Botox Injections

Botox has become known lately for skin rejuvenation for men and women, a way to reduce smile lines, frown lines and wrinkles of the face and neck. It’s success has spawned similar products such as Dysport. A Botox injection, like a Dysport injection, works by relaxing the muscles near where it is injected. When this happens, the muscles don’t tighten and the wrinkle softens. Botox cosmetic injections and similar products may be popular, but because this is a neurotoxin, it is important that you use caution. This applies to similar products such as Myobloc.

Botox injection cost
Botox injections are one of many things used for skin rejuvenation and younger looking skin. (Botox is the brand name for an injectable made from botulinum toxin. Similar drugs include Dysport and Myobloc. Other drugs such as Reloxin have not been approved in the United States.) Because it is less invasive than a surgical procedure, it is sometimes called a liquid face lift. Botox may cost less than a traditional face or brow lift, but it is not cheap. Botox injections cost from $300-$600 per syringe. The results are not permanent, but do last about four to six months. The cost of treatment can therefore add up if you get repeated injections. Dysport carries a similar price tag.

During a Botox consultation, you and your cosmetic surgeon would decide what areas will be treated, for example, between the furrowed brows, or next to the mouth. Be aware that in the U.S., Botox Cosmetic is only approved for those brow lines. Doctors who use it elsewhere are using it off-label. Botox is injected into the muscle in that area. When the muscle relaxes, the lines and wrinkles are less noticeable. The overall result is a younger appearance, which is why Botox is considered an anti-aging treatment.

Women and men are using Botox for a number of cosmetic and other conditions:

Forehead wrinkles – Botox can be used to treat deep wrinkles in the forehead, as well as brow lines or glabellar lines between the eyebrows. Glabellar lines are the vertical lines that form between the eyes when you furrow your brow or squint. They are also called worry lines or the 11’s. Horizontal lines form in the forehead when you raise your eyebrows. Botox can be used on both types of lines. A brow lift / forehead lift can be used for horizontal forehead lines as well.
Neck wrinkling – Botox can be used for wrinkles in an aging neck. It will reduce the appearance of neck bands. Botox will not change neck or chin size. For that you would need chin surgery.
Eye lines – Botox can be used for crow’s feet, those lines and wrinkles at the corner of the eyes.
Mouth and upper lip – It can be used for wrinkles above the upper lip, the kind that form when you pucker your lips. Botox can also be used for the deep lines from the nose to the mouth. These lines are also called marionette lines or laugh lines. The official name is nasolabial folds.
In addition to its anti-aging uses, Botox can also reduce sweat in sweaty palms and can reduce underarm sweat (called hyperhidrosis).

Information on Botox Injections
This may not be considered major surgery but it is a big undertaking. So really think about whether this is the correct anti-aging treatment for you to do. Don’t go by cost alone. Make sure you are using a board certified cosmetic surgeon, who has a lot of training and experience with Botox. Before the procedure, make sure you discuss things with your cosmetic surgeon. Ask to see before and after photos of people with facial features like your own.

Prior to the Botox injection, the skin will be numbed. You may feel a prick when the needle enters the skin. You should avoid lying down for several hours after a Botox treatment.

After a Botox treatment, men and women may see an improvement in the really bad lines within days. But it can take up to two weeks for the cosmetic treatments to take complete effect. Improvement may continue for as long as a month.

If you have very deep wrinkles or hollow areas, anti-aging treatments such as dermal fillers or fat augmentation may be more appropriate. For fine lines, laser resurfacing, chemical peels, or dermabrasion or microdermabrasion may be an option. For excess fat, instead of Botox, you should talk to your cosmetic surgeon about liposuction. If the skin of the face or neck is sagging, a face lift / neck lift may be more appropriate. If there is excess eyelid skin, an eye lift may be something to consider.

Botox injections may leave results for a year, although three to four months is average. At higher doses or more frequent doses, you may develop problems. You can also have reactions and issues even at lower doses. Make sure you use a qualified cosmetic surgeon or dermatologist. The bacterium from which Botox is derived can be deadly in its normal form, so be cautious. Possible bad effects include droopy eyelids, headache, aches, swelling, redness, and infection.

