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Cynthia Salter-Lewis, MD, ReNew Med-Spa and Cosmetic Laser Center
07/01/2007

Cynthia Salter-Lewis, MD, ReNew Med-Spa and Cosmetic Laser Center

About the author: Dr. Salter-Lewis is board certified, specializing in anti-aging and aesthetic medicine.

Dr. Salter-Lewis is Medical Director and co-owner (along with her husband Dr. Randall Lewis) of ReNew Med-Spa, located at 510 Route 9 North, and is a member of the American Board of Anti-Aging Medicine, American Academy of Aesthetic Medicine, and the American Society of Laser Medicine and Surgery. Dr. Salter-Lewis lectures nationally and trains other physicians to inject Botox® Cosmetic. Call for a free consultation (732-972-3233).


Is Botox® Cosmetic safe?
Botox® Cosmetic is extremely safe and is one of the most widely researched medicines in the world. It has been used therapeutically for more than 16 years in the U.S. to treat a variety of medical conditions, and is used by many children’s hospitals to treat neurological diseases. It is not poison or botulism. It is purified protein derived from clostridium bacterium.

How does Botox® Cosmetic work?
As a result of repeated muscle activity from years of smiles, frowns, and surprises, moderate to severe lines between the brow, forehead, and around the eyes form over time. Botox® Cosmetic is injected directly into the muscles, blocking the transmission of acetylcholine from the nerves to the muscle. Acetylcholine is a neurotransmitter that sends a message to the muscle, telling it to contract. This action relaxes and reduces muscle activity, thereby reducing those persistent lines. As a result, the wrinkled areas smooth out and soften. Botox® Cosmetic not only treats the lines and wrinkles, but also prevents those same lines from getting deeper over time.
Once administered, the nerve is incapacitated until it starts to reawaken in about 4 months. At that time, a new Botox® injection is indicated. After treatment it takes 3–10 days to see results. The physician advises the patient not to massage the area, and to avoid alcohol, aspirin, or ibuprofen before the procedure to help prevent bruising.

Will I have an unnatural or frozen look?
Botox® Cosmetic is a technique-sensitive procedure. When ad- ministered by an experienced physician, you should not lose the ability to show expression. The muscle location and strength is examined by the physician and a specific and customized amount of Botox® is determined for each individual. With careful examination and proper administration, you can have a very natural look and predictable results.

Who should administer Botox®?
Since this is a medication that acts on muscle, many different types of physicians feel comfortable administering it. Specialties range from plastic surgeons and dermatologist to family practitioners or internists. The most important thing is to be sure the physician administering the Botox® specializes in cosmetic or anti-aging procedures. Check on the frequency with which the physician does the procedure, and if he or she is certified.

What are the most common side effects?
The most common side effect is temporary bruising and redness. The redness at the injection site usually resolves within 15 minutes. Another side effect is headache; however, this is rare. If a headache occurs, it usually resolves within 24 to 48 hours. Botox® does not cause systemic internal side effects, and patients can continue the process the rest of their lives.


Is treatment with Botox® Cosmetic painful?
With good injection technique, the discomfort is usually minimal to none. Prior to injecting, your physician may choose to numb the area with a cold pack; however, not all physicians find this is necessary. The entire procedure takes approximately 15 minutes. You are in and out of the physician’s office with no downtime following treatment.


Who should not use Botox® Cosmetic?
It should not be used in the presence of infection at the proposed injection site(s). Women who are pregnant or breastfeeding should not have Botox® treatment. People who have certain neurological diseases like myasthenia gravis or ALS should not use Botox®.




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