Aesthetics

Botox in Gurgaon & Delhi

Cosmotree, the best Anti Aging & Botox clinic for men & women who are looking for Botox treatment in Gurgaon or Delhi (South Delhi), India. Serving the capital & NCR region of India round the clock for aesthetic assistance, the team of specialists at Comotree are dedicated to the fine art of achieving beguiling and natural appearing results for every patient. Highly esteemed by the patients and peers for bang-up-to-date surgical style, personalized techniques, and Botox Injections in Gurgaon & Delhi for unmatched aesthetics, Cosmotree is considered highly influential, and is beyond emulation by other clinics in terms of expertise, equipments, efficacy, environment and easement. For best cost for Botox vial in Gurgaon or Delhi, India, take an appointment at Cosmotree.


What is Botox used for?

Botox is a chemical compound produced from bacteria, called botulism toxin which is one of the toxic substance known to mankind. Botox Cosmetic, which contains an active ingredient (botulinum toxin type), a protein found in human blood plasma (human albumin) and sodium chloride, is an injectable process performed to make cosmetic corrections to a human face.

Botox is a Wrinkle Relaxing Injections which is most commonly used for aesthetic correction purposes to improve the appearance of facial wrinkles, creases and fine lines.

Botox, or botulinum toxin, is used for mainly 3 purposes:

  • Control of muscle spasm
  • Cosmetic improvement
  • Excessive underarm sweating

Despite botulinum toxin being debatable of its toxicity, Botox is in huge demand and has proven to be a valuable and worthwhile therapeutic protein for cosmetic improvements. Botulinum toxin is strategically injected into humans in immensely small concentrations and functions by halting signals from the nerve cells reaching muscles, thereby paralyzing them and allowing the muscles to become less stiff.


Cosmetic Uses of Botox


Botulinum toxin is presently approved for the following therapeutic applications:

  • Facial wrinkles and fine lines
  • Glabellar lines (frown lines between the eyebrows, brow furrows) that can make a person look sad, tired, or angry
  • Canthal lines
  • Blepharospasm (spasm of the eyelids causing- uncontrollable blinking)
  • Lazy eyes or movement disorders (such as torticollisand cervical dystonia)
  • Strabismus (crossed eyes)
  • Along the jaw line to correct a downturned lip and to forestall bone loss
  • Strategically Lip Elevation

Medical use of Botox

Beyond cosmetic applications, Botox is also subordinately used in the treatment of variety of medical conditions, including excess sweating, underarm sweating, migraines, eye squints, and leaky bladders.

Botulinum toxin is presently put to application into treatment of over 20 different medical conditions, with more applications under fact-finding examination.

  • Chronic migraine
  • Hemifacial spasm.
  • Idiopathic circumvolution cervical dystonia (severe shoulder and neck muscle spasms)
  • Extreme primary axillary hyperhidrosis (severe sweating, sweat glands). Can completely thwart sweat and stink for months
  • Overeactive bladder( drippy or draining bladder)
  • Detrusor (bladder wall muscle) overactivity – causing urinary incontinence
  • Post-stroke upper limb spasticity

Fast facts on Botox

  • Botox had and is been the most saleable non-surgical aesthetic treatment, with over 6 million Botox treatments performed each year.
  • Botox is a neurotoxin compound extracted from Clostridium botulinum, an organism present in the natural habitat where it is highly inactive and non-toxic.
  • Botulism, an affliction caused by botulinum toxin, can cause respiratory disruption and prove life-threatening.
  • Botulinum toxin is used to minimize the appearance of wrinkles and fine lines by immobilizing the underlying muscles.
  • Botox is also used to treat muscular disorders, severe sweating, migraines, and some bowel ad bladder issues.
  • Just 1 gram of botulinum toxin could have the capacity to kill over 1 million people. 2 kgs of it could annihilate the whole of human population on Earth. That being said, is about the potential of Botox, but which is productively executed in the effective medical treatment of certain aging indications and medical conditions and not as a noxious component.
  • It is FDA-approved for treatment of glabellar lines and in this area specifically. However, it is most commonly used off-label for crow's feet, horizontal forehead lines, smoker's lines around the lips or marionette lines at the corners of the mouth.
  • Botox Cosmetic and injectable dermal fillers are completely different. They function differently under your skin and their results also differ and duration too. Dermal fillers work distinguishably, plumping up tissues so that wrinkles ad lines diminish or disappear.
  • As a general rule, Botox is most often used in the upper portion of the face, and fillers are used mostly in other areas.

