Whoa, whoa, whoa…slow down there, Francesca. I know Botox has “tox” in the word, but it’s really and truly safe. Just in case my word’s not good enough, I asked some of the country’s top docs for their reassurance. Steven J. Pearlman, M.D., a cosmetic surgeon in New York City and former President of the American Academy of Facial Plastic and Reconstructive Surgery, explains that Botox has been safely used in cosmetic applications for 10 years and in non-cosmetic uses (like to treat facial ticks caused by Tourette’s Syndrome, for example) for over 20 years. Botox isn’t poison—it’s actually a purified protein produced by the Clostridium botulinum bacterium. This bacterium, when injected into a muscle reduces its activity and blocks it from contracting. When properly injected into a muscle, Botox does not enter into the bloodstream, explains Hema Sundaram, M.D., a dermatologist in the Washington, DC area. “However, if it did, the amount that enters the bloodstream wouldn’t affect your health, as the recommended dosages are only a fraction of a percent that could cause harm,” she asserts.
Botox is most commonly used to treat facial wrinkles, especially in the forehead and outer eye area (so as to eliminate crow’s feet), around the mouth (to treat frown lines). Botox can also safely and effectively treating hyperhidrosis, or excessive sweating in areas such as the underarms, the palms of your hands or the bottoms of your feet. When injected into the problem area, Botox will stop the area’s release of the chemical messenger acetylcholine, which will temporarily block the nerves in the underarm that stimulate sweating, temporarily reducing sweat production in the treated areas. Is blocking sweating safe? Yes, says Dr. Sundaram. “Because you sweat out of virtually every pore in your body, blocking a small fraction’s ability to sweat will not cause any harm,” she says. Being a particularly sweaty gal myself, I visited Dr. Sundaram for the treatment and, I gotta say, the results were incredible. It’s been a couple months now and I haven’t seen so much as a drop of wetness on my armpits. Of course, of course, thrilled (but my dry cleaner, not so much).
There are a number of potential side effects to Botox treatments. Since a needle is used in its administration, you may receive a small bruise at the injection site, and it will likely fade within a week. Dr. Sundaram says that true drooping of the eyelid is rare, and can best be avoided by seeing an experienced practitioner. Dr. Pearlman says that a more likely consequence of Botox is that in relaxing the forehead to smooth lines, the ability to raise your eyebrows may be eliminated. “For patients with heavy eyebrows or eyelids, they may actually need to hold their brows up to relieve heaviness from the eyes,” he explains. “In these patients, the brows may appear to fall from the treatment. This may be avoided by treating only the upper brow lines.”
The cost of Botox injections varies depending on the practitioner, but you can usually expect to be charged around $200-300 per facial area treated, and closer to $500-$100 for a hyperhidrosis treatment, as the areas treated are usually larger. As you should before you receive any cosmetic dermatological treatment, making sure you choose an experienced practitioner is essential. In my opinion, you should only see a cosmetic surgeon or dermatologist for Botox injections. Prior to receiving a Botox treatment, your practitioner will likely numb the area to be treated with a strong topical anesthetic, usually for at least 15 minutes. The treatment itself involves only minimal discomfort: it feels like a tiny shot, because that’s exactly what it is. After about a week following the treatment, you will notice the typical smoothed-out-skin results, which typically last from three to four months. Assuming you like the way it looks and are interested in having more once you notice the effects wearing off, getting back to the doctor sooner rather than later may be in your best interest, recommends Dr. Pearlman. “If the face is re-treated as soon as the muscles start to move, the facial muscles never regain their memory,” he says, adding: “After a number of re-treatments the interval you’ll need to go between treatments may become longer”.
Would I get Botox again? Absolutely. I think it’s miraculously effective for treating hyperhidrosis and, when applied judiciously to the face and neck by an experienced professional, it can make you look gorgeous, not scarily frozen. Would I encourage my friends and loved ones to do so? Yes and yes—in fact, I recently marched my own mother up to New York City to see Yael Halaas, M.D. for a Mother’s Day treatment. The results? Amazing. |