Satisfaction with Botox Increases Over Time

Botox® treatments for facial wrinkles, repeated as needed over many years, are safe and well-tolerated by patients when administered by a qualified and trained healthcare professional. That’s the conclusion from a study by Drs. Jean and Alastair Carruthers—the wife and husband team that pioneered the use of Botox Cosmetic (botulinum toxin type A).

Here’s what they did.

The Carruthers reviewed the records from 50 patients with a history of at least ten treatment sessions with Botox for cosmetic use. The patients had 5112 total treatment sessions, averaging at least two treatments each year over an average of nine years. Some patients received treatments for as long as 16 years.

More than nine out of ten patients were women, with an average age of 43 years. Most were treated in more than one area on the face: 49 were treated for glabellar lines (the short vertical lines between the eyebrows, 35 for crow’s feet (“laugh lines” extending out from the eye across the temple), and 32 people for forehead lines. Botox® was the only botulinum toxin type A formulation used.

Here’s what they found.

There were no side effects in 99% of treatment sessions, and none were rated as serious or severe. All side effects were temporary, included two cases of bruising, one of injection discomfort, and four cases of brow or eyelid ptosis (drooping). The risk of side effects did not increase with the number of treatments, nor were they related to the time between treatments.

The patients shared their personal assessments of the Botox treatments. “Self-perception of age is a very simple way of judging results,” Dr. Carruthers said. “We found that the longer patients were treated, the younger they perceived themselves to look.”

The bottom line.

The Carruthers concluded that long-term treatment with Botox for facial aesthetic procedures is safe and well-tolerated when used for multiple sessions over time periods extending up to nine years. Importantly, patients were happy with the results.

The key to success with a low risk of side effects, as stated by Dr. Carruthers, is that the person doing the injecting must be “qualified and trained” in the proper use of Botox.

In the practice of Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D., Dr. Binstock, USCF Fellowship Trained, Dr.Layton, and Stephanie Cullinane, PA-C, are highly experienced in using Botox as part of an overall individualized strategy to achieve facial rejuvenation. For consultation and more information about our approach to using Botox to achieve the best look for you, call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.



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