Botulinum Toxin Injections -- Cosmetic

Botulinum toxin is made from a type of bacteria. It is toxic to the nerves. Another name for it is bacterial neurotoxin. An injection puts this toxin into muscle. There, it blocks the chemical signal from the nerves to muscles. This will decrease the muscle contraction (tightening). There are several types and brands of this toxin. Examples include Botox, Dysport, and Reloxin, which are formulations of botulinum toxin type A. Myobloc is another brand, but it is a formulation of botulinum toxin type B. These products are used for cosmetic and medical reasons. This injection process is often called botox injection , although any brand of the botulinum toxin may be used.

  • Call Your Doctor


    After arriving home, contact your doctor if any of the following occurs:

    • Difficulty breathing
    • Difficulty swallowing
    • Difficulty speaking
    • Severe lower eyelid droop or obstructed vision
    • Excessive weakness around the injection site
    • Rash or any other sign of an allergic reaction

    In case of an emergency, call for medical help right away.

  • Definition

    Botulinum toxin is made from a type of bacteria. It is toxic to the nerves. Another name for it is bacterial neurotoxin. An injection puts this toxin into muscle. There, it blocks the chemical signal from the nerves to muscles. This will decrease the muscle contraction (tightening).

    There are several types and brands of this toxin. Examples include Botox, Dysport, and Reloxin, which are formulations of botulinum toxin type A. Myobloc is another brand, but it is a formulation of botulinum toxin type B. These products are used for cosmetic and medical reasons.


    This injection process is often called
    botox injection
    , although any brand of the botulinum toxin may be used.

    Wrinkles
    frown line
    Copyright © Nucleus Medical Media, Inc.

  • What to Expect

  • Reasons for Procedure

    This is most commonly used as a treatment to smooth wrinkles on the face and neck. It is FDA-approved for the treatment of frown lines between the brows and the treatment of wrinkles at the outer corner of the eyes (crow's feet).

  • Possible Complications

    Complications are rare. When they occur, they are temporary and mild. Side effects are related to the site of injection. For example, if injections take place near the eyes, there may be complications with eyelids or the brow line.


    Temporary issues may include:

    • Redness
    • Bruising
    • Stinging around the injection sites


    The following are less common reactions. They are generally mild and do not last long.

    • Nausea
    • Fatigue
    • Flu
      -like symptoms
    • Headache


    Other complications that may occur include:

    • Excessive weakness of the muscle around the eyes—can cause drooping of the eyelids or obstruction of vision
    • Difficulty swallowing—can occur in patients receiving injections in their neck

    FDA Public Health Advisory for Botulinum Toxin


    There is a risk that the botulinum toxin could spread beyond the injection area. This can cause botulism symptoms, including difficulty breathing and death. These symptoms appear to be more common in children with
    cerebral palsy
    who receive the injection to treat spasticity. The warning is for
    Botox
    , Botox Cosmetic,
    Myobloc
    , and Dysport. For more information, please visit:
    http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm175013.htm
    .


    • This procedure may worsen nerve or muscle disorders, such as:

      • ALS
        (amyotrophic lateral sclerosis)
      • Myasthenia gravis

    The toxin can also interact with medicines, such as antibiotics. Tell your doctor about all of the medicines that you are taking.


    You should not have botox if you:

    • Have an infection or inflammation in the area where botox will be injected
    • Are sensitive to the ingredients in botox
    • Are pregnant or breastfeeding