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Botox® Therapy- Botulimum Toxin

Ageing is associated with the development of facial lines and wrinkles which are often unwanted and distressing to a patient.

The production of these wrinkles is due to a number of different factors, which include:

  1. Normal ageing and sun damage
  2. Gravity
  3. The action of various facial muscles

Wrinkles on the forehead, frown lines between the eyebrows (glabella lines) and lines running down from the angles of the mouth (metal lines) are of particular concern to many patients as they not only accentuate an aged appearance, but also impart an air of grumpiness and aggression to the face.

These "lines of facial expression" are primarily due to the action of certain superficial facial muscles and can be reduced or eliminated by treatment with Botox®.

Botox® is excellent for the treatment Crows feet around the eyes and prominent wrinkles on the neck. (Platysmal Bands). Botulinum toxin therapy (also known as "BOTOX® therapy") is used to treat dystonia—a neuromuscular disorder that produces involuntary muscle contractions, or spasm—that affects muscles that control movement in the eyes, neck, face, voice box, or the smooth muscle in the bladder. The goal of the therapy is to reduce muscle spasm and pain.

This potent neurotoxin is produced by Clostridium botulinum, a bacterium that causes food poisoning (botulism). There are seven known types of C. botulinum toxin, but only types A (BOTOX® Cosmetic) and B (Myobloc®) are used as medical treatments.

Botulinum toxin (Botox®) has proven to be useful in the treatment of many forms of dystonia, including the following:

  • blepharospasm—forceful involuntary closure of the eyelids
  • strabismus—misalignment of the eyes
  • hemifacial spasm—sudden contraction of the muscles on one side of the face
  • spasmodic torticollis, or cervical dystonia—muscle spasm in the neck that causes the head to turn to one side, and sometimes forward or backward
  • oromandibular dystonia—continuous spasms of the face, jaw, neck, tongue, larynx, and in severe cases, the respiratory system
  • urinary retention—severe inability to urinate that requires catheterization
  • spasmodic dysphonia—spasm of the vocal cords that causes sudden disruption of speech
  • stuttering—repetitions of parts of words and whole words, long pauses, elongated sounds
  • voice tremor—quavering vocalization

Neurons generate new nerve endings that reactivate the dystonia, so improvement is not long lasting, and treatment is usually repeated every 3 to 4 months. Physical or occupational therapy usually is undertaken to stretch and restore normal muscle function. Some patients develop antibodies to the toxin over time, rendering the treatment ineffective.
Side Effects of Botox®

Botulinum toxin (Botox®) therapy is a safe and effective treatment when given in very small amounts by a qualified neurologist. Some patients experience temporary weakness in the group of muscles being treated. For example, ptosis (drooping eyelid) can develop after treating blepharospasm. Flu-like symptoms develop in some, but rarely.

The Nottingham Center for Cosmetic Surgery has a long standing reputation, and was featured on ITV's "Cosmetic Kids" in January 2004. We offer numerous cosmetic surgery treatments and non-surgical methods you may require, under highly qualified and experienced Surgeons. Consultation is given by highly experienced surgeon who is fully capable of determining whether you are a candidate for the surgery that you are asking for.

For a free confidential consultation with a qualified Surgeon or a free information pack, Freephone The Patient Information Service on the above number:

Consultations carried out Nationwide