Your Essential Guide to Botox, Dysport, and More
Doctor’s Note
Is Botox right for you? There’s a ton of options! Botox has become synonymous with “neuromodulators,” but there are several other effective alternatives (Xeomin, Dysport, Jeuveau, and Daxxify). Let’s delve deeper into the most common neuromodulators and how they differ!
What is Botox?
Botox, made from botulinum toxin, is a popular treatment to reduce the appearance of wrinkles and fine lines on the face. It's often used for frown lines between the eyebrows, forehead lines, and crow's feet around the eyes. Botox works by blocking the nerve signals that make facial muscles contract, which helps smooth out lines and wrinkles. Besides improving facial wrinkles, Botox injections can also treat other conditions like excessive sweating, overactive bladder, and chronic migraines. Many people choose Botox treatments because the results are noticeable and can last for several months. However, it's important to be aware of the potential side effects before deciding if Botox is right for you.
Common Botox Treatment Areas + Prices
Botox is commonly used to treat facial wrinkles and lines caused by repeated muscle movements. Common treatment areas include:
Forehead: Smooths horizontal lines from raising the eyebrows.
Between Brows ("11s"): Reduces vertical lines from frowning.
Crow's Feet: Reduces fine lines radiating from the eye corners.
Botox treatments are priced by either the unit or the treatment area:
By Unit: Price is based on the number of Botox units used (~$10 - $20 per unit in the USA).
By Area: Some providers offer set prices for specific treatment areas, such as the forehead or glabella, simplifying patient pricing.
The cost depends on factors like treatment area size, provider expertise, and location. Botox is typically performed every three months, so keep that in mind!
Botox Procedures Basics
Here's a simple overview of the Botox procedure:
Consult: You'll meet with a healthcare provider to discuss your goals and areas of concern.
Preparation: The provider cleans and marks the treatment area.
Injection: The provider injects small amounts of Botox into specific facial muscles.
Aftercare: You can resume normal activities but avoid rubbing the treated area or lying down for a few hours.
Results: Results appear in 7 - 10 days. Effects last around 3-4 months.
Common side effects include minor bruising, pain, swelling, redness, or temporary headaches.
Botox vs Dysport vs Xeomin and More!
What is the difference between these neuromodulators? All have the same core toxin (botulinum toxin A), but differ in their accessory proteins. These proteins can affect stability, onset, duration, spread, antibody formation, and more. This is up to your provider, but here is a basic summary:
So which neuromodulator should you get? The answer: follow the advice of your qualified injector. A skilled injector, who is well-versed in the nuances of these products, can assess your individual needs, taking into account factors like your skin type, the area of treatment, and desired outcomes. They have the expertise to recommend the most suitable neuromodulator based on their experience and knowledge of how these products work in different scenarios. While it's important to do your own research and be informed, the main point to consider is to trust and listen to your injector.
“My Botox Doesn’t Work Anymore”
Botox resistance is uncommon, happening in about 1.5% of patients. It can occur when a person's body makes antibodies against the toxin, making it less effective over time. This is more likely in people who get high doses or frequent treatments. Patients with resistance might notice that the treatment doesn't last as long or doesn't work at all.
To treat resistance, doctors usually switch to another neuromodulator. Xeomin is a popular choice because it has no proteins, which means it’s less likely to cause antibody formation.
How can minimize the risk of prevent resistance? By using the smallest effective dose and reducing the number of treatments. The newer neuromodulators (like Jeuveau and Daxxify) also include smaller proteins, less likely to flare the immune system.
Botox FAQs
Is Botox Painful When Injecting?
The level of discomfort experienced during Botox injections depends on both the patient and the injector. Most people describe the sensation as minor, similar to a small pinch. The needles used for Botox injections are very fine, which helps minimize discomfort. Overall, while individual sensitivity may vary, Botox injections are generally well-tolerated by most patients.
Can I Be in the Sun After Botox?
