Botox Injections Brighton

Botulinum Toxin Type A (Botox) is produced by a bacteria called clostridia botulina.  The toxin is purified and processed to produce a sterile product suitable for specific therapies.

Once the diluted toxin is injected, it temporarily paralyses the muscle by preventing transmission of nerve impulses to the muscle.

It generally takes 2-7 days to take effect. A decreased appearance of frowning or creasing of facial lines is the expected result of treatment.  The duration of muscle paralysis generally lasts 3-4 months, but this will vary on the condition of the skin, area treated, amount of product injected, injection technique and lifestyle factors such as sun exposure and smoking.  Botulinum toxin should only be administered by medically qualified physicians with appropriate qualification and expertise in this treatment and having the required equipment.

Dr DeGiovanni is a Consultant Dermatologist who is experienced in the use of Botulinum toxin She only uses Botox, the original product and market leader. Botox has been approved to treat certain conditions including hyperhidrosis (excessive sweating), crossed eyes (strabismus) eyelid spasm (blepharospasm), cervical dystonia (muscle disorder of the neck) and motor disorders of the facial VII nerve.   Click here for more information on Botox

Botox for facial rejuvenation/ wrinkles Brighton

Botox  is approved for the cosmetic treatment of frown wrinkles and for the treatment of crow’s feet wrinkles around the eyes.  Other areas of the face that Dr DeGiovanni treats include the forehead, bunny lines around the nose, and smoker’s lines around the lips.

Botox cannot stop the ageing process but it can temporarily diminish the look of wrinkles caused by specific muscle groups.  Static facial lines, e.g. those due to sun damage, will not usually respond to treatment with botulinum toxin as they are not caused by muscle activity.

Botox for Hyperhidrosis in Brighton

Botulinum Toxin (Botox ) can be used to treat excessive sweating of the armpits.  The armpit area is cleaned with iodine and then starch powder is applied to highlight the main areas requiring treatment.  A series of injections is required in each armpit. Results can last 6-12 months. It takes a few days to work and many patients report a high satisfaction with this treatment.

Alternative treatments

Botox treatment is not appropriate for everybody and in certain circumstances it may be recommended that no treatment is performed.  If it is felt that Botox is not the right treatment for you this will be discussed at your consultation and treatment may be declined to avoid disappointment. Other treatments including surgical treatments, chemical peels, injection of fillers or other skin treatments may be appropriate.  Risks and potential side effects are associated with all treatments.

Potential risks with Botox injections

The majority of patients do not experience complications however it is important that you understand the risks, potential complications, and limitations of Botox injections.  If you have any questions please make sure you discuss them at your consultation. Further information is found in the package insert sheet.

Limitations of Botox treatment

Botox is unlikely to improve wrinkles that are present at rest (static wrinkles).

Incomplete block

It is possible that a complete block of the desired muscle is not achieved. Additional injections to reach the desired level of block can be performed until the goal is achieved.  A complimentary review is offered at 2 weeks to assess the response to treatment. As per manufacture guidance the Nuffield Health policy is that Botox is single patient, single treatment use and therefore if additional treatment is required this will incur the cost of the Botox vial.

Asymmetry

The human face and eyelid region is normally asymmetrical with respect to structural anatomy and function. There can be a variation from one side to the other in terms of the response to Botox treatment.  In some cases one of the eyelids may droop following treatment. This is usually temporary lasting up to 6 weeks and can be managed with eye drops.

Side effects of Botox treatment

In general, adverse reactions occur within the first few days after injection and are temporary. Most adverse events reported are of mild – moderate severity.

Allergic reactions

Allergic reactions, difficulty in swallowing, speaking or breathing have been reported.  You must report these symptoms urgently if they develop after treatment. During office hours please contact Dr DeGiovanni’s secretary on 01273 629065 or the OPD nurses at the Nuffield on 01273 624488  ext 7303. Out of office hours please contact your local A&E.

Drug interactions

The effects of Botox may be augmented by aminoglycoside antibiotics (e.g. streptomycin, gentamycin or neomycin) or other drugs that can interfere with neuromuscular transmission.

Antibody development

Too frequent or excessive dosing of botulinum toxin may increase the risk of antibodies in the blood which may lead to failure of treatment with botulinum toxin when used for this and other conditions.

Pregnancy and breastfeeding

Studies have not been performed to determine if Botox is safe in pregnancy or if it is excreted in breast milk. It is NOT recommended for pregnant women or nursing mothers to receive Botox treatment

Side effects related to injection

As expected for any injection procedure, pain, burning, stinging, swelling, bruising may be associated with this injection.

Common side effects (more than 1% of clients treated)

Headaches, drooping eye lid, skin redness, localised muscle weakness, face pain.

Bleeding and bruising

It is possible, though unusual, to have a bleeding episode following a Botox injection. Bruising in soft tissues may occur. Aspirin, anti-inflammatory medication, platelet inhibitors, anticoagulants, Vitamin E, Ginko Biloba, St John’s Wort and other herbal or homeopathic remedies may contribute to a greater risk of bleeding.  If not medically indicated, please avoid taking these for 10 days before or after Botox injections.

Uncommon side effects (0.1%-1% of clients treated)

Infection, anxiety, numbness, dizziness, inflammation of eyelid, eye pain, visual disturbance, nausea, dry mouth, skin tightness, swelling (face, eyelid, around the eyes) sensitivity to light, itching, dry skin, muscle twitching, flu symptoms, lack of strength, fever.

Infection

Infection is rare after Botox injections but can be treated with antibiotics.

After your treatment

After treatment avoid extreme facial expressions, alcohol consumption and applying make up for 24 hrs.  Avoid vigorous exercise for 48 hours.  Avoid extreme sun exposure, UV light, freezing temperatures and saunas for 2 weeks after treatment.

To make an appointment with Dr Degiovanni, or to seek advice on any aspect of dermatology, please visit our contact page.