Gina Randhawa, MD

Internal Medicine

Medical Weightloss

Facial Aesthetics


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Botox FAQs

Botox® Cosmetic has been in use for more than 20 years to treat medical conditions where overactive muscles require relaxation. Botox® is a safe and effective, purified protein injection that is used to improve the appearance of forehead worry lines, crow’s feet, frown lines between the eyebrows or other dynamic wrinkles. Botox® can also be used to treat excessive sweating (hyperhidrosis).

What conditions are successfully treated using Botox® Cosmetic?

Botox® is a proven method for treating fine lines and wrinkles on the forehead, near the eyes and between the eyebrows. These facial lines are dynamic wrinkles resulting from the pull of the facial muscles of expression. The lines can often make a person look older, tired or stressed. In the past not even plastic surgery could remedy these types of wrinkles. Botox® now allows an individual to age gracefully while looking their best. According to the American Society of Aesthetic Plastic Surgery (ASAPS) Botox® is the #1 requested nonsurgical procedure.

What is Botox® and how does it work?

Botox® Cosmetic is a purified protein that temporally relaxes the muscles causing wrinkles. It blocks the communication between the nerve impulse that controls muscle movement by restricting the ability to contract the facial muscle. Botox® does not affect the nerves responsible for sensation so there is no numbness or loss of feeling in the treated area. After injections the skin over the treated muscle becomes smoother with fewer wrinkles as the muscle relaxes.

The treated muscles begin to relax within days after the treatment, reaching their maximum degree of relaxation within 2-14 days. Treatments can last 3-6 months. Patients who want to maintain their appearance should return for regular maintenance treatments.

Does Botox® Cosmetic work for all types of wrinkles?

Not all wrinkles are dynamic wrinkles related to activity of the underlying muscles. Deep creases and skin folds, referred to static wrinkles are wrinkles that are still visible when the skin is lightly stretched between your fingers. These wrinkles are caused by loss of collagen, sun damage, and smoking. Static wrinkles respond best to dermal fillers such as Restylane. A combination of Botox® and Restylane can be used to achieve dramatic improvements for patients.

How long does Botox® Cosmetic last?

The effects of Botox® can last 3-6 months. Some patients who maintained their Botox® Cosmetic treatments reported results lasting 6-8 months.

What are the potential side effects?

Botox® has been in use for over 20 years with no reports of systemic reactions. Studies indicate, there have been no long-term complications or hazards associated with its use. Side effects such as bruising, mild headaches, flu syndrome and eyelid drooping are rare and always temporary.

What should I expect during treatement?

Botox® treatments are easy, quick and involve little if any discomfort. The area to be treated is first numbed with a cold roller or ice pack. The Botox® Cosmetic is injected with a very fine needle into the specific muscles that are causing the fine lines and wrinkles.

What is Severe Primary Axillary Hyperhidrosis?

Severe primary axillary hyperhidrosis, or severe underarm sweating, is a medical condition that involves hyperactive sweat glands. Sweat is your body's temperature regulator. In severe primary axillary hyperhidrosis, sweating significantly exceeds the body's normal requirements. Severe primary axillary hyperhidrosis often goes undiagnosed, misdiagnosed, and untreated due to lack of awareness.

How is Botox® used to treat excessive sweating (hyperhidrosis)?

Botox® is indicated for the treatment of severe primary axillary hyperhidrosis (severe underarm sweating) that is inadequately managed with topical agents.

Botox® treatment helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. The effects of Botox in treating hyperhidrosis can last 6-12 months.

Botox® is not a cure; your symptoms will return gradually, and you will know when the time is right for another treatment. Dr. Hulten will recommend a treatment strategy to ensure that you receive the best possible results with Botox® treatment.