Patients ask us all the time “Can you go into the sun after botox?” And the answer is: avoid direct sun exposure for at least 24 hours. Sun exposure can increase the risk of bruising and swelling at the injection sites. Additionally, the heat from the sun can potentially affect the distribution of Botox. To protect your skin and ensure the best results, stay in the shade, wear a wide-brimmed hat, and apply sunscreen if you need to be outdoors.
Can I Get a Spray Tan After Botox?
It's best to wait at least 24-48 hours after receiving Botox injections before getting a spray tan.
Can I Sleep on My Side 24 Hours After Botox?
It is generally recommended to avoid sleeping on your side or putting pressure on the treated areas for at least 4-6 hours after receiving Botox injections. This allows the Botox to properly settle into the muscles without affecting its distribution. After this initial period, you can sleep on your side if comfortable. However, it's advisable to follow any specific aftercare instructions provided by your dermatologist to ensure the best results from your Botox treatment.
Can You Get Botox While On Antibiotics?
It's best to avoid Botox while taking certain antibiotics, such as “aminoglycosides” and “fluoroquinolones.” Aminoglycosides are only administered intravenously (I.V.), so unless you're getting Botox in a hospital, this won't affect you. There was a case report of a patient who experienced weakness after getting Botox while on a fluoroquinolone antibiotic. Be sure to tell your injector about all of your medications.
When Should I Get Botox Before My Wedding?
It is recommended to schedule Botox injections ~3-4 weeks before your wedding day. This timing allows the Botox to take full effect (~10 days) and any potential redness or swelling to subside. You may need a touch-up after this initial 10 day period, and this will allow your touch-up to take full effect before your big day!
How Often Should You Get Botox Treatments in Your 50s?
In your 50s, it's common to get Botox treatments every three to four months. The frequency can vary depending on individual factors such as the severity of wrinkles, the area being treated, and how your skin responds to the treatment. It's best to consult with your dermatologist or a qualified medical professional to determine the optimal treatment schedule for your specific needs.
Can You Use Retinol After Botox?
It’s best to wait 2 - 3 days after getting Botox before you resume active ingredients in your skincare routine.
Based on the keyword list, here’s a Botox-focused FAQ:
How Long Does Botox Last?
Botox typically lasts between 3 to 4 months. However, the duration can vary depending on factors such as the area treated, the individual’s metabolism, and the number of units used.
How Much is Botox?
The cost of Botox varies depending on the number of units required and the provider’s pricing. On average, Botox costs around $10 to $20 per unit, with most treatments requiring 20 to 60 units.
How Long Does Botox Take to Work?
You may start to see the effects of Botox within 3 to 5 days after treatment, with the full effect becoming noticeable after 10 to 14 days.
How Many Units of Botox for Forehead?
The number of units needed for the forehead can range from 10 to 30 units, depending on the individual and the specific areas being treated, such as horizontal lines or the glabella (the area between the eyebrows).
Can You Get Botox While Pregnant?
It is generally recommended to avoid Botox during pregnancy and breastfeeding due to the lack of sufficient studies on its safety during these periods.
Does Botox Hurt?
Botox injections are usually well-tolerated and cause minimal discomfort. The sensation is often described as a quick pinch or sting. Some providers may offer numbing options to further minimize discomfort.
What Not to Do After Botox?
After Botox, it’s advised to avoid lying down, exercising, or touching the treated area for at least 4 hours to prevent the Botox from spreading to unintended areas.
Can Botox Cause Cancer?
There is no scientific evidence linking Botox to cancer. Botox has been widely used for both cosmetic and medical purposes and is considered safe when administered by a qualified healthcare provider.
Can You Workout After Botox?
It is recommended to avoid strenuous exercise for at least 24 hours after Botox to prevent the product from migrating and to reduce the risk of bruising.
How Long After Botox Can You Lay Down?
You should avoid lying down for at least 4 hours after receiving Botox to prevent the risk of the product migrating to other areas.