Botox Allergy?

One of my friends recently asked me about a reaction she had with Botox from another doctor years ago. Her eyes swelled about 3 days after the injections.

Allergic reactions to Botox(r) are exceedingly rare, and could be due to the serum that the material is injected with. While allergies are rare, one has to be careful about the amount and location of the injections. Typically cosmetic injections for the frown, crow's feet, or forehead use about 30 to 50 units with 100 being the manufacture's maximum dose.

Reports of difficultly with heart rate, swallowing, neck movements are all involved with injections into the neck for a "twisted neck" condition, torticolis and the average number of units used is 286. So this is not applicable to cosmetic facial wrinkles.

Botox should be used with caution in patients with neuromuscular diseases (such as myasthenia gravis), neuropathic disorders (such as amyotrophic lateral sclerosis), or patients taking aminoglycosides or other drugs that interfere with neuromuscular transmission.

How to Prepare for a Cosmetic Surgery Consult?

To get the most out of your consult you want to come prepared with a list after doing some research on the procedure you think you need.

1. Ask for board certification, in Plastic Surgery, Facial Plastic Surgery, Dermatological Plastic Surgery. Certification in Family Practice, Ob/Gyn, General Surgery might stimulate more research.
2. Ask about hospital affiliations, and does the surgeon have hospital privileges to do the procedure you want?
3. How long has he/ she been doing the procedure you want? Remember, brand new technologies will effect these answers.
4. Facilitate the physical exam by wearing clothes that permit access to what needs to be seen. Bring a friend or spouse to make you more comfortable and remember more.
5. Be prepared to be specific about your expectations, down time available, and how much help you will need after the procedure.
6. Navigate my home page, to "Prepare for your Consult" and that will help also.
   

Laser Skin Resurfacing

Ask us about the new Pearl skin rejuvenation Laser.

Breast Implants

Can you please contact me regarding breast implants! I would like to move up to a "C" cup.

Sculptra

Sculptra the new dermal filler.

Liposuction

Can you please provide more information regarding liposuction. You come highly recommended from a close friend of mine.

Finding the right Doctor

My approach to the art and science of cosmetic enhancement is to understand the individual and visualize the desired results in relation to his or her self-image, self-esteem and life experiences. Then, as we jointly discuss the steps, stages and alternatives, I think in terms of progression of choices, beginning with the simple, healthy and minimally invasive. Subsequently, I consider more involved lifestyle and surgical enhancements.

Dr. Chili Robinson