<p style="direction:ltr;">Facial symmetry; Facial symmetry and proportionality is preferred <br />- Billateral symmetry: left and right sides of the face are mirror images <br />- Proportionality: equally sized features <br /><br />What is botox ?<br />Botox is one Trade name for purified protein called ‘Botulinum Toxin’<br />It is made from a type of bacteria called ‘’Clostridium Botulinum’’<br />Clostridium: is anaerobic bacterium gram positive of a large genus that includes many pathogenic species , e.g , those causing tetanus , gas gangrene , butulism , and other forms of food poising .<br /><br />‘’Botulinum’’ from Latin word ‘Botullos’ which means ‘sausage’ .<br />Hence it is Biologic <br />Therapeutic effect of the BTX-A is seen within 24-72 hrs and lasts for 2-6 months .<br />It is maximum 8 to 16 days later .<br /><br />Indications and contraindications: <br />Muscles are in a dynamic balance <br />Treatment should affect specific muscles while sparing the surrounding muscles.<br />The more muscles or muscle groups involved in when causing a furrow or wrinkle or when muscles have attachments (i.e. nasolabial furrows); the more difficult to paralyze selected portions of the muscles.<br /><br />contraIndications:<br />Have an infection where BOTOX®Cosmetic will be injected (Dermal infection).<br />Allergic to any of ingredients in BOTOX®Cosmetic(e.g. Albumin/egg allergy).<br />Blood donors (can’t donate after BOTOX® for a period of time determined by the blood bank).<br />Underage clients (need parental consent).<br />Alcohol.<br />Any diseases that affect your nerves and cause a generalized impairment of muscle strength (i.e. myasthenia graves, Eaton-Lambert syndrome). These diseases may increase your chance of side effects with BOTOX®Cosmetic treatment.<br />Pregnant or planning to become pregnant soon.<br />Breastfeeding. <br /><br />Medications:<br />Antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin, and lincomycin.<br />Treatment with A.S.A. or other non-steroidal anti-inflammatory drugs 1 week prior to Tx(patient more likely bruise or bleed).<br />Medicines used to treat heart rhythm problems, such as quinidine; and anti-coagulants (coumadine).<br />Medicines used to treat different conditions, such as myasthenia gravis or Alzheimer’s disease.<br />Any over-the-counter medicines or herbal products.<br /><br />Recommendations for patients:<br />For the same day of Botox application<br />No exercise or sport .<br />No hot showers.<br />No massage.<br />No steam exposure ( bath , cocking , etc ) .<br />No hot food .<br />No facial creams .<br /><br />Other uses for botox<br />1-Bruxism and clenching cases<br />2-sialorrhea<br />3-Masseteer hypertrophy<br />4-Temporalis hypertrophy<br />5-Hair loss<br />AND MORE!!<br /></p>