Why Do So Few Dermatologists and Plastic Surgeons Admit Potential Eventual Pitfalls of Readily Injecting Botox? Doctor Answers, Tips
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Why Do So Few Dermatologists and Plastic Surgeons Admit Potential Eventual Pitfalls of Readily Injecting Botox?

Every action causes a reaction. I have experienced and witnessed "reactions" associated with Botox weakening muscles (no matter how expertly injected) causing eventual and lingering problems. Whether injected "correctly" in the forehead region, crowsfeet, or worst of all -- under the eyes, other muscles respond in kind. Botox may be great at the start, but ptosis, fat protrusions, assymetries, etc. can & do happen, leaving "customers" no fix other than costly procedures. Is it all about profit?

9 Doctor Answers | Asked by Lydia in NJ in nj/ny
+2

Complications of Botox

The potential complications of Botox or any cosmetic treatment should always be discussed before a treatment is performed. That said, in experienced and highly trained hands (e.g. dermatologist or plastic surgeon), the side effects you describe are thankfully quite rare and usually easily corrected.
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Botox,Dysport,etc:Medical Literature that lies

Recently a patient came to see me after being treated with Botox®. She could only open one eye and could barely smile. She looked more like she had a stroke than an aesthetic treatment. I called the physician who treated this woman, and found that he had used a unusually large volume of diluted Botox®. When I told him his dilution was far too large he says he had read dilution of Botox® did not matter. I told him this article was incorrect and the large volume of fluid he used caused the... more
+2

Informing patients is not easy....

Things that seem obvious to us, are not always so clear to patients.... Extensive information about treatments, possible side effects and alternatives should be done BEFORE a treatment is done. If not done properly disappointment is imminent. Experience will determine whether wrinkles are the result of activity or because of continuous tension on the muscle. Besides that, volume loss, gravity and loss of elasticity have an influence as well. Explaining those influences and the fact... more

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+2

Problems associated with Botox

I am a big believer in informed consent and explain all the potential risks and benefits of a treatment. Perhaps the reason I do not m ention those that you refer to is because I have never seen them in practice. The risk of complications will be lower with a board certiifed plastic surgeon or dermatologist who is experienced and knowledgeable about facial musculature rather than someone without that training.
+2

Are there frequent problems with Botox treatments?

When used properly the complications that you describe are very rare. I sense that you've had a bad experience with Botox which is very unfortunate. Ptosis, fat protrusion and asymmetry which you've mentioned are not common. Further, asymmetry can be readily treated with careful touch-ups of the Botox treatment. To answer your question, nearly every plastic surgeon and dermatologist uses Botox because it just works and it creates happy patients. If you've had a bad experience, I'd recommend... more
+2

Botox problems

Yes weakening does occur, sometimes in areas we don't want but none of the problems are permanent. I have not seen permanent ptosis, fat protrusion, asymmetries attributable to Botox. Aging does occur no matter what we do, Botox freezes muscle temporarily, it does not stop the clock. Blaming Botox for the aging process is not fair to the product.
+2

Botox works

I am always saddened to hear these questions as I think Botox is a 'slam-dunk' response to most aging foreheads. I think the biggest change since I started using Botox over 15 years ago is the concept of using less rather than more. I would prefer to see a relaxed face rather than a frozen one. Ask you injector to think about this concept. Good luck!
+1

Botox is the best treatment for crows feet and the glabellar lines

There are risks with all aesthetic treatments. As more off-label uses are discovered, the side effects may increase. Crows feet and the "11" creases between the eyebrows bother many patients and they are extremely happy when these lines are softened and Botox is the number one treatment for this area and the glabellar frown lines. Laser resurfacing tends not to help these lines related to underlying muscle contraction as the skin may look smoother for a few weeks but as the resurfaced skin... more
+1

Botox failurers

Your question is disturbing. I just have not seen nor even heard about these unwanted problems. Yours is a fairly unique event. I would question who your injectors have been. The subtle responses of associated zones can be eased by experienced treatment placement and patient selection.
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