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Cosmetic
Procedures
Botulinum Rejuvenation
Botulinum rejuvenation is a procedure that can
erase years from the face or neck by reducing the appearance of
lines and wrinkles. Because the injections are quick, side effects
minimal, and the procedure does not generally require downtime, this
is one of the most popular cosmetic procedures in the United States.
Also Called
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Botox®
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Botulinum toxin
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Botulinum toxin type A
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Botulinum toxin type B
Signs of Aging Treated
In some cases, a dermatologist may inject
botulinum toxin into another area to help diminish signs of aging.
Botulinum rejuvenation also may be used along with another cosmetic
procedure to give you a more youthful appearance.
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Forehead line
before
botulinum rejuvenation |
After
botulinum rejuvenation |
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Deep vertical
lines between the eyebrows before
botulinum rejuvenation |
After
botulinum rejuvenation |
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From the collection of
Harold J. Brody, M.D.
(Reprinted with permission from American Academy of Dermatology)
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What to Expect During the Procedure
Small amounts of botulinum toxin are injected into the targeted
muscles. The botulinum toxin blocks nerve signals to these muscles,
which temporarily relaxes the muscle and diminishes the unwanted
lines. Each injection takes just a few seconds.
What to Expect After the Procedure
This procedure has virtually no downtime. Makeup may be applied
after the treatment, but avoid massaging or pressing on the area for
several hours.
When See Results from Botulinum Rejuvenation
Results are not immediate. You can expect to see the effects
about 3 to 7 days after treatment.
Effectiveness
This procedure effectively diminishes the appearance of lines on
the face such as crow’s feet as well as bands and lines on the neck.
Possible Side Effects
Botulinum rejuvenation is well-tolerated. Some patients may have
a temporary headache after injections in the forehead area,
especially after the first treatment. Soreness or mild bruising,
while uncommon, may occur around the injection site. In rare cases,
a patient may develop weakness in nearby muscles, leading to a
temporarily droopy brow or eyelid. All of these effects are mild,
reversible, and fade with time.
How Long Results Lasts
Generally, the results last about 3 to 4 months. As the effects
gradually fade, the muscle action returns and lines are seen.
Treatment can usually be repeated as the effects wear off.
What to Avoid Before Treatment
The following can increase your tendency to bruise:
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Alcohol (not be consumed for 48 hours before
treatment)
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Aspirin and products that contain aspirin (1
to 2 weeks before treatment)
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NSAIDs (Non-steroidal anti-inflammatory
drugs) These medications reduce pain, fever, and inflammation.
If you are taking a NSAID, do not stop taking it without
consulting with your doctor. But before receiving an injection
of botulinum toxin, be sure to tell your dermatologist if you
are taking a NSAID.
Other Key Facts You Should Know
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During your initial consultation with a
dermatologist, be sure to mention all of the medications,
vitamins, and herbal remedies that you are taking.
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While botulinum toxin causes botulism food
poisoning, you cannot get food poisoning from these injections.
Related Links
10 questions to Ask Before a Cosmetic Procedure
Botulinum Toxin (AAD pamphlet)
References:
Kaminer MS, Hruza GJ. “Botulinum A Exotoxin Injections for
Photoaging and Hyperhidrosis.” In: Kaminer MS, Dover JS, Arndt KA.
Atlas of Cosmetic Surgery, USA, W.B. Saunders Company; 2002.
p. 295.

All content solely
developed by the American Academy of Dermatology
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Ideal candidates for
botulinum rejuvenation share these traits:
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Young to middle-aged
man or woman
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Does not have severely
sun-damaged skin
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Wants to eliminate
lines and wrinkles on the face and/or neck
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