Posted by Cosmetic Surgery Review on June 30, 2010
Botox injections continue to be among the most coveted minimally-invasive procedures for men and women who want a more youthful appearance, and were the number one nonsurgical cosmetic procedure performed at medical spas and cosmetic surgery centers in 2009, according to the American Society for Aesthetic Plastic Surgery.
Botox works to freeze the muscles that cause wrinkles, and also smooths out existing wrinkles to achieve a more youthful look.
Recent research from the Department of Psychology at Barnard College in New York City shows that Botox injections may also inhibit the individual’s ability to express emotions. According to researcher Joshua Ian Davis, PhD, a term assistant professor in the department of psychology, “For at least some emotions, if you take away some part of the facial expression, you take away some of the emotional experience…whether this is a benefit or a detriment depends on your goals.”
Researchers tested this hypothesis by reviewing video clips of patients after their injection with clips of videos of the patients before they received their injections. More research is still needed to validate the hypothesis, but researchers believe that there s significant evidence that suggests that certain muscle groups are closely linked to an emotional response, and that paralyzing these muscles can reduce the person’s ability to express their emotions properly.
Muscles that cause frown lines, smile lines and crow’s feet may be completely paralyzed with Botox injections, but can make it very difficult for the individual to convey happiness, sadness or anger at any given time.
People who do get Botox injections may be able to achieve a more youthful appearance, only because they can raise the brows and appear friendlier, kinder and happier. However, this is no indication that the person actually feels the same way on the inside.
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Posted by Cosmetic Surgery Review on June 18, 2010
Even though Botox injections are famous for reducing wrinkles and fine lines, the injectable also serves several off-label purposes, including the treatment of hyperhidrosis and migraines.
Researchers at Johns Hopkins University have published a study that indicates Botox may also be effective for weakening and paralyzing certain nerves and muscles in the body, and can therefore help those who are experiencing significant amounts of pain.
The study was published in the April issue of the Pain Medicine journal, and researchers point out that Botox is a safe, noninvasive alternative of thoracic outlet syndrome (TOS), which affects about 8 percent of the population. The current treatment for TOC involves removing the first rib and severing one of the muscles in the neck. It is also combined with physical therapy, anti-inflammatory medications, and other forms of surgery.
Paul J. Christo, M.D., M.B.A. and assistant professor of anesthesiology and critical care medicine at Johns Hopkins University School of Medicine and lead author of the study, points out, “There have been many alternatives to the use of surgery to treat this syndrome…Botox seems to be an effective treatment that avoids surgery’s obvious drawbacks, such as its invasive nature and long recovery time.” (Source: MedicalNewsToday.com)
Thoracic Outlet Syndrome is caused by a compression of nerves in the lower neck. When there is not enough room in the cavity between the base of the neck and the armpit for the nerves to function properly, the individual experiences severe pain that shoots down the arm, and in some cases, numbness or weakness. TOS can be the result of a car accident, sitting at a computer for long periods of time, or it can be the result of a sports injury.
Botox can be administered into the muscles over time to reduce the nerve impulses and improve functioning of the muscles and joints. Dr. Christo reports that many people who agreed to participate in the Botox study were able to enjoy some pain relief before going to the hospital for more extensive surgery.
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Posted by Cosmetic Surgery Review on May 7, 2010
Many patients undergoing Botox treatments typically head back to the cosmetic surgeon’s office every six to eight months for a touch up. However, a recent study by researchers at the Oregon Health and Science University shows that Botox Cosmetic can provide many wrinkle-smoothing cosmetic benefits after two years.
According to Roger A. Dailey, M.D., F.A.C.S., professor and Lester Jones Endowed Chair of oculofacial plastic surgery in the OHSU School of Medicine, “After two years of treatment at recommended intervals, patients can potentially cut the frequency, and thus the cost, of their Botox treatments by half.” Dr. Dailey presented the results of this study at a meeting of American Society of Aesthetic Plastic Surgeons in Washington, D.C. this past April. The research was sponsored by a grant from Allergen, Inc., the maker of Botox Cosmetic.
