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Procedure Description: When Botulinum Toxin Type A, or Botox, is injected, it paralyzes the facial muscles and prevents the face from contracting. Results are fully evident within one week after treatment and remain for about minimum of three months.

Botox injection is performed in the doctor's office, usually without anesthesia. However, a numbing cream may be applied to the treatment area. Patients may experience minimal discomfort from the needle injection. The selection of injection points is critical to the success of the procedure, and the doctor may select numerous injection points for each location that will be treated. The doctor will then determine the amount of Botox to be used for the procedure and inject the needed amount into points beneath the skin. The procedure takes only minutes and patients usually return home shortly after the treatment is complete.

Length of Procedure: Up to about 5 minutes, unless the doctor is treating hands or armpits (which take longer).

Recovery: The most common side effects of Botox include headache, nausea, flu-like symptoms and redness and pain at the injection points. Infrequently, patients may experience muscle weakness or drooping of the upper eyelid muscles. This side effect usually resolves itself within days, or in rare cases, months after the procedure. You can resume normal activities immediately, but your doctor may advise you to stay out of the sun. Report to your doctor immediately any unmanageable pain or symptoms that are progressive or abnormal. Talk to your doctor to fully understand the risks, complications and remedies.

Risks: Mild bruising or swelling may occur at the site of the injection. The treatment may also cause a brief headache. In rare cases, the injections may cause the eyebrow or upper eyelid to droop, but this condition is temporary and corrects itself without treatment within 2 to 3 weeks.

Results: Botox typically reduces wrinkles by 80 percent. Results are usually evident within one week. They are temporary and needs to be repeated every 4 to 6 months. You will need to plan for additional injections, depending on your long-term treatment goals.

Estimated Cost: The cost for Botox may range from $125 to $400 per treatment area.

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