed for longer and longer. Ryan is but one example of the successful use of BOTOX® injections for treating muscle spasms in people's legs.

In terms of the cosmetic aspect of BOTOX® injections in one's legs, it is only a matter of time before this becomes common practice. BOTOX® has been approved by the American Food and Drug Administration for use in treating wrinkles on the face and neck. Doctors, however, have been using BOTOX® injections for many other "off-label" purposes.

It's an unfortunate but undeniable fact that as we age, our body becomes more and more prone to the effects of gravity. Our skin also tends to lose its natural firmness and elasticity. For these reasons, our skin begins to sag and become wrinkled and generally unsightly. Despite this being but a part of the natural aging process, many people pursue many medical and herbal remedies to reduce the effects of aging on the body.

BOTOX® injections in the legs can also have a positive outcome for those whose legs have begun to show their age. Rather than hiding your legs in pants and being hesitant to wear shorts, skirts, or a bathing suit, why not capitalize on BOTOX®'s ability to improve your legs' appearance?

In the same way BOTOX® can be used to treat muscle spasms for patients such as Ryan, it can be used to treat wrinkles, stretch marks, and sagging too. Injected into the muscles of the legs, BOTOX® relaxes the muscles so that they don't contract to the extent that they once would have. The skin that overlays these muscles will, therefore, also be allowed to relax. With this relaxation comes increased smoothness and tautness. The skin will then assume a more youthful appearance. There's no reason why you shouldn't live life to the fullest and give your legs the attention that they deserve.

Cost of BOTOX®

2007-04-30T01:22:00.001+09:00

To be sure, you can't really put a price on looking and feeling good. That is why so many people go to such great lengths to look their best. We join expensive gyms, eat only what's good for us, and avoid stress all so that we can delay the effects of aging.

What if, however, you could somehow actually slow down time to such an extent that you were able to slow down the aging process and look younger for longer? What would this be worth to you?

More and more people, both men and women are turning to BOTOX® as a method of reversing the effects of time on their skin and turning back the clock. BOTOX®, due to its increasing popularity, has now become the most affordable and effective wrinkle-reducing option available to the average consumer.

In comparison to plastic surgery, collagen injections, and acid skin peels, BOTOX® maximizes cost, safety, and benefit constrictions and considerations.

All in all BOTOX® prices vary. The cost of BOTOX® injections depends both on the number of units used as well as how diluted the solution is. Different practitioners will also, depending on where they practice and the conditions of supply and demand in that area, charge different fees.

The average cost per BOTOX® session in the United States is $350 USD. In Canada, a single injection can cost from $300 to $500 CDN. Areas that require more than a single injection, such as the area beside the eyes where so-called "crow's feet" tend to form, can range from $400 to $900 USD. Larger surface areas such as the forehead can cost as little as $600 and as much as $1300 USD.

The following are some average costs for some other procedures performed by plastic surgeons used to treat facial wrinkles. They are provided as a comparison to the price of BOTOX® and are in $USD.

Blue Peel (a type of chemical peel used to reduce wrinkles) $500 per peel
Collagen injection $500-1500
Deep Chemical Peel $4000 (full face)
Dermabrasion $4000 (full face)
Eyelid tuck (upper/lower) $4500
Face lift $8000
Forehead/Brow lift $4000
Medium peel $2000
Micro peel $60-80 per peel
The chemical peels, aside from deep peels, although comparable in price to BOTOX®, do not actually target what are called "dynamic wrinkles." This type of wrinkle, because it forms as a result of the movement of the skin, is different from other wrinkles in that it is caused by the contraction of muscles beneath the skin. These muscles, when they contract, cause the skin to contort and thus facial expressions are formed.

Dynamic wrinkles can be improved through deep chemical peels, deambrasion, and fillers such as collagen. Deep chemical peels, on top of being much more expensive than BOTOX®, also cause permanent skin pallor, may induce severe discomfort, and are not suitable for any other than fair complexions. Deambrasion involves removing superficial skin through a process that is similar to sanding. It causes moderate discomfort, swelling, and will keep you out of work for at least three days. Collagen injections are the most comparable option to BOTOX® injections. On average, however, they are more expensive and less effective than BOTOX®.