Researchers found that patients who began receiving injections between their 30s and 50s were able to prevent wrinkles from forming and also eliminated existing wrinkles – especially in the glabellar region. They found that those who received Botox Cosmetic injections every three months, and those that received less frequent treatments, had similar results.
Dr. Dailey reports, “we found that after the patient receives Botox Cosmetic injections every four months for two years, the frequency of the injections can be changed to every six months and still achieve good results…this demonstrates patients have the ability to achieve good results with broader treatment schedules and ultimately at a lower overall treatment cost.” (Source: MedicalNewsToday.com)
Botox continues to be among the most sought-after minimally invasive procedures in the United States. The treatment helps reduce the appearance of fine lines and wrinkles on the forehead and around the eyes, and has been approved by the U.S. Food and Drug Administration. It is currently available at hundreds of medical spas and aesthetic surgery centers around the country.
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Posted by Cosmetic Surgery Review on March 20, 2010
Botox currently has several off-label uses including treating excessive sweating, reducing the risk of migraines and helping patients with joint or arthritic pain.
The U.S. Food and Drug Administration has now approved Botox to treat spasticity in the flexor muscles of adults. Spasticity of the elbow, wrists and fingers is often the result of a stroke, brain injury or the result of progressive multiple sclerosis. The stiffness and tightness in the joints can interfere with daily activities and can affect how a patient looks.
Russell Katz, M.D. and director of the Division of Neurology Products in the FDA’s Center for Drug Evaluation and Research reports, “Muscles affected by spasticity have increased stiffness and tightness, which may lead to pain, difficulties with hygiene and other activities of daily living, and may affect how a patient looks…in clinical trials, treatment with Botox was found to be beneficial to patients with upper limb spasticity.” (Source: Medical News Today)
Botox has a positive effect on muscles that have been affected by spasticity because it blocks the connection between the nerves and muscles, temporarily paralyzing the spastic muscle. This helps relieve pain within seconds, and can help the individual enjoy improved range of motion in the joint.
While some of the side effects of Botox include spreading of the injection to an untreated site and symptoms similar to botulism, most people can benefit from the drug. According to Medical News Today, the most common adverse side effects reported by patients with upper limb spasticity were nausea, fatigue, bronchitis, pain in the arms and muscle weakness.
The side effects and overall effects of Botox are different for each individual, and the treatment must be administered by a certified and licensed medical professional. Treatment with Botox is not intended to be a substitute for rehabilitative care or physical therapy, so many patients will still need to undergo their regular treatment plans in order to achieve desired results.
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Posted by Cosmetic Surgery Review on March 1, 2010
Botox continues to be one of the most sought-after procedures for getting rid of fine lines and wrinkles and deep grooves in the forehead, but it also has several non-cosmetic uses. Over the years, many doctors have reached for this injectable for off-label purposes such as reducing excessive sweating, and even treating migraines. A preliminary study now suggests that botulinum injections can reduce the frequency of migraine headaches, and may be effective for treating migraine pain for the long-term.
A report published in the February issue of the Archives of Dermatology indicates that Botox injections can help to reduce the number of migraine episodes a patient receives, but may not be equally as effective for reducing the pain and pressure that many migraine sufferers experience.
Approximately 28 million Americans are affected by migraine headaches, and the pain can be severe enough to leave the sufferer severely debilitated for several hours. Researchers of the study reported very favorable outcomes when the sufferers received botulinum injections, and some reported a reduction in migraine pain approximately three months after treatment.
According to the study, migraine frequency was reduced from an average of 6.8 days per month to an average of 0.7 days per month. Patient with exploding headaches saw an average reduction in migraine frequency of 11.4 days per month to 9.4 days per month.
The authors of the study state that, “These preliminary data are intriguing, and our results provide support for the hypothesis that patients with migraine that is characterized by imploding and ocular headaches are more responsive to botulinum toxin type A than those with migraine characterized by exploding headaches…our findings invite consideration of using botulinum toxin type A injections to prevent migraine headaches and may promote the role of the dermatologist in the treatment of patients with migraine.” (Source: Archives of Dermatology)
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Posted by Cosmetic Surgery Review on January 8, 2010
The IAPAM will be hosting a series of training events for physicians at the Aesthetic Medicine Symposium in 2010, and physicians interested in learning the latest techniques in the field of aesthetic medicine will have the chance to take part in a physician-lead Botox training program.
