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Bertha Red
Misconceptions about Botox
Botulinum neurotoxin, was once called "the most poisonous venom in planet'has seen a recent increase in the number of medical conditions that this elegant and specific chemicals can be treated. In the United Kingdom and Ireland, the pharmaceutical industry is in two different ways, Botox ® and Dysport  ® Â. Botox is Allergan's patented original word but now it has crept into common usage among the public for both. Within the first months of 2006 the implementation of this new compound was extended for use in urinary incontinence, trembling voice, prostate disease and then came the news that could be used to treat depression. Despite these new uses growing population composed many still frustrated by the many misconceptions that surround it. There is no day passes but someone asks me "Is it a toxin?" "Can you give me a glassy look?" "Will expression to me? "
Misconception # 1: Botox injections are highly toxic
Almost all drugs worth in medicine is a dilute solution of a toxin. If you had a serious cardiac event today and ended up in hospital most of the drugs used to save his life, digoxin, atropine, lidocaine and epinephrine are all substances extracted from plants, microbes or animals    that are used in a controlled manner. Some medications such as digoxin is extracted from the foxglove plant can really stop your heart, if used in sufficient strength strong. If diluted with a lesser effect, but it could stop your heart beat uncontrollably and allow to beat normally. Other drugs such as atropine are extracted from belladonna can block the nerves that slow the heart, allowing it to beat normally again. Roman girls put a diluted form of this compound in their eyes to delay and make you feel that the suitors were chemically attracted to them. Similarly, Botox is a slight dilution of botulinum toxin, which can cause a severe form of food poisoning. The safety of Botox is also guaranteed by the selective administration in a given muscle or group of muscles, leaving largely unable to operate outside the designated area. Remember that give new babies with cerebral palsy or muscular spasms doses much higher every day, with no evidence of problems. Many doctors would agree that aspirin and antibiotics are potentially more harmful than the Botox. However, like any drug, anaphylaxis can occur and Botox procedures by physicians with appropriate clinical experience with adrenaline standby.
Misconception No. 2 patients may develop an "addiction" to injections of Botox
This misconception is based on a recent British study psychology, which is apparently based on a customer survey in eighty-one clinics. The study was concluded that over forty percent of patients using Botox regularly expressed "compulsive reason" to do so. The investigation was carried out by Dr Carter Singh, a psychologist, and Martin Kelly, a plastic surgeon London Plastic Surgery Associates. The study results showed that about forty percent of people who have resorted to Botox injections to reduce wrinkles are very likely to seek further treatment in the near future. Those who had received injections five or more shows more "addictive traits" than those without. However, I personally think that the study was completely unscientific, and as I said in a press release at the time was "nothing more than a public relations exercise for the authors involved. Â We really have to do some simple questions. First, "How could a procedure that a patient requires only twice a year to be labeled as addictive?" Â The authors seem to forget to mention that "if the patient has the procedure most often accumulate antibodies against the pharmaceutical industry and stops working. "This is something similar to a wine with alcohol breakthrough in the water after the second Drinka € | I do not believe that alcohol addiction was to last a long time! "Besides the medical definition of addiction means you have to involve the repeated use of a substance or behavior despite the patient is aware that it is harmful to your health. There is evidence that Botox has harmful side effects, in fact, otherwise it has a built in mechanism to protect the patient through the use of new nerve regeneration. "In essence, this type of flashy science appears occasionally and should not for public dissemination. Only serves to confuse the public and give these people some ephemeral glory than other medical officers take many years to share.
Misconception No 3: Botox injections are a painful experience
By contrast, an injection of Botox is usually quite painful. The needle used to administer Botox is small, in fact the same size used by diabetics to take daily insulin. Those who received Botoxinjections compare your feelings to those experienced during an insect bite. Some patients prefer the application of an anesthetic cream on the face of fifteen minutes before the procedure and this eliminates completely any possibility of pain. There is no pain after the injection of Botox works as a kind of anesthesia itself.
Misconception # 4: Botox injections cause headaches
By contrast, despite Botox can cause headaches in about 2-3% of the people, they really free in the vast majority of patients. It has been known for some time that Botox can help prevent and treat people with migraine. To make of this, doctors usually inject it into various trigger points that can differ from patient to patient. The duration of action of Botox in preventing migraine varies from 10 to 13 weeks and the onset of effect may take a few weeks. Ideally, the drug should not be administered more often than every 3-4 months. I was interested to see a recent work of Brazilian dermatologists Dr. Bertha Miyuki Tamura and Dr. Bobby Chang (Dermatol Surg 2003) using known acupuncture points to achieve temporary relief pain in acute migraine. He was given treatment to 10 women who regularly suffer from severe migraines and prolonged after 2 weeks, 90% were free of pain and one had minimal pain. The results lasted between 4-6 months. This is approximately the same level of effect that we see in clinical practice.
