BOTOX COSMETIC® is the formulation of botulinum (a neuromodulator) which is a purified protein injectable that is Health Canada and FDA-approved for the temporary treatment of frown lines. The injectable has also been approved for use by Health Canada to reduce or eliminate forehead wrinkles and crow’s feet (wrinkles near the lateral aspect of the eyes). It is also commonly used to treat prominent muscle bands in the neck.
BOTOX® works by blocking the nerve impulses and temporarily relaxing the muscles responsible for wrinkles, giving the skin a smoother, more refreshed, and youthful appearance.
DYSPORT AESTHETIC™, just like BOTOX COSMETIC® is a formulation botulinum toxin type A, a neuromodulator that is Health Canada and FDA-approved. Similar to BOTOX®, DYSPORT® improves the appearance of moderate to severe frown lines (forehead wrinkles) as well as crow’s feet by temporarily reducing the movement the muscles that are responsible for them.
Before & After photographs shown on this site are actual patients of Dr. James Lee who have given their permission to have their photos published online. They are for illustrative purposes only; individual results vary. We do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery.
2. Ideal Candidates
Generally, candidates for BOTOX® and DYSPORT® treatment include healthy individuals (between the ages of 18 and 70) with realistic expectations who would like to temporarily improve:
- Wrinkles in the upper third of the face, including the forehead and glabellar region (“frown” lines) and lateral canthal lines (“crow’s feet”).
- Mild wrinkling of the face.
3. The Procedure
Injections are performed in an outpatient setting and require no form of anaesthesia. Although no anesthesia is required, a numbing cream is applied to the more sensitive areas to make the procedure almost painless.
BOTOX COSMETIC® or DYSPORT AESTHETIC™
is injected directly into the muscles responsible for dynamic wrinkles (i.e. temporary wrinkles that appear during facial animation, such as frowning or squinting). A very fine needle is used to minimize pain associated with injection.
The procedure takes approximately 10-20 minutes, depending on the number or areas being treated and the effects of the injection last for approximately 3-6 months.
4. PRETREATMENT PREPARATION
Dr. Lee will perform a thorough medical evaluation during your preoperative consultation to ensure that you are medically fit for BOTOX® or DYSPORT® injections. He will also revise your medication list, as certain medications may need to be temporarily stopped prior to injections.
Since the procedure is done as an office procedure, no recovery time is needed, and patients can return to work or other activities immediately. We recommend that you do not lean/bend over for the first few hours post-injection and do not rub or massage the treated areas after your procedure in order to avoid having the BOTOX® or DYSPORT® migrate to other area of your face
BOTOX COSMETIC® injections become fully apparent within 5-7 days and typically last for 3 to 6 months, with most individuals gradually returning to their former state. Dr. Lee will likely recommend BOTOX COSMETIC® be repeated every 3 to 4 months.
On the other hand, patients receiving DYSPORT AESTHETIC™ injections may see results as soon as 24 hours post injection. The average time for patients to see results is 3 days and these results generally last up to 4 months.
6. RISKS AND COMPLICATIONS
BOTOX COSMETIC® injections are a very safe procedure. However, as with any type of intervention, there are some associated risks/complications. These include:
- Bruising and pain at the injection site
- Flu-like symptoms
- Temporary facial weakness or drooping
As for DYSPORT AESTHETIC™ the associated risks/complications include:
- sore throat
- injection site pain
- upper respiratory infection
- sinus infection
- eyelid ptosis (drooping)
NOTE: To minimize the risk of this temporary complication, DO NOT rub or massage the treated areas after your procedure in order to avoid having the BOTOX® migrate to another area of your face and causing the temporary unwanted relaxing of a neighbouring facial muscle.
A very rare complication that can occur when BOTOX® is injected into the neck and subsequently spreads beyond the treatment area; this can result in botulism like signs and symptoms, which may include: breathing problems, difficulty swallowing, muscle weakness, and slurred speech.
Dr. Lee will thoroughly discuss these risks (and possibly others) with you and answer any questions you might have prior to obtaining your consent for surgery.