BOTOX® Price

2007-04-30T01:19:00.001+09:00

What is the BOTOX® price?

many people ask us what exactly is the BOTOX® price. Your surgeons price for BOTOX® will be about $400 dollars. Your BOTOX® price should be about $500-$2000 for each area injected. Expect to pay this BOTOX® cost every four to six months to maintain your result.

Allergan Inc., the company that makes BOTOX®, has issued statements that the supply will be more than adequate to meet expected needs. "We can produce enough product, and we don't foresee any kind of problems with production that would interrupt supply," said Christine Cassiano, a company spokeswoman.
In addition, unlike many vaccines and other pharmaceuticals currently in short supply, BOTOX® is both central to the manufacturer's growth strategy and a moneymaker that the company is unlikely to do anything to jeopardize. It is also fairly easy to make, and a little goes a long way. The Botox price is not expected to increase.

Pharmaceutical industry experts also expect that Allergan's profit strategy is more likely to focus on expanding the market than increasing the Botox price. "They will really make more money if they grow the market," Dr. Webster said. "And they want repeat customers."

Botox Parties

2007-04-30T01:16:00.001+09:00

Botox Parties
The recent rise in the popularity of Botox has much to do with the manner in which it is frequently marketed. Some practitioners buy the toxin in bulk and arrange get-togethers for people receiving their treatments. As in business, volume discounts can be found in medicine.

Plastic surgery events known as Botox parties--also seminars, evenings and socials--are a key element of Botox marketing in much of the United States. The gatherings are thought to be a convenient means of providing Botox treatments more economically, and may help reduce the anxiety that normally goes along with getting an injection. Doctors are finding that treating people in groups allows them to make the procedure more affordable to their patients.

Here's how a "party" typically works: A group of often nervous, but excited, middle-aged men and women mingle in a common area. Sometimes refreshments are served. One by one, as their name is called, each slips away for about 15 minutes to a private exam room. He or she pays a fee and signs an informed consent agreement. Anesthesia is rarely needed, but sedatives and numbing agents may be available. The practitioner injects about one-tenth of a teaspoon of toxin into specific muscles of the forehead most often targeted for the effect. The person then rejoins the group.

Scott A. Greenberg, M.D., a board-certified plastic surgeon in Winter Park, Fla., has been hosting monthly "Botox Happy Hours" in his medical office since the drug's approval in April. Greenberg feels that these by-invitation-only events to previous patients "are an opportunity to treat a lot of people at one time in a relaxed but professional atmosphere." Greenberg says there is no difference between treating 10 people during individual office visits throughout the day and treating 10 people individually, but in a more socialized setting. "The important thing is that the identical standards of medical care are maintained at these gatherings as in a routine daytime office consultation."

Julianne Clifford, Ph.D., of the FDA's Division of Vaccines and Related Products Applications, explains that "Botox is licensed for marketing and distribution as single-use vials." This means that as packaged, "each vial is intended to be used for a single patient in a single treatment session." Botox does not contain a preservative against potential contamination of the product through repeated use of a single vial. Once opened and diluted, Botox must be used within four hours. Treating multiple people with one vial violates product labeling, which is stated on the package insert, the vial and the carton.

"We lose something when we mass treat," says Franklin L. DiSpaltro, M.D., president of the ASAPS. "One of my concerns is that these parties are a marketing tool--gathering as many patients as possible trivializes a medical treatment, which could deteriorate over time into a nonprofessional environment." DiSpaltro says there's more to medicine "than just dispensing drugs."

Schwallenberg, however, insists that "Dr. Greenberg was very professional. It wasn't a cattle call," she says. "And I don't think I'd go to a doctor I didn't know."