Misconception # 5: Botox injections to distort a facial expression
This is one of the most common procedures misconceptionsabout Botox. Many people seem to forget that the resulting expression on the face of a patient is really depends on the ability of the process and has little to do with Botox. This means that the ability of the forehead to increase or decrease, the ability to move his brow or not, the capacity of crow's feet disappear or remain generally slightly depends on two factors, the amount of Botox and added to the location where it is added.
Therefore, facial expressions can be distorted only in overdose or misdirected injection of the drug. By analogy, if your home flooded after installing a new washing machine, probably would blame the plumber, not the company water. The bottom line is those who want to look five years younger are strongly advised to use the services provided by certified doctors with expertise in place to address Home charlatans often beauty salons and lounges.
Misconception # 6: Botox injections can cure depression
The idea that Botox may cure depression came from a study in the May 2006 edition of the Journal of Dermatologic Surgery, where Dr. Eric Finzi of the Chevy Chase Cosmetic Marylandclaimed Center has sought to clinically depressed patients with Botox. This led to greater exposure on Good Morning America, where he claimed that, by removing the ability to frown, was breaking a neurological feedback mechanism to the brain and therefore remove the ability of patients to feel depressed. I I say initially encouraged that the study of depression treatment with Botox as many doctors reveals a similar picture of the experience of his patient. I have examined Finzi paper in the Journal of Dermatologic Surgery and is concerned that this doctor uses a very small number of patients, lacked a control group, not a psychiatrist evaluation of patients and even allowed the patients to assess for themselves. I noted in an accompanying commentary, the editor of Alastair Carruthers, before a series of flaws in the study and concluded that its finding must be considered anecdotal. It is more than passing interest that this physician has filed a patent on this treatment. If Botox relieves depression then this is not the paper to prove it.
Misconception # 7: Botox injections can create new wrinkles
This error started in 2002 when Dr. David Becker, an assistant professor of dermatology at Weill Cornell Medical College in New York, suggested that people unconsciously recreate facial expressions in the area where the facial muscles have been paralyzed. Their work was published in Dermatology Cosmetic (2002, 12: 35-36). The doctor noted increased prominence of wrinkles and fine lines developing after treatment with botulinum toxin for vertical lines. His feeling that the paralysis of a group of muscles in one area could lead to the recruitment of other nearby muscles to compensate for not shared by Allergan (the maker of Botox), which immediately repudiated the results. Other doctors around the world, including Dr. Robert Sinclair of the University of Australasian of Dermatologists, said he had also seen the effects of muscle recruitment after Botox is used in the forehead and frown area. Many other physicians disagreed and eventually Dr. Becker went back on his conclusions little afraid he was being misunderstood. My impression after treating thousands of patients it probably happens to a lot of patients in a much lesser degree, but because it is usually easily treated muscle activity again there is little to worry about. Doctors later told him that "Doctors can reduce the risk of new wrinkles, changing his technique to include possible accessory muscles, when correcting an abnormal expression â € "so it weakens all muscles, not just those responsible for the expression."
Misconception # 8: Botox injections should be administered only to persons above 40
It's hard to know where it came from this false idea of reality or whether they still exist among young people in the more developed parts of the world. The feeling may exist between an older generation, they are less exposed to media and peer pressure. These people often feel it is a great event to come to a doctor who gets Botox and wishes keep it a secret that only they know. In fact, the average age of onset of Botox in the U.S. has been reduced to 19 years and Australia is considering a law to not allow patients under 18 years to have the free disposal. So, why is there so much generational difference in attitudes of Botox?. It's really Simplee € | young people now realize that it is much easier to tackle a problem at an early stage if they start early and not to develop into all the wrinkles. If begins early, then you probably get a better response and require less to continue in later life.
Misconception # 9: Botox is less effective if used often
There is evidence that about 5% of patients injected with Botox ® continuously develop antibodies neutralizing injections can cause to stop working. The chances of this happening depends on large doses injected, repeat or booster shots in the four weeks treatment. There is a new form of Botox German coming to market in early 2007, which has a low potential for the production of neutralizing antibodies, because of their decreased protein load. Hopefully this will minimize the problem of lack of response.
Misconception No. 10: There are effects risk side of Botox injections
This is a total error of the side effects are rare, generally mild and usually transient. These Los Side effects include nausea, fatigue, malaise, flulike symptoms, and rashes at sites distant from the injections.
The needle used may cause some side effects such as bruising, pain, redness, headache, local numbness. The most common side effects are annoying unwanted muscle weakness usually around the eyes. Fortunately, this usually resolves within a few weeks and in the worst cases can last until the action of the toxin usually disappears four to six months.
Misconception No. 11: There is no effective treatment if a low brow or eyelid after injections Botox and patients have to wait until it disappears.