What is Botox?

What is Botox, and what does it do?

"Botox is a chemically derived substance from the bacteria called botulism toxin, which is found in many natural settings, including forests lakes, and soil and has poisonous properties. The bacterium can also be found in the intestinal tracts of fish and many mammals and in the gills and organs of crabs and other shellfish. But most importantly such naturally occurring specimen of Clostridium botulinum bacteria and spores are usually non-dangerous.

The risk of harm only arises when the spores transfigure into vegetative cells and the cell population keeps increasing exponentially. At a certain point, the bacteria start generating botulinum toxin, the harmful neurotoxin liable for botulism. The prime target of Neurotoxins is the nervous system, and they attack by hampering the information gathering and signaling processes that enables neurons to communicate effectively.

For many, the concept of Botox may sound spine-chilling, but the reality is—when used in very controlled doses, the practice is safe. The compound is injected into a particular area using a syringe or a blunt needle, and once inside, it binds itself to receptors in the muscle, impacting upon the nerves within. "So as a possible outcome, when your nerve emancipates a chemical to make that specific muscle precipitate or blaze, it can't. The function dwindles, and the fine lines or wrinkle that develops when the muscle contracts will reduce, or vanish completely. It's not a fixed thing, though. Your body rebuilds those receptors over time."


Cosmetic Treatments

The typical application of BOTOX® for cosmetic treatments is to decrease the facial wrinkles and fine lines in older adults, though young adults also have a reasoning to get Botox injections and are also benefiting from it. The muscles no longer contract after the Botox injection, which is what, causes the wrinkles to soften and calm.

The treatments you might opt BOTOX for cosmetic improvements include:

  • Diminishing & relieving Lines & Wrinkles non-surgically: Whether it be women or men, it is about a human make-up that makes both disposed to lines and wrinkles, be it a reason of aging, smoking, sun damaging or stressing out. The interesting thing is whether they are those crow's feet wrinkles, laugh lines, worry forehead lines, or lines between the eyebrows, both get them unbiased and still there is a fuss about inequality of anatomy in both, ironical it is, isn’t? That said, you can alleviate the appearance of those lines and wrinkles without having to turn to painfully invasive surgery.

    BOTOX® effectively helps with lines and wrinkles on your forehead, neck, and around your eyes and mouth-- and it is non-surgical.
  • Lifting your brow: There comes a phase in everyone’s life when the brows begin to droop and stoop. BOTOX® injections can be used to lift up the lowering brow, which contributes in making your face look less tired, sad and anything giving a gloomy impression of you, thereby making for an overall youthful look.
  • Jaw Contouring: Recently, medical researchers have devised a new BOTOX® benefit: Patients with oversized masculine muscles of the jaw (the muscle used for chewing), can be treated with BOTOX® injections. It works fairly well for people looking to transform their square-shaped faces the oval face shape in a non-surgical way. BOTOX ® Cosmetic injection treatments have been reported to decrease the size of the masseter muscles, causing an amiable curved jaw and cheek. With Botox, the bone structure does not change; the decrease in the thickness of muscle manifestly refines the angle of the patient's jaw.
  • Improving a gummy smile: A gummy smile is a smile where too much of your gums are shown while speaking, eating or laughing. As a prototype, it is because of the excessive elevation of the upper lip than normal. Upper lip BOTOX® injections weaken the retractor muscles of the upper lip in order to prevent them rising above your upper teeth anymore when you open your mouth, thus giving a more balanced looking smile.
  • Rejuvenating hair: Hair loss, thinning hair and scanty scalp have become a common problem in both men and women, yet there is no single treatment that can prove remarkably productive for all. After all, it is not something that most people take likely and could result in having detrimental psychological effects on well-being. BOTOX® is reported to help people with hair loss. When injected into the scalp, improves blood flow, increases nutrient/protein delivery to hair and relaxes muscles. Please note that Botox treatment for hair loss only works when your hair follicles are still "alive" and aren’t completely destroyed.

Botox Injection preparation

How to prepare the Botox Procedure is one of the amazing aspects about Botox because there is no only true preparation required. There are specific elements that will enhance your likely results and reduce any potential risk or complication of bruising that can occasionally occur from injection.

