Frequently Asked Questions
Most reputable practitioners and aesthetic clinics charge by the unit of Botox ®, so the total cost depends on how much and how many areas you'll be having treated. The cost of Botox ® & Dysport also varies as some patients require more in each area because of gender differences, muscle mass differences etc
When phoning around to compare Botox ® & Dysport prices, it is important that the clinic quotes the amount of Botox ® or Dysport units you will be receiving if they quote per area. It is best to compare the price per unit as the clinic may quote you R900 per area but only inject 15 units in that one area- a suboptimal dose especially for the glabellar area- (the "11" area on the forehead). If suboptimal doses are given, the duration of effect of the Botox ® & Dysport will be much shorter than the usual 3 to 4 months. The more units are given, the longer the duration effect of the Botox ® & Dysport.
At Body Renewal Clinics we charge from R 80.00 per unit of Botulinum Toxin.
We do not quote per area as the amount of units differs in each patient - male and female. Generally, men need approximately 1,5 times the amount of Botox® or Dysport that women need as men have a larger muscle mass.
The usual quotation is approximately 20 units per area but with an experienced injector, if all 3 areas are injected in one session, less Botox ® or Dysport units may need to be injected eg 45 to 50 units for 3 areas as opposed to 60 units (20 units per area). Men would need 1,5 times the amount of Botox ® or Dysport. Keep in mind that the less units injected, the less the duration of effect. This is why it is so important to know exactly how many units you have received for each area.
Baby Botox or Dysport "Baby Bo" as it is known in Hollywood is coined when less units are injected intentionally (usually in women) so that the duration of effect is much shorter allowing actors to have their facial expressions back sooner for a new role. This usually involves 40 units of Botox ® or Dysport for 3 areas (in a woman) and this amount is only expected to last 8 to 10 weeks as less units are given.
The amount of Botox ®or Dysport units differs amongst patients as some patients require more Botox or Dysport because of:
- larger muscle mass eg men
- facial expression differences, some people have a dead pan face whilst others have very expressive faces
- recruitment of other facial muscles outside the norm after Botulinum Toxin has been given
- biochemical differences have to be taken into account; for example patients taking a lot of fat burners appear to metabolize Botulinum Toxin much faster and have a much shorter duration of action of their Botulinum Toxin cosmetic treatment
- badly sun damaged skin changes the amount of Botulinum Toxin units needed .
All of these above mentioned criteria will be assessed by the attending doctor before he or she administers Botulinum Toxin and this is why it is so important to choose a clinic where the doctor focuses on aesthetics and administers Botulinum Toxin to at least 5 to 10 patients a day. A doctor can only claim to be experienced in the administration of Botulinum Toxin after at least 1000 patients have been injected. At Body Renewal all NEW patients MUST make a follow up appointment to see the doctor 2 weeks after the initial injection to assess final result. Additional injections may be needed to attain a perfect result. This will be charged accordingly if more than 2 to 4 units are needed for a top up.
On the Upper Face: For a chemical brow lift , Botulinum Toxin, relaxes dynamic frown lines between the brow, on the forehead and the wrinkles around the eyes. Botulinum Toxin makes you look less worried, angry, or tired, and more relaxed, approachable, and confident.
For the Lower Face: Botulinum Toxin, when used in small dilutions in a controlled fashion by a skilled physician with extensive experience, can cause a chemical jowl lift and decrease a permanent mouth frown, a very undesirable effect.
To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles, dynamic and static lines or wrinkles.
Dynamic lines or wrinkles are those wrinkles and lines that appear when your face is animated.
Static lines or wrinkles are those facial lines that are evident even when our face is at rest and are due to volume loss and are better treated with dermal fillers. These two types of wrinkles are what separate Botulinum Toxin from any of the injectable fillers.
