Why do we use BOTOX®? Fort Worth, Mansfield, and Irving residents may have heard what seem to be a million tips on how to avoid getting wrinkles. A lot of the advice, like using sun protection and keeping your skin hydrated, can certainly help—but aging is inevitable. Even the most diligent hat-wearers and water-drinkers may still find creases beginning to appear on their foreheads or fine lines webbing out from the corners of their eyes.
Peter Damico, MD, sees BOTOX® as a simple, safe, and effective way to smooth out unwanted wrinkles, and he’s not alone. The injectable has been the most popular cosmetic procedure performed around the world for years, meaning doctors and patients alike daily rely on it to meet their aesthetic needs. Dr. Damico personally administers each BOTOX® injection at his practice, so patients coming to Skin Care Fort Worth know they are getting cosmetic care from an experienced and certified medical professional committed to aesthetic excellence and safety.
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The active ingredient in BOTOX® is a purified form of a neurotoxin that stops chemical signals from completing their journey from the brain to their target. The injectable has a variety of uses, many of them medical: Depending on where and how it is administered, it can stop excessive underarm sweating and more.
As a cosmetic, BOTOX® (onabotulinumtoxin A ) is used to prevent facial wrinkles by inhibiting specific facial muscles from moving. The FDA first approved it for cosmetic use in 2002, and it has grown in popularity ever since.
When certain muscles contract, they push the skin above into furrows and folds. Repeated use of these muscles, coupled with diminishing components that keep skin pliant and hydrated, begins to etch lines that become increasingly visible as time goes by. Every time you raise your eyebrows, wrinkle your nose, scowl, squint, or frown, you contribute to the formation of more lines.
These are known as "dynamic wrinkles," as opposed to "static wrinkles," which form as skin loses volume and dries out. Because the two types of facial lines have different causes, they require different treatment methods.
In terms of the dynamic wrinkles BOTOX® treats, the frontalis corrugator and procerus muscles on the forehead are active in conveying expressions that lead to horizontal creases across the forehead and glabellar lines, also known as frown lines. Repetitive motion of the orbicularis oculi muscles next to the eyes creates lateral canthal lines also known as crow's feet.
BOTOX® can relax these muscles, significantly reducing the appearance of the wrinkles they form. Surrounding muscles will continue to operate normally.
Peter Damico, MD, meets with each patient to talk about individual aesthetic goals and help determine the best treatment for achieving them. He examines skin condition and tone, muscle movement, and more to develop the ideal course of action. A patient may come in eager to try BOTOX®, but actually need a different treatment to get the desired look. Because of this, Dr. Damico recommends that anyone looking to rejuvenate their face focus more on what they want to accomplish than a specific product or treatment.
Those who are good candidates for BOTOX® will find that the injections themselves generally take only 10 to 15 minutes, and the results typically begin to appear within three to seven days as the targeted muscles lose their ability to contract.
Peter Damico, MD, draws on his experience, skill, and aesthetic sense to provide his patients with the results they want while preserving motion in the surrounding muscles so they can continue to display a range of motions and expressions. BOTOX® should not "freeze your face," especially when administered by a trained, licensed, and certified medical professional.
BOTOX® is not a permanent solution to wrinkles, though it can provide long-lasting results that can be continued with maintenance treatments.
You can expect the effects of BOTOX® to last up to four months, after which motion will gradually return to the treated areas as the effects fade away. Patients who get repeated injections to preserve their unlined look may find that less of the product is required to get the same aesthetic results in the future. There is some evidence that muscles may essentially be "trained" to relax, even in situations where contraction signals are freely received.
While side effects are possible, BOTOX® has a long track record of safety. The formula has been approved for cosmetic use in almost 80 countries around the world. BOTOX® has been administered millions of times since its successful clinical trials and subsequent FDA approval in the United States. It has been the subject of more than 400 peer-reviewed articles focusing on its safety and efficacy.
BOTOX® was first approved by the FDA for medical use in 1989, when it received the go-ahead for treating eyelid spasms and muscle problems that cause crossed eyes. Since then, scientists and medical researchers have continued to find beneficial uses for BOTOX®, using it to curb overactive bladders, reduce the number of migraines sufferers deal with each month, and ease spasticity in neck, leg, and arm muscles. Research continues on both the medical and cosmetic fronts. Some of the more recent applications studied include combatting depression.
Dr. Damico offers BOTOX® only for cosmetic use. Side effects that have been reported for its aesthetic applications include eyelid drooping (experienced by three percent of the patients in frown-line-based studies), eyelid swelling (experienced by one percent of the patients in crow's-feet-based studies), dry mouth, headache, blurred vision, and others. Dr. Peter Damico will answer any questions you may have about BOTOX® safety, effectiveness, and benefits.
BOTOX® is priced by the unit, and the number of units needed to achieve a person's personal aesthetic goal differs from patient to patient, determined by the types and number of areas to be treated. After determining the scope of the treatment at a consultation, Dr. Damico will discuss cost and other specifics. Note that cosmetic applications of BOTOX® are not covered by insurance.
BOTOX® is ideal for smoothing wrinkles, but, as noted above, its focus is on lines caused by muscle movements. Dermal fillers, such as Juvederm® and Radiesse®, are intended for reducing the appearance of static wrinkles—specifically, lines that form due to loss of collagen, hyaluronic acid, elastin, and other vital elements in the skin. These fillers add volume of varying amounts where needed, typically in the face. Radiesse®, which has the added benefit of stimulating fresh collagen production, can also be used to give hands a more youthful texture.
Many BOTOX® patients find that they have aesthetic concerns in addition to wrinkles, including volume loss and skin tone. Voluma®, a filler in the Juvederm® line, can temporarily restore a youthful roundness to areas of the face where a loss of fat has contributed to sagging skin and sunken hollows. Chemical peels and microneedling are options for people looking to reduce the appearance of scars, fine lines, and more over their entire face.
When used together as desired, these treatments can give patients a rejuvenated appearance that also looks balanced and natural.