The FDA is concerned that Botox has the potential for being abused. The ASAPS recently reported that unqualified people are dispensing Botox in salons, gyms, hotel rooms, home-based offices, and other retail venues. In such cases, people run the risks of improper technique, inappropriate dosages, and unsanitary conditions. "Botox is a prescription drug that should be administered by a qualified physician in an appropriate medical setting," says Toombs.

Greenberg agrees. "Patient safety has to be of prime concern," he says. "People need to be in the right hands when complications arise." That's why Greenberg does not allow his staff to administer Botox treatments. Even the most skilled health-care providers, he says, can have complications as well as dissatisfied customers.

Although there is no chance of contracting botulism from Botox injections, there are some risks associated with the procedure. If too much toxin is injected, for example, or if it is injected into the wrong facial area, a person can end up with droopy eyelid muscles (ptosis) that could last for weeks. This particular complication was observed in clinical trials.

Other common side effects following injection were headache, respiratory infection, flu syndrome, and nausea. Less frequent adverse reactions included pain in the face, redness at the injection site, and muscle weakness. These reactions were generally temporary, but could last several months.

While the effects of Botox Cosmetic don't last, still, people don't seem to mind repeating the procedure every four to six months in order to maintain a wrinkle-free look. Battling the signs of aging in a non-invasive way, after all, is part of the allure of the product--that and the fact that there are no unsightly scars, and that there is very little recovery time with the procedure.

The FDA recommends that Botox Cosmetic be injected no more frequently than once every three months, and that the lowest effective dose should be used.

BOTOX History

2007-04-30T01:12:00.000+09:00

BOTOX History

The German physician and poet Justinus Kerner called botulinum toxin "sausage poison", or "Canadian bacon pathogen" as this bacterium often causes poisoning by growing in badly handled or prepared meat products. He first conceived a possible therapeutic use of botulinum toxin. In 1870, Muller (another German physician) coined the name botulism, from Latin botulus = "sausage". In 1895, Emile Van Ermengem first isolated the bacterium Clostridium botulinum. In 1944, Edward Schantz cultured Clostridium botulinum and isolated the toxin, and, in 1949, Burgen's group discovered that botulinum toxin blocks neuromuscular transmission.

By 1973, Alan B Scott, MD, of Smith-Kettlewell Institute used botulinum toxin type A (BTX-A) in monkey experiments, and, in 1980, he officially used BTX-A for the first time in humans to treat strabismus. In December 1989, BTX-A (BOTOX) was approved by the US Food and Drug Administration (FDA) for the treatment of strabismus, blepharospasm, and hemifacial spasm in patients over 12 years old. The cosmetic effect of BTX-A was initially described by the Carruthers, a dermatologist/ophthalmologist husband and wife team working in Vancouver, Canada, although the effect had been observed by a number of independent groups. On April 15, 2002, the FDA announced the approval of botulinum toxin type A (BOTOX Cosmetic) to temporarily improve the appearance of moderate-to-severe frown lines between the eyebrows (glabellar lines). BTX-A has also been approved for the treatment of excessive underarm sweating. The acceptance of BTX-A use for the treatment of spasticity and muscle pain disorders is growing, with approvals pending in many European countries and studies on headaches (including migraine), prostatic symptoms, asthma, obesity and many other possible indications are ongoing. BOTOX-A is manufactured and sold worldwide by Allergan Inc

Botox is manufactured by Allergan Inc(U.S)for both therapeutic as well as cosmetic use. The formulation is best stored at cold temperature of 2-8 degrees celsius. Dysport is a therapeutic formulation of the type A toxin developed and manufactured in the UK and which is licenced for the treatment of focal dystonias and certain cosmetic uses in many territories world wide.

Botulinum Toxin Type B (BTX-B) received FDA approval for treatment of cervical dystonia on December 21, 2000. Trade names for BTX-B are Myobloc in the United States, and Neurobloc® in the European Union

Underarm Sweating

2007-04-30T01:06:00.000+09:00

If underarm sweating is significantly interfering with your daily activities and topical agents haven't worked, you may be a candidate for BOTOX® treatment. First, understand how this condition may affect you. Then schedule a visit to a dermatologist to discuss products and treatment options that are right for you.

