Botox®

Botulinum Type A (Botox®) is the most popular non-surgical anti-ageing treatment for lines and wrinkles worldwide.
Ageing is associated with the development of wrinkles and furrows on the face. These lines may develop as a result of weakened dermal collagen from sun exposure, gravity and smoking, and/or due to facial muscle action on the skin.
Botox® relaxes the muscles that cause these lines, so softening them and smoothing the overlying skin.
The typical areas to treat are: 'Frown Lines' between the eyebrows, 'Crows Feet' smile lines, and horizontal forehead lines (worry lines).
Injection into all of these areas has shown to be very successful with excellent results lasting on average between 3-5 months.
Olga Nazarov, PA-C, also treats other areas of the face, neck, excessive sweating (hyperhidrosis) and teeth grinding (bruxism).
Do the injections hurt?
Because the needle is so fine, most patients find that the injections only cause mild, temporary discomfort.
How many treatments will I need?
Repeat treatments are usually needed about every 3-4 months to maintain the best results. Clinical trials report that some patients, who have had repeated treatments for some time, only need treatments once or twice a year to maintain good results.
The effects of Botox® start gradually after a few days, with maximum effect at 14 days onwards. Working the muscles for 2 hours after treatment can help speed up the onset of effect.
Possible side effects:
Side effects of this treatment are rare. Mild localized bruising and redness may occur. Very occasionally, a temporary drooping of the eyebrow or eyelid can happen, but this resolves in a few weeks.
Rarely, a transient numbness may develop in the treated area. An extremely rare side effect may be generalized weakness and fatigue. In one study less than 3% of patients experienced any of these complications. Finally, any injection carries a small risk of infection. Please inform the treating Clinician of any medication that you are currently taking.
If you are pregnant or breast feeding the treatment is not recommended.
Please note that Botox® is a licensed product made by Allergan. There are other  FDA Botulinum Toxin Type A products, such as Xeomin and Dysport to name a few.