The active ingredient for BOTOX® Cosmetic, Dysport®, and Xeomin® is purified Botulinum Toxin Type A produced by the bacteria Clostridium botulinum.
BOTOX® Cosmetic, Dysport®, and Xeomin® bind with motor nerve terminals to inhibit the release of a chemical called Acetylcholine. When injected directly into a muscle the products produce a reversible decrease in the activity of that muscle and a reduction or elimination of the associated wrinkles.
Botox® Cosmetic is FDA approved for treatment of glabellar lines (the wrinkles between the eyebrows – also known as “number 11’s” and glabellar frown lines). Other common uses that are considered off-label by the FDA include treatment or prevention of forehead “worry” lines, crows foot wrinkles and perioral lines ("smoker's lines").
When used for wrinkle reduction the effects of BOTOX® Cosmetic and Dysport® are temporary with muscle function (and the associated wrinkling) usually returning within three to six months. To maintain their results, most patients schedule their repeat injections every three to six months. Dr. O’Connell refines the exact dosage and treatment points over time to optimize the aesthetic result for each patient.
Botox® Cosmetic can be an effective way to decrease the intensity and/or frequency of migraine headaches. Dr. O’Connell has appeared on Channel 8 television discussing this topic.
Botox® Cosmetic is used to treat hyperhidrosis (excessive sweating) and Dr. O’Connell has treated hyperhidrosis of the axillae (armpits), palms and soles of the feet with this product.
Dr. O’Connell believes that the ultimate aesthetic result obtained with neuromodulators and injectable fillers is dependent upon the training and skill of the injector. At Plastic Surgery of Southern Connecticut, Dr. O’Connell personally injects all neuromodulators and fillers.
Bunny lines are diagonal wrinkles across the bridge of the nose that sometimes are more prominent following treatment of other areas. Dr. O'Connell commonly treats bunny lines with neurotoxins.
Neurotoxins such as Botox® can be used to improve the appearance of a pebbled chin also known as cobblestone or golf ball chin.
In some people excessive exposure of the gum can occur with elevation of the upper lip creating the so called "gummy smile." This can be treated with a neurotoxin such as Botox® and is best left to an experienced injector.
A droopy nasal tip can be caused or exacerbated by muscle action and can be more noticeable with smiling. This can be treated with a neuromodulator such as Botox®, preferably, by a highly experienced injector.
Like all medical procedures, neuromodulators carry risks of complications. All cosmetic procedure carry risks and a thorough discussion of risks, alternatives and potential benefits is an important part of your consultation with Dr. O'Connell.