Glabella Frown Lines

Overview of the surgery:

Glabella Frown lines are the most common reasons for a Botox procedure. The folds in this area are caused by vertically oriented fibers which are found on the glabellar area. When treating Glabellar frown lines, about 5 sites are to be administered with the toxin. About 25 units are used for all five sites. One is injected in the corrugator muscle and the other four are distributed around and on the sides of this muscle. Initially, the patient will be asked to frown and scowl so the target muscles can be palpated by the Botox therapist. The injections are then administered to various sites. The depth of injection is usually different for every individual. An EMG may also be necessary to spot the right site for injection. The same instructions will be given by the doctor. Bending over should not be done until four hours after the procedure. You are also asking to rest in an upright position to avoid the medication from being absorbed by other muscles.

Duration of the operation:

Botox procedure is done approximately 30 minutes

Post operative care:

A patient is required to rest without lying down in the first 2 hours after the treatment. Exercising or any strenuous activity is also prohibited during this period. A patient is also advised to avoid touching the treated area for the first 4 hours after the treatment. Results last for around 3 to 6 months. Re-injection of Botox is required to maintain the desired appearance. Results can be seen at 2 to 4 weeks after the treatment.

Recovery period:

After Botox injection, there is no downtime needed for the recovery period. Patients can go about their daily routine immediately after the procedure.

Possible risks and complications:

There are very minimal, and often rare, risks and side effects associated with Botox. Headache, flu-like symptoms, temporary redness, swelling, tiny pinching sensations and bruising are the most common side effects that usually fade over time. No fatal systemic side effects have been reported from locally administering Botox injections for facial wrinkles.

Anesthesia use: Local anesthesia

Hospital admission:

This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation before Surgery

The surgeon will educate you with the procedure. This procedure is very quick and simple; there isn’t much that a patient must do to prepare for surgery.

• Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.

• Blood and urine samples will be collected for routine preoperative laboratory tests.
• Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
• The patient only required to undergo a test to ensure that they are not allergic to Botox. If the result is negative the patient is qualified to receive injections.

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