The best solution to keep small injection site bruising formed after procedure at bay is to avoid taking aspirin or products containing products. If you are prone to smoking, your chances of bruising are also increased.

Naturally, before any treatment, an experienced clinician will assess you in order to establish that you are a safe and qualified candidate for the procedure. You also may have a pre-existing medical condition that causes you with muscle weakness, breathing difficulties, swallowing troubles, or speaking challenges. A certified clinician makes sure that a patient is put to scrutiny to analyze a full history and detailed examination before injecting a treatment such as Botox®. It will likely be the safe way to achieve an individual’s cosmetic objectives.


During the Botox Procedure

If you are willing to receive a Botox treatment for your cosmetic enhancements, you certainly need to visit a clinician’s in the office. It is an outpatient procedure that is performed only at a doctor’s clinic under certain medical safety standards. A Botox treatment takes around 15 minutes to complete. The recipient of Botox injection is placed in a somewhat raised/elevated position on the examination table, and the areas to be injected are first cleansed with a non-alcoholic cleanser, such as Betadine or Hibiclens.

The clinician will then apply a topical anesthetic, such as numb skin, Emla or any good alternative lotion, at this time. The Botox is then injected into the areas pre-decided for the treatment. Botulinum toxin is prepared for administration by diluting the powder in saline and injecting it straight into neuromuscular tissue. Characteristic Botox injection patterns include around 4 or 5 areas on each side of the forehead and 2 or 3 areas on either eye region. However, more areas can also be injected by well-experienced and skillful physicians, typically depending on the kind or intensity of the wrinkles and the desirably fitting effect for the patient.

Please note that, apply pressure if an area seems to be leaking blood after the injection. While ice is usually applied in readiness for comfort reasons earlier on, direct pressure is still much more effective than ice for management of bleeding and bruising.

The apparent effect of injection would take about 24-72 hours to appear into existence. In rare of rare cases, it may take as long as 5 days for the complete effect of botulinum toxin to be noticeable.


After the Botox Procedure

After receiving the Botox injection, the patient would generally lay upright or semi upright on the examination table for about 2-5 minutes to make sure that the substance goes well inside and that the patient feels relaxed after the procedure, and then the patient will be made to avoid lying down for 2-4 hours.

Painkillers: If bruising happens or is a concern, it will be crucially essential for the patient to avoid taking Anti-inflammatory medications like aspirin or related products, such as Naproxen (Aleve), or ibuprofen (Motrin, Advil), after the procedure to keep bruising to a least. These medications thin the blood, which can aggravate any bruising post procedure. Hence, if you do want to minimize discomfort through painkillers before and after the procedure, paracetamol is the safest option. Or choose to take a natural supplement called Arnica Montanna. Also, make sure to inform your clinician about what medication you are on before having a Botox treatment.

Physical Movement in treated area: There are some physicians who promote their patients to either work the area a few times while the next couple days or, alternatively, to just not use the affected muscles for the next several days. Some patients are being told to not do anything in specific other than avoiding high-impact activity for some hours thereupon due to an increased risk of bruising.

Avoid strenuous exercise for next 24 hours after Botox as it could result in bruising and, in rare possible cases, the Botox could shift to other areas of your face, contributing towards making the muscles in these areas to be temporarily paralyzed. It is best to also avoid doing yoga for 24 hours after having Botox as inverted positions can also cause Botox to migrate to other muscles in the face.

Exercise: Yes, you can exercise the muscles treated with Botox after 4-6 hours of having the treatment by squinting, frowning, or raising your eyebrows to ensure the treatment works well into your facial muscles.

Consumption of alcohol: Many of you must be eager enquiring about how soon after having Botox could you consume alcohol. Taking alcohol afterwards can increase fluid retention in the body and consequently thin the blood, both of which can escalate any bruising you may feel after Botox treatment. Some people will find that they experience mild bruising at the needle sites after having Botox injections — if alcohol is present in the system this can exacerbate the bruising. For this reason it’s advisable to avoid drinking alcohol for a day or two before and after the procedure.

Apart from possibly raising the risk of bruising immediately after the treatment, consuming alcohol is greatly unlikely to have any long-term harmful effects on the outcomes of your treatment. If you have a special event coming up where you are likely to be taking alcohol, having Botox at least 7-10 days before is recommended for any bruising to settle down and the full effects of Botox to be seen.

