In 2002, Botox, the brand name applied to Clostridium botulinum, the same bacterium that causes botulism, received approval from the Federal Drug Administration as a treatment for glabellar lines (frown lines) between the eyebrows. Used in small and diluted amounts, Botox causes a controlled muscular weakening by blocking nerve-to-muscle signaling. Once injected, the muscle in question no longer contracts, causing a relaxed, softened appearance. The treatment is not only applied to frown lines, but also to crow's feet and lines on the forehead.
Note that lines caused by gravity and sun damage do not respond to the treatment. Individuals who are considering having Botox injections should consult with a doctor prior to seeking the treatment. Those who are pregnant or nursing or who suffer from a neurological condition should not seek Botox injections.
The simple procedure is conducted in minutes with no anesthesia required. A fine needle is used, causing little to no discomfort. Within three to seven days the full effect becomes apparent and will last for four to six months until muscle action returns. There can, however, be a longer term effect from Botox injections. After multiple treatments lines generally begin to appear less severe naturally because the procedure actually trains the muscles to relax.
For at least a week before receiving a Botox injection the subject should avoid consuming alcoholic beverages. For two weeks no anti-inflammatory medication or aspirin should be used. This will reduce any bruising, which is the most common side effect. In some rare cases recipients have a headache for 24 to 48 hours. In some cases a drooping eyelid has been reported if the Botox migrates. The treated area should not be rubbed for at least 12 hours after application and it's best for the patient to lie down for three to four hours after the procedure. If a drooping eyelid does occur, it resolves in approximately three weeks.
If the use of Botox has a medical necessity, for instance the treatment of blepharospasm or uncontrolled blinking or to relieve strabismus, a lazy eye, medical insurance will most likely cover the procedure. For purely cosmetic reasons, however, it is not likely that the benefits of a health insurance policy will apply. It's best to check with your insurer prior to seeking Botox injections. On average, a single injection in the United States costs approximately $350. If the area in question requires multiple injections, for instance crow's feet around the eyes, expect to pay between $400 and $900 total. Treatment to the forehead may range from $600 to $1300. (Prices vary widely, but be sure you are dealing with a qualified cosmetic facility before agreeing to undergo a Botox injection.)
