Botulinum Type A injections

Botulinum type A injections are by far the MOST POPULAR cosmetic treatments preformed nationwide, helping millions fight wrinkles & rejuvenate their appearance.

Botulinum toxin type A is an injectable neurotoxin, better known under brand names such as Botox®, Dysport®, and Xeomin®. Neurotoxin treatments are the most popular single cosmetic procedure in the U.S. and are mainly used to smooth dynamic wrinkles, or those wrinkles that form as a result of facial movements like frowning, squinting, smiling, and other expressions we tend to make day after day.

 Treatment works by blocking nerve impulses to the muscles, causing them to relax. As a result, your expressions soften and the dynamic wrinkles are greatly reduced. Other treatments for neurotoxin include its original approval by then FDA to treat migraine headaches.

We’ve now implemented muscle exams to detect trigger point pain which can be resolved by the injection of neurotoxin to release the painful muscle activity. It’s great to be able to both help clients look and feel better with these simple injections.
Botulinum toxin injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with Dr. Madden to discuss your concerns and goals.

Pre-treatment consultation

During your consultation, Dr. Madden will evaluate your area of concern and go over your medical history. Even though there is little risk of major complications for most patients, it is still imperative that you share your medical history fully and openly with your provider before treatment, as certain allergies, skin and neurological conditions, or medications can make treatment unsuitable for a patient. For instance, you need to tell Dr. Madden if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners.

What to expect at your appointment

Just before the actual treatment, you may be given a topical anesthetic to numb the area prior to injection, though many patients find this unnecessary, as the needles used to inject botulinum toxins are very thin and the injections are not very deep. Dr. Madden will reconstitute the botulinum toxin into a solution, and inject this solution into the muscle at strategic points. Most patients describe a pinching feeling during the injection, though not much pain.

You will be able to go back to your normal activities right after treatment, but Dr. Madden will ask you to take the day off from exercise or other strenuous activity, and to keep your head upright for the rest of the day. Mild redness, swelling at the injection site, and bruising are the most common side effects.

Following treatment, you will not see results immediately. This is expected, so do not worry that treatment hasn’t worked. Depending on the patient, product used, and area treated, final results are typically reached 3 to 7 days after initial treatments and up to two weeks later. If this is your first botulinum toxin treatment, Dr. Madden may initially inject a more conservative amount and touch up the results during a follow up treatment. This helps to ensure natural, optimal results without the risk of over-treating an area.

Please carefully read Dr. Madden’s pre- and post-care instructions to get the best, longest lasting results. 

How long do the results last?

The wrinkle-reducing effects from botulinum treatments will vary depending on the patient, the area treated, and the product used, but results will typically last anywhere from 2-4 months, with the average at 3 months. To maintain your results, Dr. Madden will simply repeat treatment, adjusting dosage and techniques as necessary to ensure optimal results.

How it works

BOTOX® is made from sterile Botulinum Toxin A, which prevents the contraction of muscles. In a simple office procedure a small amount of BOTOX® is injected into the muscle immediately beneath the wrinkle. Over the next few days the muscle becomes weaker and the overlying skin relaxes. This causes the wrinkle to soften and become less noticeable. In some cases the wrinkle completely disappears.
There is little discomfort and anesthesia is not required. Side effects are minimal, but may include minor redness at the injection site. There is no downtime and you may resume your normal daily life immediately after the treatment, though we advise refraining from exercise for 24 hours.

Please read Dr. Madden’s pre- and post-care instructions to achieve the best results. (Link to forms)

Areas it treats

The most commonly treated areas are those where muscle activity influences facial features, such as the following:

  • Glabellar lines (a.k.a. “elevens” or frown lines)
  • Wrinkles around the eyes, such as crow’s feet
  • Forehead creases
  • Corners of the mouth
  • A “cobblestoned” appearance to the chin
  • Bunny lines of the nose
  • Neckbands
  • Lip flip
  • Bulky massager muscle due to teeth grinding
  • Trigger point pain
  • Migraine headaches
  • Head, neck, face and/or TMJ pain

Types of botulinum injectables

Botox, Dysport, Xeomin, Jeuveau

Now you know that each of these products contain the same active ingredient: botulinum toxin type A, and are designed to address the same types of wrinkles and other cosmetic concerns. So how are they different? The main distinction lies in their formulation, which influences the dosage used, how much the product spreads, and how quickly a patient might see the results. For example, Botox is formulated with an accompanying protein. Dysport contains a smaller version of a similar protein, while Xeomin doesn’t contain an accompanying protein at all. All three products are FDA approved and have been used safely and effectively for years. Which of these products is best for you will depend on your unique anatomy, your goals, and Dr. Madden’s recommendations.

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