Botox a fraud that increases the need for a facelift?

A doctor in India, Dr. Vijay Sharma states in a news story that Botox is a fraud.

He is quoted as saying “In the case of frequent use, the damage to the muscles may force a patient to undergo a face-lift at an early age. This scam allows for doctors and dermatologists to set themselves up for a steady income from their patients.”

We would like your response to Dr. Sharma which will be used in RealSelf.com news section.  Thank you.

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19 answers to “Botox a fraud that increases the...”

A: Perhaps "Dr. Sharma" should stick to his own "profession"

Christopher L. Hess, MD

The use of Botox to improve the appearance of rhytids of the periocular, glabellar and forehead regions has been proven safe and effective.  Moreover, the use of Botox in the perioral region could in no way lead to atrophied muscles and the need for a face lift.  Dr. Sharma clearly doesn't understand... more

A: Botox and facelifts

Brent Moelleken, MD

Wrinkles and an aged appearance result from repetetive use of facial muscles --smiling produces laugh lines and crow's feet.  Frowning creates frown lines.  Botox prevents those muscle actions from occurring excessively. We can learn from an experiment of nature - facial... more

A: Doesn't make sense

Steven Wallach, MD

Botox is mainly used for the upper 1/3 of the face.  So if the doctor's rational was correct he would imply browlifting.   However, in a relatively young patient in their 30's, 40's and sometimes 50's, Botox can help improve the wrinkles associated with muscle overactivity.  Yes, down the... more

A: Botox is not a fraud

David Shafer, MD

Tom, Dr. Vijay Sharma's statements sound more like sensationalism for himself and have no scientific merit. In fact, it seems to me that Botox has actually lowered the number of facial cosmetic procedures performed - although this is just my observation. It certainly has lowered the amount of forehead surgery... more

A: Use of Botox does not lead to earlier facelifts

Francisco Canales, MD

Tom, Since Botox is used mostly in the glabella, crow's feet and forehead area, I find the comments to make no rational sense.  Facelifts are mainly sought for issues of the lower face (jowls, neck) while Botox treats the upper face.  Whatever a patient has done to the upper face will not affect the... more

A: False sensationalism.

George J. Beraka, MD

Dear Tom, 1)  Botox has an excellent safety profile. 2)  Botox is extremely effective at temporary facial improvement ( lifting the eyebrows, lifting the corners of the mouth, relaxing neck bands, erasing wrinkles in the forehead and around the eyes, etc. ). 3)  There is absolutely no... more

A: There is no good reason to believe this

Richard P. Rand, MD

The dominant use of Botox is to block the frown lines between the eyes.  Other areas are of course treated but most are in the upper face.  Relaxation of these muscles should not have anything to do with early aging leading to premature facelift surgery.  If anything, I would expect the exact... more

A: Botox and Facelifts: You've got to be kidding!

Otto Joseph Placik, MD

Although Botox was initially approved in 1989, Botox csometic was approved only in 2002. We have barely 7 years of widespread use on which to verify or deny the claims of Dr. Sharma. A facelift is a procedure in which lax and ptotic (sagging) facial tissues are rearranged and brought back to a more youthful... more

A: wrong on several points

Richard Baxter, MD

That is certainly a provocative view, but unsubstantiated by anything I have seen published or presented at a scientific forum. Is Dr. Sharma suggesting that dermatologists are doing facelifts? The prevailing view, and the correct one is that Botox is a maintenance procedure used to put off the need for a... more

A: Oh Come on Now Dr. Sharma .....Get Real!

Robert Herbstman, MD

As you can see by the multitude of responses this assertion is silly.  The plastic surgery community as well as dermatologists, etc... have been injecting Botox for years.   The statistics indicate millions of treatments.  dont you think that an untoward effect potentiating the aging... more

Comments

Tom from RealSelf
480 posts
16 Jan 2009

Thank you for your responses. We've posted the story here: Doctor offering Botox calls it a fraud

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