2. Botox and Dermal Filler Training
Course
• Indian Academy of Facial aesthetics-Mumbai, 2
days course duration, fee structure-45000
• ILAMED-website: www.ilamed.com,course:
Fellowship in Aesthetic Medicine.
3. INTRODUCTION-BOTOX
• Botox is a drug made from a neurotoxin produced by
the bacterium Clostridium botulinum called
botulinum toxin. It is used medically to treat certain
muscular conditions and cosmetically remove
wrinkles by temporarily paralyzing muscles.
• Botulinum toxin is produced by Clostridium
botulinum bacteria. When a small amount of Botox is
injected into a muscle, it blocks nerve signals that tell
your muscles to contract. The effect is that it
temporarily weakens or paralyzes the facial muscles
and smooths or eliminates wrinkles in the skin for a
few months.
4. Uses
• Botox is used to treat cervical dystonia (severe spasms in the neck muscles). It is also used
to treat muscle spasms (stiffness) in the upper limbs (elbows, wrists, fingers) or lower
limbs (ankles, toes). Botox is also used to treat severe underarm sweating (hyperhidrosis).
•
• Botox is also used to treat certain eye muscle conditions caused by nerve disorders. This
includes uncontrolled blinking or spasm of the eyelids, and a condition in which the eyes
do not point in the same direction.
•
• Botox is also used to treat overactive bladder and incontinence (urine leakage) caused by
nerve disorders such as spinal cord injury or multiple sclerosis. It is also used to prevent
chronic migraine headaches in adults who have migraines for more than 15 days per
month, each lasting 4 hours or longer. This medicine should not be used to treat a
common tension headache.
•
• Botox Cosmetic is used to temporarily lessen the appearance of facial wrinkles.
•
•
5. Precautions
• an infection in the area where the medicine will be injected; or
•
• (for overactive bladder and incontinence) if you have a current bladder infection or if you are unable to urinate and you do not routinely use a catheter.
• amyotrophic lateral sclerosis (ALS, or "Lou Gehrig's disease");
•
• myasthenia gravis;
•
• Lambert-Eaton syndrome;
•
• a breathing disorder such as asthma or emphysema;
•
• problems with swallowing;
•
• facial muscle weakness (droopy eyelids, weak forehead, trouble raising your eyebrows);
•
• a change in the normal appearance of your face;
•
• bleeding problems;
•
• heart disease;
•
• if you have had or will have surgery (especially on your face);
•
• if you have recently used a blood thinner (warfarin, Coumadin, and others) or been treated with an injectable antibiotic;
•
6. WORKING OF BOTOX
• 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.
7. PROCEDURE
• Getting Botox 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.
14. Duration of Botox
• The effects from Botox will last three to six months.
As muscle action gradually returns, the lines and
wrinkles begin to reappear and need to be treated
again. The lines and wrinkles often appear less
severe with time because the muscles are
shrinking.
15. SIDE EFFECTS
• Temporary bruising is the most common side effect
of Botox. Headaches, which end in 24 to 48 hours,
can happen, but this is rare. A small percentage of
patients may develop eyelid drooping. This usually
ends within three weeks. Drooping usually happens
when the Botox moves around, so don't rub the
treated area for 12 hours after injection or lie down
for three to four hours.
16. Contraindication
• People who are pregnant, breastfeeding, or have a
neurological disease should not use Botox. Since
Botox doesn't work for all wrinkles
17. BRAND NAMES
• Botulinum toxin is sold commercially under the names:
•
• Botox, Vistabel, Botox cosmetic (OnabotulinumtoxinA or
botulinum toxin type A)
• Dysport (AbobotulinumtoxinA or botulinum toxin type A)
• Bocouture, Xeomin (IncobotulinumtoxinA or botulinum
toxin type A)
• Myobloc (RimabotulinumtoxinB or botulinum toxin type
B).
18. BOTOX IS STARTED AT
• There are many myths associated with botulinum toxin. Many
people have told me, we will start the injection when we turn 50
or 60 years. Truth is that everyone ages at a different rate and
everyone ages differently. Some people do not develop wrinkles
till very late in life whilst some women have wrinkles even in their
early 20’s.
•
• We all get lines on our face when we make expressions. For eg,
we all develop vertical lines in between the eyebrows when we
frown. With time, these lines become permanently etched on the
face and are present regardless of whether or not we frown. The
ideal time to start botulinum toxin injections would be before the
lines become permanent. So, if we have deep lines when we
make expressions but have no or minimal lines without
expression, the time is right for starting the botulinum toxin
injections. So, depending upon how your face ages, you may start
the injections at anytime, even as early as in the 20’s.
19. COST OF BOTOX IN INDIA
• Most people are pleasantly surprised when they
hear the cost. The crows feet would cost about
Rs.6000 a session. Given that it needs to be
repeated in 6 months, that translates to Rs.1000 a
month. This often is much lesser than the amount
of money one would spend on a facial. The upper
face including the frown complex, crow’s feet and
forehead would cost Rs.15,000 to Rs.18,000 per
session.
