Botox

Botox is a toxin produced by a bacteria called C. Botulinum. Botox has been used for over 15 years to treat variety of medical conditions. The wrinkles caused by overactive facial muscles and repetitive facial expressions are called dynamic wrinkles. They include frown lines, crow's feet, forehead wrinkles and lip wrinkles. Botox can dramatically improve and often eliminate these wrinkles. Dr. Marcovici uses the smallest available needle in the market called the "Gucci Needles”. Most people experience no pain whatsoever, though some may experience brief, mild discomfort as they are being injected. You should not be treated with Botox® Cosmetic if you have an infection at the proposed injection site. Patients with certain neurological disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at an increased risk of serious side effects.

Botox has shown positive results in the following areas:

Face:

1. Frown lines
2. Crow’s feet
3. Forehead creases
4. Brow shaping (Botox injections can be used to alter the shape of the eyebrows to create a more aesthetically pleasing appearance)
5. Brow elevation (lift)
6. Correction of eyebrow asymmetry (to elevate the lower eyebrow to the same level as the higher eyebrow)
7. Elevation of the corners of the mouth
8. Upper/lower lip creases
9. Marionette lines or “drool grooves”

Neck Rejuvenation: Vertical neckbands (turkey neck)

Chest Rejuvenation: Women may exhibit wrinkling of the central mid chest (décolleté)

Hyperhidrosis (Excessive Sweating): Botox injections have proven to be very useful in diminishing excessive sweating (hyperhidrosis). Hyperhidrosis is a common and extremely distressing condition with a prevalence of 2.8% of the population. For those affected, the condition is debilitating with serious impairment in activities of daily living, social interaction, and occupational activities.

It is divided into primary, or idiopathic, hyperhidrosis, which is usually focal and limited to axilla, palms, soles and face; and secondary hyperhidrosis which can be local or generalized affecting the entire body. Secondary hyperhidrosis is due to a variety of causes including underlying medical conditions, drugs, or exaggerated physiological responses to heat, humidity, or exercise.
Diagnosis: The most common type is primary idiopathic hyperhidrosis; however, it is critical to be aware of the secondary causes when evaluating a patient with excessive sweating.

Primary hyperhidrosis is defined as focal visible excessive sweating or at least 6 months duration without apparent cause and associated with at least two of the following characteristics:

• Bilateral and relatively symmetrical
• Impairs daily activities
• Frequency of at least one episode per week
• Age of onset less then 25 years
• Positive family history
• Cessation of focal sweating during sleep

Treatment

Topical treatment: It works only in mild cases of focal hyperhidrosis, aluminum chloride hexahydrate is the most effective topical agent.

Oral treatment: Anticholinergic drugs are the most effective oral treatment. Because the side effects associated with their use (dry mouth, blurred vision, constipation, urinary retention and palpitations) they are generally not tolerable by most patients.

Surgical treatment: These include curettage or liposuction to remove glandular sweat tissue, excision of the axillary vault to remove sweat glands, and sympathectomy. Surgical treatments are generally reserved for patients who fail to respond to other noninvasive modalities.

For a consultation, call today (860) 409-1933.