Botulinum Toxin is for dynamic wrinkling. It is a muscle relaxing agent so it will soften the wrinkles and lines that occur from a dynamic facial movement, such as between the brows with frowning….or the crow' s feet from smiling… or around the mouth from excessive pursing of the lips. With ageing, this repetitive motion the skin starts to show strain and deep folds and tiny wrinkles start to develop. Botulinum Toxin will also help prevent a mouth frown by relaxing the muscles that exert a downward pull to the mouth.
Alternative cosmetic uses of Botulinum Toxin on the décolleté: Botulinum Toxin, when used in small dilutions in a controlled fashion by a skilled physician, can cause a modest chemical bust lift by decreasing the effect of chest muscles which pull the breasts down.
For the body: Botulinum Toxin injections also can be used to block chemical signals from nerves that stimulate sweat glands. See Botulinum Toxin underarms and Botulinum Toxin palms. For acne conditions: Botulinum Toxin when transdermed into the skin with a FDA approved machine, can decrease the secretion of sebum form the pilosebaceous unit, an important factor for acne conditions.
Another off label indication for Botulinum Toxin is for chronic migraine. Botulism Toxin is injected into fixed-sites in varying locations, including the forehead, temples and potentially extending into the neck muscles. According to Allergan, the manufacturer of Botulinum Toxin, Phase III clinical trials showed a significantly greater decrease in headache days among patients receiving Botulinum Toxin, compared with those receiving a placebo. There are numerous medical conditions for which Botulinum Toxin is used.
Botulinum Toxin is a purified botulinum neurotoxin type A complex, produced from a culture of the A strain of bacteria called Clostridium Botulinum Type A. Although the Clostridium bacteria cause botulism, the Botulinum Toxin facial extract does not. Botulinum Toxin has been used safely for over 15 years in the treatment of muscle disorders of the eyes and voice box, headaches, spasticity of the stomach, spasticity associated with cerebral palsy, and other neuromuscular disorders, in addition to its cosmetic indications.
When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated. All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.
You only have one opportunity to make an impression. First impressions are significantly influenced by facial expression. Research has revealed overwhelming data indicating that more attractive individuals receive better judgments and treatment from others. More recently, a US doctor has revealed from his research the positive impact Botox can have on first impressions.
With the millions of Botulinum Toxin injections that are performed annually, evidence and experience have shown that prolonged use of Botulinum Toxin over a period of 10 years does slow down the ageing process .If we can relax these facial expressions with Botulinum Toxin, then we can prevent the breaks in the skin, commonly known as wrinkles. If the skin is continually relaxed, collagen can build up in the area that is treated and the wrinkle will improve. Repeated Botulinum Toxin injections (every 4 to 5 months) will ensure a superior long term result as collagen is not depleted by the constant motion of our muscles.
Consumers are always interested in maintaining a youthful appearance, and as the global population's median age increases, this market is increasingly expanding. When we are younger, the brow and jaw line elevators are more prominent and the face appears constantly elevated.
As we age, the dynamics change and the depressors take over and combined with gravity, a gradual sagging of our brow and jawline takes place. If we can keep the dynamics between elevators and depressors neutral with strategically placed Botulinum Toxin injections every 4 to 6 months, then the sagging that occurs with ageing will be reduced.
Multiple clinical studies have shown that a modest elevation occurs in the range of 1 to 3mms which in the face can be a make a real observable difference. Once the Botulinum Toxin "kicks" in 10 days later, the face takes on a relaxed and refreshed look and one's face appears to glow.
In other words, an anti ageing effect is achieved because Botulinum Toxin relaxes the downward pressure that the depressor muscles exert on the facial tissues. This results in the elevator muscles of the face becoming more dominant, raising the brow and jawline and preventing the downturned mouth or mouth frown.
