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This document has been prepared to help provide you with information about Botox® for anti-ageing, its risks, and alternative treatments. It is important that you read this information carefully and completely.

Introduction

Botox® is the brand name for Botulinum Toxin Type A. It is the purified form of the toxin and when injected in small doses into specific muscles, blocks the chemical signals that cause muscles to contract. When the muscles cannot tighten, the overlying skin appears smoother and less wrinkled.

Botox® has some common application sites:

  • Horizontal forehead lines Glabellar frown lines Lateral Canthal lines (commonly called Crows feet)
  • “Eye brow lift” – temporal brow lift
  • Nasal flare
  • “Face lift” – facial asymmetry
  • “Smokers face lines” – upper lip wrinkling (smokers lines)
  • “Nose correction” – nasolabial Folds
  • “Neck augmentation treatments” – treatment of the ageing neck Gummy smile

Botox® also has clinical application and it is often used to treat:

  • Migraines
  • Hyperhydrosis

What are the benefits of using this treatment?

The first benefit is that “dynamic” wrinkles that appear while you are moving your face, such as when you frown, are softened. The biggest advantage however to Botox® is its ability to remove wrinkles within 2 weeks and if post-procedure protocol is followed there are limited side effects.

The effects from Botox® will last three 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.

Alternative Treatments

There are countless anti-ageing treatment options available to the public. There are no real alternative treatments to Botulinum toxin type A, but for similar results, some substitute treatments can include:

  • Mesotherapy
  • PRP (platelet rich plasma)
  • Fraxel
  • Chemical Peels

Contraindications

It is advised that you do not undergo Botox® treatments should you be affected by any of these contra-indications:

  • Breastfeeding
  • Pregnant or planning on becoming pregnant
  • Infection at the planned injection site
  • Allergic to Botulinum toxin type A

Risks / Side Effects

There are no studies to suggest that there are long term risks associated with using Botox®. This does not mean that there is no risk involved with this treatment.

Common side effects include:

  • Redness
  • Bruising
  • Swelling
  • Localised pain
  • Headaches

Explanation /Procedure

Your skin type, skin thickness and degree of wrinkling all play a role in determining whether these injections are effective for you. The number of injections needed depends on many factors, including your facial features, the extent of the wrinkling and the specific area being treated.

No anaesthesia is required. However, your NoviSkin physician may choose to numb the area with a cold pack or anaesthetic cream. Discomfort is usually minimal and brief.

Your NoviSkin physician will inject, using a fine gauge needle, directly into the muscle causing limited pain. Results begin to show in a couple of days and develop gradually over the course of two weeks.

Mechanism of action

Botox® blocks the transmission of overactive nerve impulses to the targeted muscle by selectively preventing the release of the neurotransmitter acetylcholine (ACh) at the neuromuscular junction, temporarily preventing muscle contraction. This is primarily a local effect.

In clinical application, Botox® may also prevent the release of pain‐stimulating neuropeptides in peripheral nerves.

The effect of Botox® is generally temporary. Previous nerve impulse activity and associated muscle contractions resume over the course of a few to several months, depending on the individual patient and the indication for which they are being treated.

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