Get answers to your questions about severe underarm sweating:

Self-Assessment - Print this question to help you explain to your dermatologist how severe underarm sweating affects your daily activities
What Is Severe Underarm Sweating? - Learn more about severe underarm sweating, including its causes and impact
How Is the Condition Diagnosed? - Find out what to expect when you visit the doctor
Treatment Options - Learn how severe underarm sweating is treated
Help Is Available — Talk to Your Dermatologist - Schedule a visit with your dermatologist today to discuss severe underarm sweating
Find a Doctor - Use this tool to find a doctor near you who treats this condition

Treating Frown Lines

2007-04-29T23:55:00.000+09:00

FDA has　approved Botulinum Toxin Type A (BOTOX® Cosmetic) to temporarily improve the appearance of moderate-to-severe frown lines between the eyebrows. The FDA action allows the product's manufacturer, Allergan Inc., to market BOTOX® for this new indication. The drug previously was approved to treat two eye muscle disorders and a neurological movement disorder.

FDA APPROVES BOTOX® TO TREAT FROWN LINES
FDA today announced the approval of Botulinum Toxin Type A (BOTOX® Cosmetic) to temporarily improve the appearance of moderate to severe frown lines between the eyebrows (glabellar lines), a medical condition that is not serious. The product's manufacturer, Allergan, Inc., Irvine, California, is now allowed to market Botulinum Toxin Type A for this new indication.

Botulinum Toxin Type A is a protein produced by the bacterium Clostridium botulinum. When used in medical settings as an injectable form of sterile, purified botulinum toxin, small doses of the toxin are injected into the affected muscles and block the release of the chemical acetylcholine that would otherwise signal the muscle to contract. The toxin thus paralyzes or weakens the injected muscle.

BOTOX® was first approved in December 1989, to treat two eye muscle disorders (blepharospasm and strabismus) and in December 2000 to treat cervical dystonia, a neurological movement disorder causing severe neck and shoulder contractions.

In placebo-controlled, multicenter, randomized clinical trials involving a total of 405 patients with moderate to severe glabellar lines who were injected with BOTOX® Cosmetic, data from both the investigators' and the patients' ratings of the improvement of the frown lines were evaluated. After 30 days, the great majority of investigators and patients rated frown lines as improved or nonexistent. Very few patients in the placebo group saw similar improvement.

In these studies, the severity of the glabellar lines was reduced somewhat for up to 120 days for those patients who received BOTOX® Cosmetic. Most of the patients in the study were female, and the majority was under 50 years old. It is recommended that BOTOX® Cosmetic be injected no more frequently than once every three months, and the lowest effective dose should be used.

The most common adverse events following injection were headache, respiratory infection, flu syndrome, blepharoptosis (droopy eyelids) and nausea. Less frequent adverse reactions (less than 3% of patients) included pain in the face, redness at the injection site and muscle weakness. These reactions were generally temporary, but could last several months.

Because BOTOX® Cosmetic is a prescription drug, it must be used carefully under medical supervision.

BOTOX® Cosmetic Treatments

2007-04-29T23:51:00.000+09:00

Migraine treatments (migraine headaches)
Blepharospasm treatments (eyelid spasm)
Facial spasm treatments
Hyperhidrosis treatments (excessive sweating)

BOTOX® injections, a simple and non-surgical procedure whereby very low doses of a natural purified protein are placed into specific muscles, relaxes the muscles and prevents contraction. BOTOX® injections create only minimal and temporary discomfort, which is greatly reduced by the use of a topical numbing cream. The procedure takes 5 to 10 minutes, and you can return to work or daily activities immediately. Results of BOTOX® injections are noticeable in a few days, and last for several months.

