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Botox Cosmetics ®

what is?
1. What is Botox ®? 

Botox is the brand name of a toxin produced by the bacteria Clostridium botulinum. Other brand names include Dysport and Xeomin. The discovery of the modern use for the toxin has its roots in Vancouver! In 1987, a dermatologist and a paediatric ophthalmologist found that uncontrollable blinking of the eye treated with botulinum toxin caused disappearance of wrinkles in surrounding areas such as the forehead. Back then the initial response was guarded, after all this is a neurotoxin that blocks transmission from nerves to muscles thereby paralyzing muscles – could it be dangerous? The Vancouver doctors conducted clinical trials to prove safety, presented their results at international meetings and Botox grew to its modern day popularity.


Botox is produced by a naturally occurring bacteria and has been modified for clinical use. It is a protein that prevents release of a neurotransmitter that normally contacts the muscle and causes muscle movement. When the neurotransmitter is blocked, the muscles no longer move, they relax and wrinkles caused by the muscle movement relax.

how done?

You will be seen by one of our experienced nurse injectors as well as Dr. Sheina Macadam to create a customized plan based on your desires. Botox is then injected with a fine needle into specific muscles with very little discomfort.

2. How is the Botox ® procedure done?
common treatment
  • Between the eyes (frown lines)

  • Forehead wrinkles

  • Top of the nose (bunny lines)

  • Upper lip (gummy smile)

  • Neck (platysmal bands)

  • Masseter (to help narrow the lower face)

  • Beside the eyes (crow’s feet)

3. Where are the most common treatment areas?
how long

Botox usually takes about 7 days to take full effect and then lasts about 3 months. As the Botox wears off and the muscle action gradually returns, wrinkles will reappear and the muscles need to be retreated.

4. How long does Botox ® last?

Temporary bruising is the most common risk. Headaches may also occur. If Botox spreads to an area that was not meant to be injected, muscles in the region can be affected such as drooping of an eyelid.

Patients that are taking Aspirin, patients that are pregnant, breastfeeding or have a neurological disease should not use Botox.

5. Are there any risks? Who should not get Botox ®?
  • Discontinue blood thinners such as ASA and Ibuprofen

  • Avoid alcohol for one day before, the day of and one day after treatment

  • No vigorous exercise for 48 hours after treatment to minimize the risk of bruising and prevent diffusion in the case of Botox

  • If you take medication for oral or facial herpes please consult Dr Macadam prior to treatment

  • Avoid retinol for 2 days before and after treatment

  • Avoid chemical peels for one month after treatment

6. Pre- and Post-Treatment
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