Am I a candidate for Botox treatments?

If you’re thinking about having Botox injections, be clear about what you want to achieve. It is important to understand the advantages and disadvantages of cosmetic surgery and be realistic about the results. Patients should realise that Botox does not actually erase lines but instead relaxes them.

if you missed the first part click here. What you need to know about Botox Part 1

Botox is given to people from a wide range of ages (around 18-65 years). The best candidates for cosmetic Botox treatments are usually healthy men and women who are concerned about facial lines and wrinkles and are eager to gain a more rested and/or happier appearance.

When should I not have Botox?

Botox injections are not recommended if:

• You have a skin infection
• Are pregnant or breastfeeding
• Are under the age of 18 years
• Have previously reacted to the Botulinum toxin A
• To treat Ptosis (drooping eyelids)

It should be used cautiously for:

• People at risk of bleeding, including people with blood clotting disorders, or who are taking medications that can thin the blood
• People with extreme weakness or wasting in muscles e.g. patients with a history of Strokes.
• People with breathing problems
• Very thick facial skin
• Deep facial scars

Pre-treatment Tips:

1. Stop taking medication containing fatty acids around 3-7 days before treatment. such as Aspirin and Cod Liver Oil, as these medications can increase bruising and/or bleeding.

2. Avoid consuming high levels of salt and sugar, refined carbohydrates and very spicy foods, 24 to 48 hours before and after your treatment. Alcohol and smoking should also be avoided. These factors can increase your chance of bruising and swelling.

3. It is recommended to stop taking Retin-A (often used to treat acne) 2-3 days before treatment to avoid any increased redness and irritation.

Consult with your doctor before stopping any prescribed medication and to discuss activities/exercises that may not be recommended.

Botox Procedure

Botox injections are usually an in-office, non-surgical procedure, with many patients scheduling the treatments in lunch breaks.

The procedure only takes around 10 minutes.

The patient is seated/laid in a raised position. The areas being treated are cleaned with a non-alcohol cleanser, such as Hibiclens or Betadine. Some doctors will also numb the areas using anaesthetic (such as EMLA cream) or other numbing agents.

The Botox is then injected into the desired areas using very fine needles. Several injections are injected into the desired area. For example, it is recommended to inject 20 units of Botox for the forehead and between the eyes individually (4 units of Botox in one syringe, injected 5 times). However, some patients (especially first-time patients) may receive a lower dose.

It is common for pressure to be applied after the injection to control bleeding and bruising after the injection. There is usually very little discomfort during the procedure.

Botox Recovery

After the injections, patients are usually asked to sit upright, or at least semi upright for a few minutes. This is to ensure that the patient is feeling well enough to leave. 

Botox requires little recovery time, taking approximately 48 hours to fully recover.

Top tips for a speedy Botox recovery:

1. Move and contract the areas treated, such as frowning and lifting the eyebrows to allow the Botox to reach all the desired muscles.

2. Do not touch or rub the treated area to prevent the treatment from moving

3. Avoid strenuous exercise, sunbathing (including using sunbeds), the sauna or other activities that can make you hot for at least 2 days. 

4. Avoid alcohol-based products on the treated areas for 48 hours.

5. Avoid alcohol and smoking until healed.

6. Apply anti-inflammatory medication to reduce any bruising. Bruises should heal within one to two weeks post treatment.

7. Take pain relief such as Paracetamol to reduce any pain/discomfort.

8. Wait around 3 months before having Botox again. Botox can stop working if you have it too often.

9. Avoid lying down for at least 4 hours after Botox.

10. Avoid fatty acids for at least 3 days to 1 week after treatment, to prevent increased bleeding and bruising.

11. Avoid caffeine, highly salty, spicy and/or sugary foods for 24-48 hours after your treatment- to prevent swelling or irritation.

12. Avoid the use of Retin-A or similar products for 2 days after treatment to avoid increased irritation or redness.

13. It is recommended not to wear makeup for around 24 hours. If you do need to wear makeup, try to use good quality mineral makeup to avoid any skin breakouts.

14. Do not wear headbands or hats immediately after treatment.

Here is the first part in this mini info pack on Botox from Dr Donald Ng.

What you need to know about Botox Part 1

If you require more information complete the form below.

Part 3 of the information coming tomorrow.