Drive: Can you drive after having a Botox injection? Yes, of course you can drive back to your home or wherever as Botox injections will not affect your ability to drive, neither would have any detrimental effects from the same.

FLY: There have been long-held concerns about flying after taking Botox. The concern revolves around the perception that alterations in air pressure in an airplane cabin can modify the outcomes of Botox. Changes in air pressure can signalize that the Botox can shift to other muscles in the face. So, it is advisable for the patients to avoid flying for 24-48 hours after getting Botox treatment.

Touching/Feeling Face: Yes, you can touch/feel your face after having Botox and you can even continue with a normal skin care routine post procedure, including face cleansing and moisturizing the skin. However, you should avoid massaging, scrubbing or rubbing your face for ideally 24 hours, or at least 6 hours, after getting the Botox.

MAKE-UP: You should avoid applying make up for at least 6 hours after having Botox treatment.

Facials or Microdermabrasion Treatments: It’s best to wait until a week before having facials or a microdermabrasion after Botox. You should also avoid laser treatment, chemical peels, and sun beds for at least 10days after having Botox.


Next Steps on Botox

Results from Botox injections will be observant within 3 to 10 days. Images may be clicked earlier on the procedure so that the recipient can verify their outcomes themselves instead of just retaining from what you have seen at clinic’s pictures. It is actually astonishing to see how many patients do not remember how they looked before the procedure and are surprised at the difference when shown a picture. Before undergoing the procedure of Botox, the patient should understand that Botox does not really erase lines but calms them. What this means is that the deeper lines will become rather relatively less deep and superficial lines will almost disappear. This can be somewhat related to the act of steaming an apparel’s shrinkages rather than ironing them.

It may be a good option for the patient to have additional procedures, such as the dermal filler products such as — Radiesse, Restylane, Perlane, Sculptra, or Juvederm in order to flesh up the wrinkles or lines that are now calmed. Furthermore, it may be required to receive two or three sessions of Botox treatment for deeper lines before procedure become effectual and results appear optimal.

For Botox to be used in conjunction with dermal fillers, the area of the crease between the eyes is a specifically perfect area for treatment as these obstinate wrinkles don't always respond wholly to Botox alone.

There has been some disagreement of thoughts about using dermal filler in combination to Botox in that area as it may inhibit arteries or veins and cause blood loss and scarring to the area. Generally, the smaller particle fillers like Juvederm Ultra or Restylane, are best suited in the area between the eyes for this reasoning.


What happens when the results of Botox die?

The results of Botox will remain up to 10-12 weeks (about 3months) in most patients. After about 3 to 4 months, the patient will slowly start to notice that the areas that have been treated by Botox will be returning to their pre-Botox look. Having Botox literally does not augment or worsen wrinkles so if you feel your wrinkles look more identifiable after the Botox treatment has weaken or vanished, it will most likely be because you are developing more wrinkles with age or have become used to your face looking plane & unwrinkled.


Risks of Botox Injections

Risks are very minimal with the procedure of Botox. The main risks associated with Botox treatment is pain, headache and flu-like sickness. It is significant for the cosmetic specialist to evaluate the patient's lids before injecting since the individual may not be a good candidate if he or she has an excessively droopy lid to start with or one that is held up by always arching the lids.

Ptosis is a condition of a severe drooping of the eyelid that can happen in up to 5% of patients but is quite atypical if the clinician is skilful and performs the procedure often. These side effects are typically very minor occurrences and resolve with time.

Lately, there have been concerns about retrograde Botox transmission, meaning that the substance could move back to the central nervous system, causing long-term damage. A medical research study by Flavia Antonucci in Italy has been conducted chiefly on the crude form of the toxin and not any of the market available preparations. The study has been undertaken on animals and with the injection of the toxin to one area and in a concentration of approximately 150 times greater than normal injections for cosmetic indications, which are distributed over multiple sites in humans. The concern is particularly objected at a specific population of patients getting more than the usual doses of botulinum toxin and not targeted at the normal user of Botox, per se.