As the number of patients seeking minimally invasive procedures such as Botox and other dermal filler injections continues to grow, more and more physicians are looking to hire licensed aestheticians to provide these services, or are undergoing training themselves so that they can administer treatments in their office. The IAPAM has integrated the key principles and clinical practices for administering Botox and other minimally invasive procedures, and will be hosting a hands-on practice on the best injection techniques during its training sessions scheduled in Scottsdale Arizona in February, March, April and June.
The Botox Training program includes a Botox/Filler Bootcamp series for physicians that have little or no experience administering Botox injections. According to the Aesthetic Medicine Symposium website, “Physicians will learn Dysport and Botox Injection Techniques, Protocols and Guidelines from a board-certified dermatologist. In addition, this 2-day program will combine the latest non-invasive medical aesthetic procedural training with proven strategies to successfully integrate them into your practice or open a new medical spa.”
The Advanced Botox and Dermal Filler training program provides physicians who have some experience with dermal fillers with 10 hours of intensive hands-on training. This two-day training session covers best practices for administering Botox Cosmetic, Juvederm, Restylane and Perlane. Each physician is scheduled to inject between 10 to 14 patients over the weekend.
In addition to completing hands-on training, the Aesthetic Medicine Symposium will give physician an opportunity to receive certification as an Accredited Member in Aesthetic Medicine, take home DVDs of the cosmetic training program, and receive one year of practice support.
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Posted by Cosmetic Surgery Review on November 21, 2009
A St. Louis resident experienced partial respiratory paralysis after receiving an overdose of Botox at the St. Louis University Hospital recently. He was being treated for muscle spasticity, and Botox was being used for one of its off-label purposes in this particular case.
The patient Richard Hart suffers from a medical condition that affects his neck, and reportedly received 300 units of Botox on August 20, 2007, 200 units on September 20, 2007 and 400 units on October 5, 2007. By the middle of October that same year, Hart reported breathing problems and difficulty swallowing. The effects continued, and resulted in blurred vision, muscle weakness and the partial paralysis of his respiratory muscles.
The lawsuit alleges that the doctor who administered the drug was negligent and did not accurately monitor Hart’s Botox doses. If the doctor had maintained the recommended dosage schedule, Richard Hart may not have experienced any of the side effects or had to deal with the eventual partial failure of his respiratory system.
Mr. Hart’s case is being represented by the Lowe Law Firm based in St. Louis, a firm that handles a variety of personal injury, medical malpractice, product liability and commercial cases throughout the United States. According to Jeff Lowe, one of the attorneys representing Dr. Hart, “Botulism is one of the most toxic substances known to man. My client suffers from botulism poisoning, a painful and terminal illness.”
The U.S. Food and Drug Administration has already taken a stand on the potential risks and dangers of Botox, requiring that a warning is added to the packaging of all botulinum toxin products. The FDA requires that the Botox warning label explains that toxins can spread from the injection site to other areas of the body, and that they may also be the cause of many symptoms associated with botulism.
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Posted by Cosmetic Surgery Review on November 10, 2009
The wave of Botox scams continue to appear across medical spas and cosmetic surgery centers around the country.
Administering counterfeit Botox is a federal offense, and many salon owners have lost their license and are looking at jail time and fees when they choose to use artificial products on their clients. Recently, Xin He, owner of a Bellevue beauty salon, was found guilty for injecting clients with counterfeit Botox and Restylane.
Prosecutors found evidence that the salon owner had falsely claimed that she was licensed to administer injectable treatments, and had been advertising the salon in the local Vietnamese-language newspaper. According to the story in the Komon News, two women suffered severe side effects from the unlicensed treatments they received at the salon, and one left with permanent scars and large lumps under the skin.
