Botulinum Toxin Treatments (a.k.a Botox)

February 6, 2017


8 Botox Questions Everyone Has on Their Mind


To the mass consumers, Botox seems to be the silver bullet that ‘beautifies’ patients and the ‘face’ of the medical aesthetic industry. This article aims to demystify some misconceptions / stigmas around “botox” and provide clarity on this widely acclaimed drug.



What is Botox (Botulinum Toxin)?


Contrary to popular belief, Botox is not a procedure. Botox, together with Dysport and Xeomin, are brand names for specific types of botulinum toxin. It is a neurotoxin produced by a type of bacteria called Clostridium Botulinum. This toxin is refined and injected in controlled doses and is effective at relaxing excessive muscle contraction. It is commonly used to correct facial expression lines and frown lines by blocking nerve impulses to the injected muscles.


There are three brands currently approved for use in Singapore:

  1. Botox by Allergan;

  2. Dysport by Ipsen and

  3. Xeomin by Merz.


Formulations, potency and approved doses vary among botulinum toxin products. Do be very careful of imitations or unapproved Botulinum toxins – go to a reputable clinic to get your treatment performed.



What do patients typically use Botox for?


•     Improvement of wrinkles, such as the glabella lines, forehead lines & crow’s feet

•     Lifting and reshaping of the eyebrows

•     Facial contouring

•     Reduction of Excessive Sweating


What should patients expect?


Majority of the patients end up satisfied with their Botox treatment outcomes.


Visible effects can take place within 3-4 days. We often recommend our patients to wait for at least 2 weeks to start seeing the optimal desired effects. The effects of Botulinum Toxin will gradually wear off over the next 3-6 months, before a repeat treatment may be necessary.


What about combination treatments with Botox and Fillers?


A growing trend in aesthetic medicine is for a combination therapy approach to improving facial appearance. Studies have suggested that these two treatments when combined provide synergistic effects. Dermal fillers work hand in hand with Botox injections by filling up the lost volume in sunken areas and redefining the overall facial structure. It is best to consult your doctor on the treatments suitable for you.



Is there any downtime for this procedure?


Botox is considered a “lunch-time” procedure where a patient can come in, perform the procedure and head right back to work. Botox injections can be done in less than fifteen minutes with minimal downtime. However, it is highly recommended for patients to avoid lying flat, performing strenuous activities, and massaging the treated areas for the next 4-6 hours.



Are Botox injections painful?


Botox injections need not be an unpleasant experience. There are various methods employed by doctors to reduce the discomfort, such as numbing the treated area with medication or ice.



Are there any side effects?


Botox has been used for cosmetic and medical purposes – such as the treatment of muscle spasms and neurological disorders. Millions of people have undergone Botox treatments with very few complications. It has an excellent safety profile under trained and professional hands. Most of the side effects are temporary and self-limiting - such as bruising, swelling and redness. Certain medications such as aspirin and painkillers can increase the risk of bruising – So please inform your doctor on any medication consumption prior to treatment.



Is it true Botox has been used for excessive underarm sweating?


Botox can be used for the treatment of sweaty underarms, as it blocks nerve signals that stimulate the sweat glands. Severe sweating is reduced when these glands fail to receive the signals. Please seek professional medical advice on Botox for sweaty underarms, for proper administration of Botox injections.

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