BOTOX BETHESDA | WASHINGTON DC | FAIRFAX |
Botox, Xeomin and Dysport are classified as neurotoxins.
They offer temporary wrinkle relief most efficiently in the upper third of the face (forehead,
eyebrows and eyelids) for upwards of 3-5 months.In the greater Washingtion D.C. Virginia, Maryland
area, our practice boasts the longest clinical experience with facial botox, dating back to
1983. Dr. Perman was a member of the clinical investigation group at UCLA Medical Center when
oculinum toxin was a research drug prior to its attaining FDA approval. Dr. Perman has taught numerous physicians, both in the U.S. and abroad in the techniques of
neurotoxin injections. Patients seek out our expertise for treatment of facial
Botox is one of the many
trade names for the neurotoxic protein called botulinum toxin. This toxin is produced by the
bacterium Clostridium botulinum. In large doses, the protein causes botulism, a rare paralytic
illness often linked to food poisoning.
However, when used in cosmetic medicine to treat moderate to severe brow furrow (glabellar lines),
uncontrolled blinking, lazy eye, wrinkles, and facial creases, this protein has shown many successes.
These procedures use a small amount of diluted botulinum toxin that enables controlled weakening of
Botulinum toxin is sold commercially under the brand
names Botox, BTXA, Dysport, Myobloc, Neurobloc, Xeomin, Botox Cosmetic, and Vistabel.
Botox is widely used for non-cosmetic medical procedures in addition to cosmetic use.
Botox is used to treat writer's cramp, cervical dystonia, excessive sweating, achalasia
(an esophagus problem), chronic pain, neuropathy, and migraine
How does Botox work? Botox works to relax the contraction of muscles by
blocking nerve impulses. The result is muscles that can no longer contract, and so the wrinkles
relax and soften. It usually takes two to four days to see cosmetic improvement and the effects
tend to last from four to six months. Most patients require retreatment to remove wrinkles and
lines as they begin to reappear, but after each injection the wrinkles return less severe as the
muscles are trained to relax.
How is Botox
administered? Botox procedures do not require
anesthesia and usually take just a few minutes to perform. The protein is injected into the muscle
using a fine needle in order to minimize discomfort and maximize accuracy. It is recommended that
patients avoid alcohol for about a week before the procedure. In order to minimize bruising,
patients should stop using aspirin and anti-inflammatory medications about two weeks before
treatment. For cosmetic procedures, a study published in Dermatologic Therapy found that men need a
higher dose of Botox than women.
Is Botox better than a
face-lift?According to the
American Society of Plastic Surgeons, whether Botox gives better results than a facelift
(surgery) depends on the age of the patient. People in their 30s who have had limited exposure
to sunlight usually show signs of aging in their eyes and temple area first, with crow's feet
and some bulging of the eyelid. As they have not lost much volume at this point, fillers or
Botox usually smooth out the lines that people want to get rid of.
When people enter their 40s the middle of the face
starts to shift as the cheeks lose some of their fat and laugh lines set in. The cheeks become
deflated towards the end of the 4th decade, and the jowls start to sag. A combination of Botox
as well as minimal lifting procedures will provide the best results.