Botulinum Toxin Facial injections have become an essential ingredient in facial wellness, erasing frown lines and relaxing worried brows. Botulinum Toxin Facial is safe and effective and has been approved for cosmetic use by the FDA. Botulinum Toxin Facial has become the most commonly performed cosmetic procedure and has been used for more than 10 years in aesthetic practice and more than 20 years in neurology and ophthalmology. There are many publications supporting its use. It has a long and impressive safety record.
Botulinum Toxin Facial should be injected at a physician's office by an experienced and trained medical doctor with an intimate knowledge and understanding of the muscular anatomy of the face as well as the aesthetic implications of proper placement. The final outcome of a Botulinum Toxin procedure is very dependent on the experience of the injector. In addition Botulinum Toxin side effects will be minimized if done by a practitioner who has done over 1 000 procedures and who injects Botulinum Toxin cosmetic daily.
- Botulinum Toxin has been proven safe if administered by a trained medical professional
- Botulinum Toxin has been used worldwide in millions of patients since 1988
Usually you will have a mosquito-bite looking area for 20-60 minutes which resolves without a trace. Very occasionally, little red areas at areas of injection appear but resolve within a couple of days. Try not to fall asleep or relax in a recumbent position for at least 4 hours after a Botulinum Toxin procedure as this may rarely lead to some diffusion or spreading of the Botulinum Toxin Facial to adjacent areas and causing problems
Your regular skin care regimen can be resumed immediately following a treatment, and makeup may be applied if desired.
After having had Botulinum Toxin injections, exercise should be avoided for twenty four hours.
Try to avoid aspirin containing products or high-dosage vitamin E supplements for 48 hours before the Botulinum Toxin procedure unless medically necessary. Avoidance of these for 10 days prior to the procedure is recommended to avoid bruising.
Within 4 days of the treatment you should start to see an improvement in your lines and the final result only " kicks in" 14 days later. The result can last up to 4 months but varies from patient to patient and the initial amount of Botulinum Toxin given. Baby Botox is Botulinum Toxin given in 3 areas but in half the quantities of a usual procedure. This kind of Botulinum Toxin will only last 6 to 8 weeks and is useful in actors who need facial expression.
With repeated Botulinum Toxin treatments, the result of Botox injections can last for longer periods.
Some patients have a hyperactive brow and are constantly raising their brows. In these patients a shorter effect can be expected as the Botulinum Toxin is quickly "worked" out.
Yes, all skin types can be safely treated with Botulinum Toxin Facial.
Alternative uses of Botulinum Toxin to treat medical and surgical conditions. Botulinum Toxin is used to treat the following conditions amongst others:
- Hemifacial spasm
- Blepharospasm (Uncontrollable blinking) can result in the eyelids remaining completely closed all the time,causing functional blindness
- Spasmodic torticollis (Twisted neck; a forceful turning of the head to one side,a painful condition)
- Spasmodic Dysphonia (spasm of the vocal cords) resulting in interruption of speech
- Relief of spastic conditions of the hands in children with Cerebral Palsy and in Stroke patients so as to aid personal grooming
- Tremor of Parkinsons Disease and Multiple sclerosis
- Incapacitating pain due to Chronic low Whiplash
- Incapacitating pain due to back and neck pain Myofascial pain syndrome (Fibromyalgia)
- Chronic Tension headache
- Overactive bladder which results in frequent urination ,inability to retain urine and thus frequent "leaks"
- Clubfoot in babies a condition in which the heel and toes turn inward. Botox injections lengthens tendons by relaxing them, (previously treated by tendon lengthening surgery.) The club feet are then repositioned and stabilised in casts. This avoids the necessity of an operation to correct the defect.
- Stops drooling by blocking the salivary glands in stroke patients
- Relieves spasm of anal fissures, a painful condition Helps relieve prostatism in men, a common condition of ageing
- Relieves the spasm of Achalasia and osophageal sphincter problems that involve difficulty swallowing
- Clinical trials are underway for treatment of Obesity which involve injecting the stomach muscles which result in distention of the stomach wall and satiety (feeling of fullness)