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Fillers & Injectables : Botox

The advent of Botox (BTX) for facial wrinkling in the early 1990’s revolutionized the approach to facial wrinkling.  The ability of this purified protein of botulinum toxin to smooth wrinkles associated with squinting and frowning was first discovered by a husband-wife, dermatologist-ophthalmologist team (Drs. Alastair and Jean Carruthers) and began what has become the most popular cosmetic procedure today. In fact, more than 13 million patients have received aesthetic BTX  treatment since 2002.

Dr. Linda K. Franks, who learned her initial techniques from the Drs. Carruthers, has treated patients with Botox since 1997. Areas indicated for treatment are precisely those facial features that tend to age first and most rapidly:  the dynamic wrinkles of expression in the eye area, frown, and forehead.  Also, excessive tension around the mouth, leading to chin dimpling, vertical lip lines, and marionette lines, is also addressed with Botox. 

The beauty of Botox is its “direct targeting of dynamic wrinkles caused by excessive muscle tone,” says Dr. Franks.  The ability to treat frown lines between the eyebrows is now a fifteen minute, painless office procedure, whereas these lines were once only treatable with major surgery.

Used on facial wrinkles, Botox generally lasts 3-4 months before it needs renewing. In some cases, Botox injections are used along with a filler such as Restylane or Juvederm, improving the longevity of both procedures.

This versatile BTX protein also targets sweat glands thus treating conditions of excessive sweating known as hyperhidrosis.  For patients with severe underarm sweating, the treatment is safe, painless, and effective, with no downtime.  Furthermore, the hyperhidrosis will not return for 9-18 months.

Ongoing clinical trials, along with research and development of other forms of the botulinum toxin protein will only improve the versatility and applications of this drug.  Botox has been used for the past two decades for muscle spasm as seen in certain medical conditions.

For more information on all aspects of treatment with BTX, see

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