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Therapeutic™ Treatment
BOTOX® Therapeutic™ for headaches.
A number of patients treated with BOTOX® for lines on the forehead, frown lines between the eyebrows, and for crow’s feet have reported that a pleasant side effect of BOTOX® treatment was reduction or elimination of headaches. BOTOX® used for headaches and for excessive sweating is marketed as BOTOX® Therapeutic™, DIN 01981501. This is the same medication as BOTOX®, but has a different DIN# so that some drug plans will pay for it when it is being used to treat medical rather than cosmetic indications.
Formal studies of patients with headaches have confirmed that BOTOX® Therapeutic™ treatment often reduces the frequency and intensity of both muscle tension headaches and also some migraine headaches. Patients who respond well to BOTOX® Therapeutic™ generally experience improvement within a few days, sometimes enjoy several months of relief from headaches, and are able to greatly reduce (and in some cases eliminate) headache medications. Many drug plans pay for BOTOX® Therapeutic™ for headache, because this can be very cost effective when it reduces consumption of medications, and allows patients to avoid missing work. An increasing duration of effect is often noted in headache patients who repeat their BOTOX® Therapeutic™ treatments as soon as they notice that the BOTOX® Therapeutic™ effect is declining.
In some cases, each point which you can identify as being associated with your headaches will be injected with BOTOX Therapeutic™, usually starting at 5 to 10 units of BOTOX® Therapeutic™ in each point. In other cases, it is more effective to treat larger areas (for example, the forehead and sides of the scalp) with a total of 75-100 units of BOTOX® Therapeutic™, or as much as 150 units if the posterior scalp and neck are also treated.
BOTOX® Therapeutic™ is also used for the treatment of temporomandibular joint (TMJ) discomfort, and bruxism. In these cases, BOTOX® Therapeutic™ is injected into the masseter muscles.
Dr. Smith has performed over 1,100 treatment sessions for headache and for TMJ pain, helping people of all ages.
Some questions to ask yourself when considering BOTOX® Therapeutic™ for headache:
On how many days in the last 3 months did you miss work or school because of your headaches?
How many days in the last 3 months was your productivity at work or school reduced by half or more because of your headaches? (Do not include days you counted in question 1 were you missed work or school).
For questions 3 and 4, household work means general housework, home repairs, shopping, caring for family or other activities around the home.
On how many days in the last 3 months did you not do household work because of your headaches?
How many days in the last 3 months was your productivity in household work reduced by half or more because of your headaches?
On how many days in the last 3 months did you miss family, social or leisure activities because of your headaches?
On how many days in the last 3 months did you have a headache? (If a headache lasted more than one day, count each day).
On how many days in the last 3 months did you have to take medications for headache?
On a scale of 1-10, on average how painful were these headaches? (Where 0 = no pain at all, 10 = pain as bad as it can be).
When you have headaches, how often is the pain severe? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
How often do headaches limit your ability to do usual daily activities including household work, employment, school, or social activities? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
When you have a headache, how often do you wish you could lie down? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
In the past 4 weeks, how often have you felt fed up or irritated because of your headaches? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
In the past 4 weeks, how often have you felt too tired to do work or daily activities because of your headaches? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
In the past 4 weeks, how often did headaches limit your ability to concentrate on work or daily activities? [ Never ] [ Rarely ] [ Sometimes ] [ Very Often ] [ Always ]
What is BOTOX®? BOTOX® is a medicine made from a highly purified, naturally occurring protein which has the ability to very precisely relax the muscles to which it is applied. This relaxation lasts for a number of months, and then the treated muscles gradually return to their original condition.
BOTOX® does not affect the nerves responsible for sensation, so there is no numbness in the treated areas. You can stop BOTOX® treatments at any time and be confident that you will gradually return to your pre-treatment appearance. If you have BOTOX® treatments for several years, you may find that the clock will slow down or stop in the treated areas, in particular if you are careful to protect that skin from sun exposure and smoke. What is the difference between BOTOX® and fillers like Restylane®, Juvéderm® and ArteSense®?
BOTOX® relaxes the muscles which cause many facial lines and unwanted facial expressions.
Fillers fill creases, lips, cheekbones, and also defects like acne scars. Sometimes BOTOX® is used in combination with fillers, for example when treating frown lines on the lower forehead or wrinkles around the lips.
