Botox™ - Related FAQ's

Q: Can I do laser hair removal of my axilla after Botox injections for sweating?

A: Botox is commonly used to decrease excessive sweating in the underarms. If you have had Botox injections for hyperhidrosis, I would suggest waiting one day before the hair removal is done. Certainly, if you can schedule accordingly, it would be prudent to do the hair removal the next time a few days before the Botox (to allow the skin to heal in case there is inflammation).

Q: I had Botox injected in the forehead and now I regret it. I made my physician treat my whole forehead because I didn’t want to see any lines but I hate my flat frozen forehead. How long will it last?

A: After four months you should see significant awakening in the muscle groups that were treated by the Botox. It will not create a permanent effect. If I had Botox treatment for the vertical lines between my eyebrows and I can still frown, what should I do next? You need to be examined to see if the muscles are very strong and need more units, or if the muscles have relaxed but the creases have been etched in the skin from years of folding like an accordion when the muscles contract. If this is the case, then waiting months and continuing the Botox treatments about every three to four months so the muscles don't "wake up" will allow the skin to smoothen out. Some patients can not afford to be this patient as they want it to look better before an upcoming social function. A filler, such as Restylane or Juvederm can then be used to lift the creases. The effect of the filler is potentiated by the lack of the muscle moving. Other fillers should not be used as there have been complications in this area when thicker products are injected into the glabella. I had a skin graft done for a skin cancer surgery on my forehead and four months later it feels tight. Can Botox help this? The FDA not approve Botox for this use. Sometimes, we find additional uses for a medication by luck when a coincident problem is treated and the second problem also improves. Botox has been used at times in conjunction with reconstruction on the forehead to minimize movement so the scar heals better, but sometimes it’s not possible to treat that part of the forehead without interfering with the position of the eyebrow or upper eyelid. There have been reports also of using Botox for contracted scars, but again, this is an off-label use.

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