Botox™ - Related FAQ's
Q: If I ask my doctor to double my dose of Botox, will it last 8 months rather than the 4 months to which I'm accustomed?A: That is doubtful. Increasing the number of units of Botox much more than needed will not change the duration unless you were given an extremely low number of units previously and had a duration of one month or less, then changing to a normal number of units will increase the duration. As your prior dose lasted four months, you are having an excellent result and don't change anything.
Q: Can Botox be used in patients with hyperthyroidism?
A: Yes, there is no association of risk between Botox injections and thyroid problems.
Q: Is there any risk of treating my dimpling in my chin with Botox?
A: There can be undesired effects of muscle relaxation in adjacent muscles of the lower mouth area which can create a disturbance with eating, speaking, drinking, singing, playing a wind instrument, whistling and smiling. Usually very few units are used in this region and carefully applied by an experienced doctor but these risks do exist.
Q: I had a new doctor treat my forehead with Botox. I have been very happy with my prior Botox for more than five years. This new doctor treated more of the forehead and now, I have a heavy upper eyelid. It's hard for me to put on my eyeshadow! What should I do?
A: You may have had Botox weaken your lower forehead so now it can't be used to help lift the eyebrows and with a sagging eyebrow, down comes the upper eyelid that it helps support. Your doctor, if hadn't treated your glabella (region between the eyebrows), should treat that area now as this will weaken the depressor effect of the forehead and possibly help lift the eyebrows. Often the outer tail of the eyebrow area is treated too as this can relax the depressor effect of the orbicularis oris muscle of the eyebrow area. If the doctor did treat these areas, then you if the unit dose was not high, possibly more can be added to weaken the depressors further. Otherwise you will have to allow time to correct the problem, which can be up to four months.
Q: In New York City, is an aesthetician allowed to inject Botox?
A: No. Only a licensed provider can inject medication, such as a physician, physician assistant (P.A.), R.N. and there are guidelines as to how the non-physicians need to be supervised.
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