Is Botox for you?
Cynthia Frazier M.D.
Botox Cosmetic is used for temporary improvement of frown lines and crow’s feet. It is not indicated in women under the age of 18, in pregnancy, or during breastfeeding. Women on certain medications might be at increased risk of complications from Botox. It should not be used at the time of any facial infection including cold sores. It should not be used in women with neuromuscular diseases such as ALS, or Myasthenia Gravis. Certain conditions such as asthma or other breathing and/or swallowing problems may increase the risk of complications from Botox. Theoretically, even in healthy women the botulism toxin could spread throughout the body and cause serious or even life threatening illness. There has not been a confirmed case of botulism (systemic spread of the toxin) when Botox Cosmetic has been used at the recommended doses. Keep in mind that the dosages used are intended to be at intervals of about three to four months so it is very important to keep records of when and how much Botox you have received so as to not exceed the recommended dosages. As with any prescription medication allergic reactions are possible, but not common. The most common problem seen with Botox injections is slight bruising at the injection sites. This can be reduced by the avoidance of aspirin or other medications that affect platelet activity for a few days before treatment. A more serious complication that is seen occasionally (3%) is ptosis or drooping one or both eyelids which when it occurs resolves on its own as the Botox wears off.
Botox can have some positive side effects such as headache relief. The latest association is that Botox can alleviate depression!