When and for how long does Botox work?

The initial effects of treatment become visible within 48 to 72 hours. The maximum effect is reached in about 1 to 2 weeks. Your facial expression will become more relaxed but by no means mask like. The overall effect is very natural.

The effect of treatment generally lasts for 3-6 months. Re-treatment is then required.

Who should not have Botox?

For safety reasons no pregnant or nursing females will be treated.

Patients with a history of neuromuscular disease (multiple sclerosis and myasthenia gravis) or other types of disease affecting neurotransmission should avoid this treatment.

Does the body make antibodies to the Botox protein?

Yes, especially if enough toxin is injected often enough. The crucial amount is several hundred units (much more than the usual cosmetic dosage) and perhaps if booster injections are given within one month of the initial injections. Antibodies have been more of a problem for neurological disorders where larger amounts of Botox are required. When sufficient amounts of antibodies are formed, the therapeutic effects of Botox are greatly reduced.

Have there been any reports of allergic reaction?

No reported cases of true allergic reaction have been reported.

Potential adverse effects?

You may get some local discomfort and bruising lasting a few days after the Botox therapy. This may be more prominent in patients taking aspirin or other blood thinning medication.

Other possible effects include:

Dryness of the eye, Brief visual disturbance, Temporary drooping or raising of the eyebrow or upper eyelid, Rash, Itching & Dry mouth

Drug interactions with Aminoglycoside antibiotics, Anaesthetics, Muscle relaxants.

How painful are the injections?

We use the very fines needles that are designed to cause as little discomfort as possible. Often we apply local anaesthetic gel if required.

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