What is BOTOX® treatment like?
BOTOX® treatments are gentle and quick. No sedation or local anesthetic is required, so you will be able to continue with all of your usual activities immediately after your treatment. You can certainly drive yourself home or back to the office.
BOTOX® treatments take only a few minutes, and performed personally by Dr. Smith, using the finest 31 gauge needles to maximize your comfort.
A small amount of discomfort may be felt when the needle is inserted and a few drops of BOTOX® are applied to exactly the muscles which need relaxation. This sensation lasts approximately 5 seconds. Many patients are pleasantly surprised by the lack of discomfort, in particular when they are treated with the very fine and smooth 31 gauge needles.
Occasional patients experience a slight temporary bruising, perhaps the size of their baby fingernail, at an injection site. This can be hidden with cover up, and fades away in a few days.
Are there any special instructions for me to follow after treatment?
Exercise the treated muscles during the first hour after your BOTOX® treatment. To ensure the best possible uptake of BOTOX® by the treated muscles, Dr. Smith will encourage you to exercise the treated muscles using normal facial movements during the first hour after your BOTOX® treatment.
For example, so that your BOTOX® will work to maximum advantage:
-frown to exercise the muscles above and between the eyebrows which frown lines, -raise the eyebrows to exercise the muscles which cause forehead wrinkles, and -squint and smile to exercise the muscles which cause crow’s feet.
Do not touch or rub the treated areas until one hour after your BOTOX® treatment. It is also important for you to avoid rubbing or pressing on the injected areas for one hour to avoid spreading BOTOX® out of the treated muscles and into non-targeted muscles. If your BOTOX® was moved out of the muscles it is injected into, there might less effect on those muscles, and unwanted temporary relaxation of nearby facial muscles, which could be a nuisance for a week or two. In rare cases (perhaps one case in a hundred), this unwanted relaxation of muscles could cause temporary drooping of an eyelid or slight asymmetry of facial expression. Because the effects of BOTOX® are completely reversible, these rare side effects are temporary, and resolve after a few weeks.
After one hour there are no restrictions at all.
How much do BOTOX® treatments cost?
In Canada, BOTOX® treatment is not expensive; however there is a cost involved.
If your drug plan covers the cost of BOTOX® Therapeutic™ for the treatment of sweating, headache, TMJ pain, etc your only cost for treatment of the following will be Dr. Smith’s fee. Otherwise, BOTOX® Therapeutic™ will cost you $4 per unit, plus the administration fee.
Any costs not covered by your insurance or health spending account will be a tax deductible medical expense.
Excessive sweating of the hands or feet: $200 per session for either or both hands, or either or both feet Excessive sweating of the underarms: $150 for either or both underarms, Migraine and muscle tension headache, or temporomandibular joint [TMJ] pain: $200
Am I vain?
Many people at some time before BOTOX® treatment for wrinkles or excessive sweating have fears and doubts. A common concern is that they are being vain. My experience has been that just about all patients who have BOTOX® treatment, laser hair removal, and other procedures to maintain their appearance and comfort are no more vain than anyone else. What does distinguish these individuals is a desire to get the most out of life, and to look as good as they feel.
Looking after your appearance is not a fault. After all, would you leave your house with broken gutters or peeling paint? Why do less for your body? I think you should feel proud of yourself for having the will and the ability to change something that you find unacceptable. I emphasize that you should only have BOTOX® treatment, laser hair removal, and other treatments if it is for you. It is a big mistake to do these things if it is just for somebody else.
As Dr. Richard Glogau of San Francisco has noted: the same self-esteem that makes our patients successful in their chosen fields, precise in their consultation questions, well groomed and well dressed, and often careful in their diet, exercise, and other aspects of health maintenance lead our patients to seek help for their wrinkles and frown lines.
These individuals are normal healthy people, and the same degree of self-interest that prompts them to exercise, be selective in what they eat and drink, and protect themselves from sun damage leads them to explore the benefits of BOTOX®. Our patients simply want to look their best.
What are the possible side effects?
There have been no long-term side effects, allergic reactions or health hazards related to BOTOX® use thus far. Some patients have been getting BOTOX® treatments on a regular basis for more than 15 years with no problems.
Here is an interesting list of myths and facts about BOTOX®:
Myth #1: BOTOX® is unsafe.
FACT: BOTOX® has a long and well-established safety history.
