Botox injection is the most popular procedure in the United States. Bridges to Beauty offers Xeomin and Botox in Shreveport. How effective is Botox or Xeomin?

Botox Injection PictureEither type of neuromuscular blocker is effective in reducing facial wrinkles associated with muscle motions.

It’s remarkable the way Botox or Xeomin treat wrinkles of the forehead, glabella region (between the eye brows) and eyes.  However, three percent of the population can have a poor response.   In over 20 years, I’ve only seen two people who did not respond with their first treatment. We use both Botox and Xeomin in our Shreveport office.  I find Xeomin works very well  for those clients who have lost some ability to respond to Botox.

Botox usually last from 4 to 6 months.   Botox works by paralyzing the muscle that cause wrinkles in the overlying skin.  This reduces muscle contraction  as well as the underlying muscle tone which gives a relaxed appearance to the face.  A reduction in the appearance of wrinkles is dependent on the elasticity of the skin above the muscle.

What type of Wrinkles does it work on?  

I like to use the Ulmer Wrinkle Scale™ to catagorize the type of wrinkles for a client.

Wrinkles that are not “etched in” to the skin and  appear with motion (Type 2) have the best results. 

Etched in wrinkles (Type 3 and 4) are greatly improved with Botox because the muscle movement is eliminated.  It should be understood that people who have their wrinkles “etched” into the skin will usually get a 70% to 80% reduction in the appearance of the wrinkles.  Most are very satisfied with the result.

What type or area of wrinkles cannot be improved with Botox or Xeomin?  

Type 4 Wrinkles of the cheeks.  Also Botox nor Xenomin will not improve smile wrinkles of the cheek and cheek bones.  The muscles that promote these wrinkle are important in smiling.  Injecting this muscle will cause a lop-sided smile.  The cause of these wrinkles is the loss of elasticity of the skin.  In other words “the skin is more plastic than elastic”  (a result of aging and sun damage).  When smiling the skin in this region push up like a rug and folds on itself.  Treatments to promote elasticity will improve these wrinkles, Bridges to Beauty Elasticity Restoration Protocol.  

What is the procedure like?

Like any injection there is some discomfort.  Usually most people feel a stinging or pressure sensation upon injection.  The use of a topical anesthetic will minimize the discomfort in most people, especially around the eyes.  Applying ice to the area is also helpful.  Most people don’t use any thing.

In preparing for your Botox injection, it is important to avoid any medication that thins the blood for at least a week.  Aspirin, NSAID (Motrin, Aleve etc.) These medications increase your risk of bruising.

Some of the risk of Botox are

  • Bruising
  • Redness or numbness at the injection site
  • Headache
  • Muscle weakness that limit facial movement

Remember, the results are not immediate. Most people see results in 5 to 8 days, some sooner.  Most people will get a 80% to 90% reduction in their muscle movement.  I encourage another Botox injection when clients see a 50% return of motion.  By repeating at this time, studies show that most clients will start to extend the time between 7 to 9 months.  Some clients will take Zinc supplements (100 mg/day) for 4 days before to prolong the effect of Botox.