For aesthetic purposes, BOTOX® Cosmetic is FDA-approved for the treatment of glabella lines (frown lines between the eyebrows) and is also commonly used to prevent or treat horizontal lines on the forehead and crow’s feet around the eyes. Using his advanced knowledge of facial anatomy, Dr. Hoenig also is able to perform BOTOX® Cosmetic treatments into less common sites to create a mini-browlift, reduce lip lines, relax vertical neck muscle bands, or to aesthetically improve other features of the face.

BOTOX® Cosmetic treatments for aesthetic enhancement are not covered by insurance. In some cases, medical insurance will pay for part or all of the costs of functional BOTOX® treatments if the condition to be treated is considered reconstructive, disabling or interferes significantly with the quality of your life.

Migraine Treatments – By relaxing the muscles in the face and neck that press on nerves, BOTOX® injections can successfully treat a majority of patients suffering from migraine headaches. In fact, in clinical studies nearly 18% of patients that received the placebo (injection without medicine) complained of headaches, compared to only 13% of patients receiving BOTOX® treatments.

Blepharospasm Treatments (Eyelid Spasm) – Blepharospasm is caused by an uncontrolled nerve signal in the brain that stimulates the eyelid muscle. BOTOX® injections of the eyelid muscles can easily treat the muscle spasm that causes contraction or twitching of the eyelids.

Facial Spasm Treatments – Facial muscle spasm (also referred to as hemi-facial spasm, as it occurs on one half of the face) results in contraction or twitching of the face. It can be triggered by abnormal nerve regrowth after Bell’s Palsy or by irritation of an artery as it exits the brain. Facial spasm is easily treated with BOTOX® injections to relax the muscles.

Hyperhidrosis Treatments – Excessive sweating (hyperhidrosis) of the face, palms, underarms, or feet can be inconvenient and embarrassing, and may portray anxiety, worry, or lack of confidence. BOTOX® treatments are effective in limiting the over-secretion of the sweat glands.

Botox® Cosmetic in Los Angeles

2007-04-29T23:43:00.000+09:00

Aesthetic Laser Care

Michael P. Lafkas, M.D.
Long Beach, CA 90803

Dr. Jeffrey M. Sage MD 1127 Wilshire Blvd.
Los Angeles
MedDerm Associates

Michelle Pelle, M.D.
San Diego, CA 92103

Aesthetica Skin Care Clinic

Melita Moelleken, RN, FNP, MHS
Santa Barbara,

Botox Cosmetic Treatments IN NEW YORK

2007-04-29T23:40:00.000+09:00

Dr. William Schwartz / Dr. Phyllis Weingarten 4 Medical Park Drive
New York Metro, Pomona

Sadick Dermatology and Aesthetic Surgery
Dr. Neil Sadick
911 Park Avenue
New York, New York 10021

DermaNetwork.org
Irvine Headquarters
Saratoga Springs, New York 12866

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Headquarters, Irvine
Buffalo, New York 14201

What are some of the risks of bargain injectables

2007-04-29T23:36:00.001+09:00

What are some of the risks of bargain injectables
Botox parties have been a staple of many women’s social calendars for the last few years, the hope is that the specialist giving you your treatments is qualified and behaves in an ethical manner. Patients may have to pay with their health or even their lives if they mistakenly choose an unqualified, unscrupulous practitioner to administer wrinkle-fighting injectable treatments. It has been reported, although not frequently, that several cases have emerged of what has become an increasingly common problem -- illegal and unsafe drugs administered as cosmetic treatments by practitioners without appropriate training or credentials. In some cases there have been reports suggesting the individuals who have gone through these botched procedures might be suffering from botulism, but it turns out to be the result of something else.

Cases such as one reported in Fort Lauderdale, FL, have suggested that the individuals may have been injected with an unapproved substance, perhaps containing botulinum toxin or some other agent. There is more than 15 years of clinical research and experience with the therapeutic applications of botulinum toxin (type A) on millions of patients worldwide, and it has never produced a response of botulism when it has been used at recommended doses.