This is a bug in a measure, although anyone who has had to sit at four months, down from eyelid may think differently. The reduction of the forehead or upper eyelid (ptosis) can occur after injection in the muscles of eyebrows. This can happen up to 2 weeks after injection and is more common in patients receiving Botox for the first time. Patients are often instructed to avoid rubbing the area. Some doctors think that muscles contracting actively under treatment can increase the absorption of toxins and reduce its spread. Most the eyebrows tend to settle lower after 4 weeks. Raised eyebrows can be corrected easily. It is more difficult to treat the eyelids drop, although many patients respond to eye drops a special called adrenergic agonist apraclonidine. This medicine makes specific muscles contract MÃ ¼ ller, but must not be used in patients with documented sensitivity. Phenylephrine (phenylephrine) 2.5% can be used when apraclonidine is not available. Phenylephrine is contraindicated in patients with narrow angle glaucoma and in patients with aneurysms. Use 1-2 drops 3 times daily until ptosis resolves. Doctors try to minimize this event by placing injections of 1 cm above the eyebrow and not cross the line of the pupil.
Misconception No. 12: patients a were not allowed to rest for four hours after receiving an injection of Botox
This is probably a mistake, although many doctors still give patients this instruction. The logic of perception comes from the fact that reducing the palpebral tosis (p) is believed to be caused by migration of the toxin through the orbital septum. Patients are instructed to stay upright for 3-4 hours after injection. However, if this was the only reason by the time patients who really should be in your head to avoid this type of broadcast. In general do not tend to give patients this statement, but I tell you to avoid manual manipulation of the area. Active contraction of the muscles that are under treatment can increase the absorption of toxins and reduce its spread.
Misconception No. 13: to the patient, not allowed to fly after being injected with Botox
This is also probably a mistake, although many doctors still give patients this instruction. The logic of perception comes from the fact that different cabin pressures could contribute to causing the migration of the toxin through the orbital septum. Patients are instructed him not to fly after the injection. However, pressures in the cabin are generally the same as the air pressure in the soil. It is the air pressure outside the cabin that is different. In general, I treat many patients from abroad and generally do not tend to give patients this statement, but I tell you to avoid manual handling in the area. The active contraction of the muscles that are under treatment can increase the absorption of toxins and reduce its spread. If you are flying long haul, I say wait a day.
Misconception No. 14: Patients always look better after Botox injections.
This is an error because the weakness of the lower eyelid may occur after injection of a muscle in this area called the lateral orbicularis oculi. This weakness also allows the fat pad under the eye to bulge out causing the patient seems more tired than before they had Botox injections. This effect will disappear with time, but it will take four to six months that the Botox takes effect.
Misconception No. 15: Botox injections are dangerous if administered during pregnancy
This is another mistake. From the evidence of millions of people around the world, women who were injected inadvertently during pregnancy so far have given birth without complications, and to date there have been anomalies Fetal attributed to botulinum toxin. However, it is a category C drug, and the delay of injections are recommended until the completion of the pregnancy and breastfeeding over
Misconception No. 16: Botox injections are good only for facial lines
This is a total mistake, which is still in the hands of a few people. In fact many of my patients are surprised to learn that babies with cerebral palsy spasms and receives concentrations Botox higher than them. Also surprised to learn that doctors were actually trying to muscle spasms that found he had an anti-wrinkle, as a beneficial side effect. In fact, Botox is currently used to treat sweating, headache, incontinence, seizures, strokes, multiple sclerosis, the anal fissures, writers cramp, the eyes of the Cross, cerebral palsy, prostate disease and chronic back pain and neck.
Misconception No. 17: Botox is not yet used to treat back pain
By contrast, many doctors and the United Kingdom and Ireland Botox for this clinical indication. The study began when researchers at the Walter Reed Army Medical Center in Washington, DC, studied 31 patients with low back pain. (Bahman Jabbari: Neurology, 2001). All patients had experienced pain for at least six months, with an average of six years and were taking standard medications who continued to take during the study. Patients received injections of Botox or saline injections. Three weeks after injection, 73% of those received injections of Botox said the amount of pain they experienced dropped by 50% or more. Two months later, 60% of those receiving Botox said his pain was still decreased by 50% or more.
Misconception No. 18: Botox has little effect on underarm sweating
In In contrast, Botox is nearly 100% effect of excessive sweating that can last up to one year. The condition known as hyperhidrosis is caused by stimulation of sweat glands by the autonomic nerves. Other sites commonly affected are the palms, soles, back and face. Botox injections have now been cleared for this use in most Western countries are extremely effective in the condition being treated. Although I have been treating patients for underarm sweat, since 2001, the earliest publication that can be found on the subject toa is a study by the University of California, San Francisco (Surgery Derm 2002). The study involved twelve o'clock patients who received injections of Botox ® directly into the armpits. The amounts of the drugs used were similar to those used for wrinkles and lines expression. All patients reported decreased sweating axillary 48 hours of treatment. Also suggested monitoring the treatment is effective for five twelve months.
Misconception No. 19: Different types of Botox for the different periods in patients
In the United Kingdom and Ireland, the pharmaceutical industry comes in two different ways. One is known as Botox ® and Dysport  ® another. There is suspicion among many anecdotal physicians and patients in the UK variety Dysport  ® lasts six months, while the U.S. based on the formulation of Botox ® lasts four months. Various Clinical studies have shown no difference between the two groups. However, my own experience that tend to favor patients anecdotal beliefs.
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