After further investigation, prosecutors found that the salon owner had also been administering other treatments that caused severe side effects. He had also been administering counterfeit Restyalne injections, another anti-aging dermal filler designed to correct fine lines and wrinkles. Investigators found evidence of counterfeit Botox on the property and the salon owner was eventually caught by an undercover agent. Investigators also searched the salon for evidence of any other drugs, and found several vials of drugs that have not been FDA-approved.
The sentencing is scheduled for December 18, 2009 and the salon owner will be facing about three years in prison and will need to pay a $10,000 fine.
In order to avoid Botox scams and counterfeit products, the American Society of Plastic Surgery urges consumers to verify the track record of salon owners and medical professionals who may be administering a treatment, and to look for evidence that the salon or center is licensed to perform certain procedures.
The average price of Botox is about $300 to $400+ per injection depending on the location, so any extreme discounts on Botox should raise a red flag.
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Posted by Cosmetic Surgery Review on September 27, 2009
Shoppers heading to the International Plaza in Tampa for their retail fix may soon be able to enjoy a quick Botox treatment between shopping rounds, thanks to the opening of the Venus Mini Med Spa.
This small boutique is designed to ‘do for Botox what LensCrafters did for glasses’, according to Bill Clarke, owner of the Venus Mini Med Spa boutiques. The med-spa will be tucked inside the mall for anyone who wants to get Botox injections without the hassle of booking a consultation, or even making an appointment.
Venus Mini Med Spa will be accepting walk-ins throughout the day, and offering free consultations for patients who simply want to learn more about their options for wrinkle removal. According to Bill Clarke, the Botox treatment takes only about 10 minutes, while other fillers will take about 20 minutes. The med spa in Tampa will be offering Botox injections for $200 per treatment, along with competitively priced dermal fillers.
One of the Venus Mini Med Spa locations has already opened in the Westfield Southgate Mall in Sarasota, and the owner reports that this particular location attracts an average of 18 clients per day. (Source: Tampa Bay Online) In addition to Botox and fillers, this location also offers Latisse eyelash enhancers, a topical treatment designed to speed up eyelash growth and create the appearance of thicker, fuller lashes.
The recession has encouraged many consumers to forego pricey wrinkle-fighting procedures such as facelifts, laser skin resurfacing and skin tightening treatments in favor of quick and affordable treatments such as Botox and dermal filler injections. Boutique med spas and even day spas that are rolling out Botox and Latisse at affordable prices give budget-conscious consumers a chance to enjoy immediate results without the hefty pricetag.
The Venus Mini Med Spa is scheduled to open by the beginning of October 2009.
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Posted by Cosmetic Surgery Review on September 5, 2009
Botox safety concerns have been in the media lately as dozens of patients report Botox abuse and the effects of bad Botox procedures from unqualified surgeons. While Botox is responsible for causing allergic reactions and adverse reactions in some people, it has been approved as a safe and effective treatment by the U.S. Food and Drug Administration, and does not intrinsically pose any major health risks.
Dr. Jean D. Carruthers, clinical professor of ophthalmology at the University of British Columbia, Vancouver, Canada explains that while there has been some recent animal research and cases reported about the negative effects of Botox, the injectable is still relatively safe when used for cosmetic procedures by a qualified professional.
The negative publicity that Botox has received is, according to Dr. Carruthers, minimal when you consider that thousands of men and women are still booking up procedures in major cities across the country in the midst of the ‘scare.’
Patients are advised to do some researcha bout the doctor or medical spa that will be administering the injection so they can trust they are receiving an authentic product, and not a Botox knock off.
Still, it can be difficult to determine if a knock-off product will be administered. Surgeons and nurses have been in the news lately for hiding information about the actual product they have administered, and even promoting the Botox brand and label but switching the product at the last minute.
While these are among the rare cases of Botox abuse, Dr. Carruthers believe that these types of stories get their fair share of the media spotlight, but the negative press and warnings about Botox may be over-sensationalized.
Researchers have published several studies that show that the injections are still safe to use on humans at their prescribed doses. Dr. Carruthers and her husband Alastair Carruthers, M.D. have been reviewing 851 Botox treatment sessions in 50 subjects as part of their own safety study, and are used to seeing only transient complications.
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