Botulism is very rare. According to several infectious diseases experts, the disease is contracted only by eating or being injected with living spores from the botulinum bacteria. This may occur by eating unpasteurized food or through a contaminated, open wound.

With the popularity of injectables, including Botox and other soft tissue fillers- it may have encouraged non-medical practitioners to obtain illegal substances and perform procedures under unsupervised conditions. Incidents reported have been documented where patients were seriously harmed by injections of non-medical grade materials. Patients are lured in with the promise of cheaper treatments, or with promises of "new, breakthrough" procedures.

The fact is that treatments such as skin resurfacing and Botox injections are medical procedures that need appropriate training and qualified judgment in order to ensure safety. Procedures should be performed in appropriate facilities by a properly qualified physician who has received the specific training in the particular procedure.

Botox temporarily blocks the impulses from the nerve cells to the muscles that cause frown lines and other dynamic wrinkles, smoothing out existing lines over time, preventing further development of wrinkles. Botox treatments may require repeated treatments to maintain the results. According to statistics nearly 2.8 million Botox procedures were performed in 2005, making it the United States most popular non-surgical procedure.

2007-04-29T23:27:00.000+09:00

- Botox
- Breast Augmentation
- Breast Lift
- Brow Lift
- Chemical Peel
- Chin Surgery
- Dermabrasion
- Ear Surgery
- Eyelid Surgery
- Facelift
- Facial Implants
- Hair Replacement
- Indications for Men
- Injectable Fillers
- Laser Skin Resurfacing
- Liposuction
- Microdermabrasion
- Nose Surgery
- Permanent Eyeliner
- Skin Management
- Skin Resurfacing
- Spider Veins
- Tumescent Technique
- Tummy Tuck
- Upper Arm Lift

Forehead lines, crow’s feet and frown lines between the eyebrows can by decreased or eliminated with the botox injections into the muscles around the eyes. This decreases the muscle activity associated with wrinkle formation.

Botox is the name for a drug made from botulinum toxin type A. Botulinum toxin is the bacteria responsible for a type of food poisoning called botulism. However, when botox injections are administered in very small doses, it blocks the release of the neurotransmitter acetylcholine, which helps transmit nerve impulses. Botox paralyzes the affected muscle, which relieves painful muscle spasms and tremors and helps control an embarrassing condition called hyperhidrosis (excessive sweating). Botox injections are probably best known for its use as an antiaging treatment because it smoothes wrinkles in the face and neck area.

Botox injections are used to treat patients with diseases that cause muscle spasms and tremors, such as multiple sclerosis and cerebral palsy; neurological conditions such as muscle spasms of the neck and shoulders (cervical dystonia), muscle spasms of the eyelid (blepharospasm), and muscle spasms of the face (hemifacial spasm); and hyperhidrosis. It has also been found effective in treating migraine headaches and leg stiffness/weakness (spasticity) in stroke patients.

Botox injections is injected through a hypodermic needle into the affected area. For example, in patients with hyperhidrosis, Botox is injected into the area where excessive sweating is a problem, such as the hands or underarms. For conditions that cause muscle spasms or tremors, the drug is injected into the affected muscles. In the treatment of migraines, Botox injections are injected into the forehead area. Botox is not a permanent treatment. Patients require many small injections during one session. Results may last anywhere from weeks to months before additional injections are needed

Patients who are receiving Botox injections to treat muscle spasms and tremors usually require physical or occupational therapy to maintain muscle mobility and strength. Some patients may experience some temporary weakness and discomfort in the treated area. Others may develop a resistance to botulinum toxin type A, but may respond to the type B form.

