Botulinum toxin, or Botox, is a protein compound secreted by an anaerobic bacterium that causes muscle paralysis. Wrinkles on the face are divided into two categories: active (Dynamic) and inactive (Static). Active wrinkles are those wrinkles that are caused by the contraction of facial muscles, and inactive wrinkles are wrinkles that can be seen on the face without muscle contraction. Botox is the best treatment for active wrinkles. By injecting small doses of this drug into the muscles, the wrinkles caused by the contraction of these muscles disappear. Botox is used to remove shallow forehead lines, frown lines and lines around the eyes. In addition to treating facial wrinkles, Botox is also used to treat excessive sweating on the palms of the hands, feet and armpit.
Botulinum toxin, or Botox, is injected into the affected area with fine insulin needles, so the patient will experience very little pain or discomfort.
Duration of action
Botulinum toxin or Botox injections take 10 to 15 minutes.
Botulinum toxin or Botox injections are given without the need for local anesthesia or anesthesia.
Inpatient / outpatient status
There is no need to be hospitalized after Botox injections.
Possible side effects
The feeling of temporary and very brief burning and bruising immediately at the injection site is a side effect of Botox injections.
No serious Possible side effects have been reported from Botox injections. Possible side effects of Botox use include:
- Bruising and transient swelling at the injection site
- Drug sensitivity
- Drooping eyelids
- Double vision (diplopia) and visual impairment
The risk of these complications is very low and if they do occur, they will improve within 2 weeks without the need for treatment.
Immediately after the injection of botulinum toxin or Botox, the patient is able to return to daily work, but the following care is required during the first days after the operation:
- Avoid massaging the injection site for the first 24 hours after the injection.
- There is a possibility of redness or bruising at the injection site, which can be minimized by allowing the patient to use a cold compress for up to 2 hours after the injection.
- Do not use creams or cosmetics on the injection site for 24 hours.
- Tell your doctor if you have severe swelling or itching at the injection site.
- Avoid alcohol for the first 24 hours after the injection.
The onset of action of Botox appears 3 days after injection and the maximum effect appears between 7 and 14 days after injection.
The duration of the Botox effect is between 3 and 6 months, and after 3 months, re-injection can be performed.
Dr. Gholam Hossein Ghorabi
Specializes in plastic, cosmetic and reconstructive surgery
Official member of the American Academy of Plastic and Aesthetic Surgeons (ISAPS)
Official member of Iranian Society of Plastic and Aesthetic Surgeons (ISPAS)
Tehran, Valiasr, above Mellat Park, in front of the Young Journalists Club, Corner of Ravanpour Street, Jam Tower