While you may only know BOTOX® as a wrinkle treatment, it has actually been in use for over 21 years for the effective treatment of a range of medical conditions and is one of the most widely researched medicines in the world.
It is reassuring to know that BOTOX® is the most popular physician-administered cosmetic treatment in North America, with an estimated 15 million treatments performed worldwide since BOTOX® was first approved.
In addition, BOTOX® has received a 97% satisfaction rating among users.
Myth #2: BOTOX® will result in the loss of facial expression.
FACT: BOTOX® is intended to enhance the way you look, not change it.
When administered by an experienced physician like Dr. Smith, you can still smile, frown and animate.
BOTOX® treatment only relaxes the muscle beneath the lines at the point of injection, so the other elements of facial expression remain active.
It also has no effect on the sensory nerves, so you will have normal feeling in the treated areas.
Myth #3: BOTOX® is botulism (food poisoning).
FACT: BOTOX® is not botulism.
BOTOX® is a prescription medicine which is made from a highly purified, naturally occurring protein, and has been proven to be very safe and effective over many years of research, testing and clinical use.
Myth #4: BOTOX® treatment is painful.
FACT: BOTOX® treatments by Dr. Smith are quick and simple.
A very fine needle and small amount of liquid is used, so the pain associated with the injection is minimal.
Patients who have had BOTOX® treatment elsewhere in Canada and the United States often remark on how pleasant and pain-free treat by Dr. Smith is.
No anaesthetic is required, and you can resume normal activities immediately.
Myth #5: BOTOX® injections can be given anywhere.
FACT: BOTOX® is a very technique-sensitive procedure.
Make sure to visit a well-trained, highly experienced aesthetic-specialty physician like Dr. Smith [who has performed over 10,000 treatment sessions with BOTOX], and discuss the optimal results you would like to achieve.
BOTOX® should only be administered in appropriate medical settings!
Myth #6: BOTOX® is expensive.
FACT: The cost of BOTOX® varies depending on the amount of product needed to achieve optimal results and the areas of the face that are being treated.
As an example, BOTOX Cosmetic· typically ranges from C$200 to C$300 to treat the frown lines between the eyebrows.
Since the positive effects of a BOTOX® treatment can last up to four months, the cost is about $2-$3 per day!
Myth #7: There are creams that are better than BOTOX®.
FACT: There is no scientific evidence that supports the claim that creams work better than BOTOX®.
Creams work well on the surface of the skin.
BOTOX® works below the surface of the skin [much deeper than creams can reach] to relax the muscles that cause lines and wrinkles to form!
Myth #8: BOTOX® is a filler.
FACT: BOTOX® is a relaxer, not a filler.
BOTOX® relaxes the muscles underneath the skin that cause unwanted expressions and the lines that result from things like chronic frowning and squinting.
Facial fillers like Juvederm® are sometimes help to fill in facial lines and give back volume that has been lost over time, complementing the relaxation which comes from BOTOX® treatment.
Are there people who should not use BOTOX®?
People who are allergic to albumin should generally not be treated with BOTOX®.
Consultations about treatment with BOTOX® or with BOTOX® Therapeutic™ can usually be arranged within two or three weeks simply by calling our special BOTOX® line Toll Free: 1-866-760-1000. Treatment can be done the same day as the consultation, if you wish.
Our staff can take the time to discuss your wishes and options, and answer your questions. No referral is required.
Niagara Falls Dermatology & Skin Care Centre Limited Kevin Smith, MD, FRCPC Dermatologist Licensed and inspected by the College of Physicians and Surgeons of Ontario
Fellow of the Royal College of Physicians and Surgeons of Canada Board Certified in the United States by the American Board of Dermatology Suite 201, 6453 Morrison Street, Niagara Falls, Ontario
Please call us Toll Free: 1-866-760-1000 if you have any questions, and to arrange for a prompt, confidential consultation and treatment. No referral is needed.
Therapeutic™ Treatment
In some cases, each point which you can identify as being associated with your headaches will be injected with BOTOX Therapeutic™, usually starting at 5 to 10 units of BOTOX® Therapeutic™ in each point. In other cases, it is more effective to treat larger areas (for example, the forehead and sides of the scalp) with a total of 75-100 units of BOTOX® Therapeutic™, or as much as 150 units if the posterior scalp and neck are also treated.