In addition to the benefits of botox injection surgery, make sure you understand its limitations.
• Don't expect perfection.
• Have realistic expectations. Botox injections can reshape your body, but not your life.
• Know the botox injection risks.
• Don't do it on the cheap. Pay what it takes for safe botox injections.
• Make sure your cosmetic surgeon is certified by the American Board of Plastic Surgery.
• Do your homework. If it sounds too good to be true, it probably is.
• Botox Injection
• Botox Injections

As the demand grows for cosmetic surgery, consumers must realize that all cosmetic surgery procedures carry risks. If you are thinking about having botox injections, become an informed consumer about the specific procedure and its risks. Select a qualified doctor. Have realistic expectations about the results and know the benefits and limitations of botox injections.

BOTOX

2007-04-29T23:23:00.000+09:00

Q. How long can I be treated with BOTOX®?

A. Treatment with BOTOX® can typically be repeated indefinitely. BOTOX® has been used for over 10 years worldwide. Acceptable safety in long-term treatment has been well established. There are a number of factors that can impact the long-term usage of BOTOX®. These include:

Appropriate muscle selection - Identifying and injecting the affected muscle can be difficult, complicated by the changing pattern of muscle involvement and progression of the disorder.
Adequate dosing - Changes in response may require dose adjustment.
Minimizing exposure to neurotoxin complex proteins1 - Botulinum toxins contain proteins. In certain circumstances, when foreign proteins enter the body, the natural response is to form antibodies to the protein. When antibodies are formed, the effect may be that one is no longer able to respond to the therapy. High doses and frequent injections of botulinum toxin have been linked to the formation of antibodies.Antibody formation with BOTOX® is rare. The likelihood of forming antibodies is reduced by having treatment no more frequently than about every three months. BOTOX® has only 5 ng of neurotoxin complex proteins per 100 unit vial, a relatively low amount of protein, which may help to further minimize the potential to form antibodies.

Q. Is BOTOX® a new treatment?

A. No. BOTOX® has been used for over 10 years in thousands of patients worldwide. The American Academy of Neurology, American Academy of Ophthalmology, and National Institutes of Health have recognized BOTOX® (Botulinum Toxin Type A) as a valuable treatment.

Q. Is BOTOX® right for me?

A. Ask your doctor if BOTOX® is the right treatment for you. BOTOX® should not be used during pregnancy, if you are nursing, or if you are taking certain medications. Only your physician can determine the best course of therapy.

The effects of BOTOX® may be increased with the use of certain antibiotics or other drugs that interfere with neuromuscular transmission. Ensure that your doctor is aware of any current medications you are taking. If you have any questions regarding the use of BOTOX® treatment, please consult your doctor.
Q. What side effects may be experienced when using BOTOX®?

A. All medications have some side effects. With BOTOX®, side effects are usually transient and mild to moderate in nature. Some people notice temporary weakness of muscles or discomfort at the injection site. Based on a recent study of BOTOX® in the treatment of blepharospasm, drooping of the eyelid occurred in 20.8% of patients. Other side effects may include eye irritation/dry eye/tearing/light sensitivity (10%), and superficial punctate keratitis.

Botox

2007-04-29T23:18:00.000+09:00

Botox treats wrinkles around your eyes and forehead, but it does carry some side effects. Find out who Botox is for and what to expect if you decide to undergo this procedure.
Time has etched lines in your skin. Some days you tell yourself your face has character. Other days, it seems more like aging.

If you're thinking of smoothing out those frown lines or crow's-feet, you've probably considered Botox — an increasingly popular nonsurgical treatment for facial wrinkles. Botox injections temporarily relax the facial muscles around wrinkles, making them appear less noticeable. But not all facial wrinkles benefit from Botox injections.

Botox

2007-04-29T22:29:00.000+09:00

Botox

Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum. In large amounts, this toxin can cause botulism, which you probably associate with food poisoning. Despite the fact that one of the most serious complications of botulism is paralysis, scientists have discovered a way to use it to human advantage. Small, diluted amounts can be directly injected into specific muscles causing controlled weakening of the muscles.

The FDA approved such usage in the late 1980s upon the discovery that Botox could stop ailments like blepharospasm (uncontrolled blinking) and strabismus (lazy eye). Cosmetic physicians have been using Botox for years to successfully treat wrinkles and facial creases. In April 2002, Botox gained FDA approval for treatment of moderate-to-severe frown lines between the eyebrows - called glabellar lines. However, Botox is often used for other areas of the face as well.