There are some yet rare, but prospective side-effects, that you should be aware of before having Botox. These include:-

  • Slight Swelling (similar to midge bites)
  • Bruising/Redness at injection site
  • Infection
  • Allergic reactions such as rash, pruritus
  • Anxiety
  • Nausea and/or Headache
  • Flu-like symptoms— periodic numbness
  • Drooping of the eyebrow or upper eyelid
  • Visual disturbances— blepharitis; photosensitivity
  • Dry Skin, Dry mouth and Dizziness
  • Occasional Sensation of ‘Needles’ and ‘Pins’
  • Antibody formation (significant deterioration in response)

Botox Results

The results generally begin to show up to be visible within 3 to 10 days or even sooner. Typical results are wrinkle-free, contoured, smoother, younger-looking skin; which lasts about three to 4 months. Overtime, the activity of muscles as well as other areas will steadily resume to its usual, depending on the amount injected. The praiseworthy thing about Botox cosmetic is that it tends to works all right even up to the third month, as a cosmetic treatment that might last a short span at full vigor and then wear off quickly.

Results largely vary depending on who is giving the injection on the patient. It is of utmost importance to go to a cosmetic surgeon or skin specialist who is dexterous at this procedure, does itself (rather than having an assistant, nurse or other non-physician do it). The manufacturers too insist for Botox medication to be injected by the physicians themselves. As with most procedures, the results of the Botox patients rely upon the proficiency skill of the practitioner.

In addition, there is rare or less likeliness to end up with botched results with a qualified practitioner is extremely important, as you're less likely to end up with botched results.


When to seek medical care for Botox compilations

If you have got your eyelids stooping or wilting after a Botox procedure, it is recommended to let the physician know because there is a medicine help available to cure this condition. Any other concerns post procedures, such as rashes, redness or difficulty breathing, should be reported to the physician immediately.

Bruises occurring after procedure usually settle within one to two weeks. However, there is medical assistance available for the treatment of these, such as Procedural Bruise Relief, vitamin K serums, Vitamin K topical treatments, Glymed etc.


Who are not suitable for Botox treatment?

Botox Cosmetic is FDA approved for people aged 18 to 65. But you shouldn't still have it for following reasons:

  • People who have had an allergic reaction to the drug or any of its ingredients in the past.
  • Or are allergic to a different botulinum toxin brand (such as Dysport, Xeomin or Myobloc,) or previously had any side effect from these products.
  • If the recipient is allergic to eggs, it is very crucial to not use this substance because it is prepared with an albumin (egg) base.
  • Have a skin issue, infection or other concern in the injection area.
  • Have a disease called myasthenia gravis, Lambert-Eaton or ALS (Lou Gehrig's disease) syndrome or another ailment that affects your nerves or muscles.
  • Have Asthma or difficulty breathing
  • Have bleeding problems
  • Have issues with swallowing
  • Plan to have a surgery or already have had a facial surgery in the past
  • Have weakness in forehead muscles.
  • Have excessively droopy eyelids
  • Are constantly consuming or have recently taken certain medications, supplements or vitamins.
  • Botulinum toxin should not be administered in pregnant or lactating women.

Botox Cosmetic is not supposed to move far enough through the body to impact a fetus or breastfeeding infant. However, for moral virtuous, medical studies have not been conducted on expectants or new mothers, so nobody knows for sure.


Off-Label Uses of Botox

Botulinum toxin is also used off-label (not approved) for:

  • Gummy smile
  • Correction in Chin, Neck, and other areas of the body
  • Cerebral Palsy
  • Anal fissure and anismus (dysfunction of the anal sphincter).
  • Allergic rhinitis (hay fever)
  • Achalasia (a throat problem which makes swallowing troublesome)
  • Sialorrhea (producing too much saliva)
  • Sphincter of oddi (hepatopancreatic) palsy- causing abdominal pain)
  • Oromandibular dystonia (compelling diminution of the face, jaw, and/or tongue)
  • Laryngeal dystonia (forceful contraction of the vocal cords).

Many of these conditions are under scruitny at this time for approval by the FDA. Moreover, topical forms of botulinum toxin (Revance) are also currently under investigation. With time, these will likely show up in the market and be soaked into the body for treatments of which Botox Cosmetic is used.

Botulinum toxin is sold commercially under the names:


  • Botox, Botox cosmetic, Vistabel (botulinum toxin type A or OnabotulinumtoxinA)
  • Dysport (botulinum toxin type A or AbobotulinumtoxinA)
  • Bocouture, Xeomin (botulinum toxin type A or IncobotulinumtoxinA)
  • Myobloc (botulinum toxin type B or RimabotulinumtoxinB).

It is important to know that these products are similar but not as the same product as Botox. Additionally, these have different units of measurement in correlation to Botox.

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