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Injury Information: What is Brachial Plexus?

The brachial plexus is a complex network of nerves that allows for muscle control of the shoulder, arm, elbow, wrist, hand and fingers. Click here to Buy Dihydrocodeine 30mg Tablets from NHS Heroes in the UK The nerves originate at different points of the upper spine and run across the shoulder area. When the brachial plexus is injured, the nerves become damaged and result in a host of problems, including loss of muscle control and paralysis.

Surgical interventions to treat brachial plexus injuries begin with a primary, exploratory surgery to determine the extent and type of injury. During primary surgery, the plexus is surgically exposed. Nerves are located and evaluated by electrical stimulation to find out if they are “firing” or transmitting signals to the muscles of the arm and if they remain attached to the spinal cord. If a neuroma, or scar tissue, is present, surgeons may opt to clear it away by performing a procedure called a neurolysis.

Common reconstructive procedures utilized by Dr. Shenaq include nerve grafting and nerve transfers. During these procedures, expendable nerves are taken from other areas of the body, such as the neck or legs. These sensory nerves are made into cable-like grafts at the end of the brachial plexus nerve that is injured, allowing it to renervate from its mother cells in the spinal cord.

The majority of brachial plexus injuries occur during birth, most often as a result of significant force applied to an infant’s head during delivery. Larger babies, whose shoulders tend to be wider, can have difficulty passing through the birth canal, and they are at higher risk of injury to the plexus.

More newborns suffer birth-related brachial plexus injuries than are born with Down syndrome or spina bifida. The injury affects as many as three of every 1,000 births.

Brachial plexus injuries also can affect older children and adults injured in sporting accidents; car, motorcycle or boating accidents; animal bites; and gunshot or puncture wounds. About one in 10 injuries are due to accidents and are not birth related.

Fortunately, about 75 percent to 80 percent of all birth-related brachial plexus injuries heal spontaneously with no surgical intervention. Because of this, many in the medical community back away from treating the injury early and allow it to heal on its own. However obstetrical brachial plexus injuries that have not healed within the first few months of life often benefit from interventional treatment.

The International Brachial Plexus Institute is one of a handful of facilities in the world dedicated to evaluating and treating brachial plexus injuries in children. Director and founder Dr. Saleh M. Shenaq, has seen more than 5,000 patients with brachial plexus injuries in his career. Additionally, he consults with pediatric orthopedic surgeons, pediatric psychiatrists and psychologists, occupational and physical therapists, child life specialists and social workers.

“Having a child with a brachial plexus injury can be an emotionally charged situation,” said Lisa Thompson, nurse coordinator for The Institute. “Parents want to do everything they can to help their child gain full use of the injured arm, so they come to the place that has the most expertise and the best track record. The majority of our families travel quite a way to have their children seen by Dr. Shenaq.”

When patients arrive at The International Brachial Plexus Institute, Dr. Shenaq evaluates the type of injury that has occurred and which nerves are involved. He listens to parents’ observations and gathers information about the child’s medical history and progress.

Treatment Options Explored

Depending on the type and severity of brachial plexus injury, Dr. Shenaq determines what treatments will best help the child and discusses options with the family. Many children improve with occupational or physical therapy, but many also benefit from a combination of surgery and therapy. Babies who show little or no improvement in the paralyzed muscle function within the first six months of life most likely will require surgical intervention.

The quad involves a group of very effective muscle releases and transfers that can put the arm in a more natural position and allow the patient to lift it over his or her head. The procedure is so named because it involves four components: the transfer of muscles to restore balance of the shoulder’s outward and upward movements; decompression of the axillary nerve; neurolysis for fuller movement of the deltoid muscle; release of the contracted muscles and torn capsule.

Depending on the individual child, other nerve decompressions or muscle and tendon transfers might be performed at the same time. This is known as a modified quad, or “mod-quad,” procedure. During the mod-quad surgery, muscles and tendons are rerouted to place them in better position for overall function.

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