How Does Botox Work?

Botox blocks signals from the nerves to the muscles. The injected muscle can no longer contract, which causes the wrinkles to relax and soften.

It is most often used on forehead lines, crow's feet (lines around the eye) and frown lines. Wrinkles caused by sun damage and gravity will not respond to Botox.

How Is the Procedure Performed?

The procedure takes only a few minutes and no anesthesia is required. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect and it is best to avoid alcohol at least one week prior to treatment. Aspirin and anti-inflammatory medications should be stopped two weeks before treatment as well in order to reduce bruising.

How Long Does a Botox Injection Last?

The effects from Botox will last four to six months. As muscle action gradually returns, the lines and wrinkles begin to re-appear and wrinkles need to be re-treated. The lines and wrinkles often appear less severe with time because the muscles are being trained to relax.

What Are the Side Effects of Botox?

Temporary bruising is the most common side effect. Headaches, which resolve in 24-48 hours, can occur, but this is rare. A small percentage of patients may develop eyelid drooping. This usually resolves in three weeks. This development is usually caused by migration of the Botox and for this reason, you shouldn't rub the treated area for 12 hours after injection or lay down for three to four hours. There have been no allergies associated with Botox to date.

Who Should Not Receive Botox Injection?

Patients who are pregnant, breastfeeding or have a neurological disease should not use Botox. Since Botox doesn't work for all wrinkles, a consultation with a doctor is recommended.

Will My Insurance Pay For It?

Insurance coverage varies for Botox injections, depending largely on the medical necessity of your condition. Botox is not generally covered by insurance when used for cosmetic purposes. Check with your insurance carrier for coverage details.

2007-04-29T22:26:00.001+09:00

Botox

Botox is the number-one cosmetic procedure in the United States, with 3.8 million treatments in 2005. Botox was introduced in the late 1980s by ophthalmologists for treating optic muscle disorders. It was approved by the FDA for cosmetic use in 2002, helping millions of patients get rid of nagging facial lines and wrinkles.

Today, the variety of Botox uses includes ocular muscle spasms, problems with eye coordination, severe armpit perspiration, and as an anti-wrinkle treatment for crow's feet, frown lines, and to eliminate furrows in the forehead.

How Botox Works
Botox combats wrinkles that are created when nerve cells within the muscles beneath the skin release a chemical called acetylcholine. This chemical triggers a muscle contraction that creates wrinkles. The Botox product, medically known as Botulinum Toxin Type A, is an injectable compound that disrupts the release of acetylcholine which essentially paralyzes the muscle and stops the contraction. Results are fully evident within one week after treatment and remain for a minimum of three months.

Botox typically reduces wrinkles by 80 percent. Patients are typically between the ages of 35 and 60. Results vary among individual cases, and the results are temporary. You will need to plan for additional injections, depending on your long-term treatment goals.

The Botox Procedure
Botox injection is performed in the doctor's office, usually without anesthesia. However, a numbing cream may be applied to the treatment area. Patients may experience some minimal discomfort from the needle injection. Depending upon the extent of treatment, the procedure can take a few minutes up to 20 minutes. Generally, patients return home shortly after the treatment is complete.

The selection of injection points is critical to the success of the procedure. The points of injection are first scored with a marking pencil. The doctor may select numerous injection points for each location to be treated. These points may not be located on the wrinkle itself, but at the area where the muscle contracts. Antiseptic is also applied.

The doctor will then determine the amount of Botox to be used for the procedure.

The Botox filler is then injected into the marked points beneath the skin. The toxins in Botox fasten to the muscles' nerve endings, which inhibits the release of the chemical acetylcholine. This will stop the muscle contractions that wrinkle the skin.

Results are usually evident within one week and typically last about three to five months.

link

2007-04-28T18:44:00.004+09:00

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