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The Clostridium Botulinum toxin (Botoxor Vistabel) treatment procedure

London's Ms Angelica Kavouni, female cosmetic surgeon, injects the Clostridium Botulinum toxin (Botoxor Vistabel) after the area has been numbed using a local anaesthetic cream or ice, to minimise discomfort.

Tiny quantities of the toxin are injected directly into the affected muscles. It takes three to five small injections of Clostridium Botulinum toxin (Botoxor Vistabel) between the eyebrows to treat the frown line. The treated muscles weaken over the following week or so. Most people do not notice anything.

They simply become aware that they are no longer able to contract the frown muscles. Patients can still lift their eyebrows normally and blink without problems.

Wrinkle treatments by Ms Angelica Kavouni

You should avoid taking aspirin or vitamin E a few days before the Clostridium Botulinum toxin (Botoxor Vistabel) treatment. Arnica tablets help to minimise any bruising. It is important to remain upright and avoid exercise for 3 - 4 hours after the injection.

You can frown as often as you like in the first day or so, but the treated areas should not be touched, pressed or massaged. Don't have a facial massage or a peel for a week after the Clostridium Botulinum toxin (Botoxor Vistabel) treatment as this can spread the effect.

To reduce sweating, tiny Clostridium Botulinum toxin (Botoxor Vistabel) injections are placed in the affected area at about 1cm intervals, this can be quite painful, so local anaesthetic may be required.

The Clostridium Botulinum toxin (Botoxor Vistabel) effect starts wearing off within a few months but re-treatment is not usually needed for three to four months. Treatment can be repeated as required as the wrinkles gradually reappear. Many people find after three or four Clostridium Botulinum toxin (Botoxor Vistabel) treatments that they have broken the bad habit that led to the frowning or squinting originally. With repeated injection the effects tend to stay longer.

Side effects and risks of Clostridium Botulinum toxin (Botoxor Vistabel)

There have been no reports of permanent damage caused by the injections. While allergy to any medicine is possible, it is rare in this occasion.

Some people have a slight headache after the Clostridium Botulinum toxin (Botoxor Vistabel) treatment for several hours, it is safe to take paracetamol to relieve this. A bruise at the site of injection is possible. The most significant complication, which is rare, is a drooping of the eyelid caused by the toxin tracking into the eyelid muscle. It generally lasts just a few days, but more prolonged weakness is possible.

Eye drops can be prescribed to lessen this effect. While a small amount of brow droop is possible, it is also rare and can usually be avoided by not treating the area just above the outer portion of the brow. If it does happen, it goes away by itself.

Clostridium Botulinum toxin (Botoxor Vistabel) services cannot be used in pregnancy or when breast feeding and is also contraindicated for sufferers of neuromuscular diseases.

Clostridium Botulinum toxin (Botoxor Vistabel) therapy is one of the most popular cosmetic mini-treatments today. The vast majority of patients love this "quick fix" and return for a boost as soon as the wrinkles begin to reappear.