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What is Botox?

Botox Injectable is a purified non-animal protein derived from the bacterium Clostridium botulinum. When expertly injected into select face and neck muscles, it induces temporary relaxation of the muscles, which helps to soften unattractive animation lines and minimize any depressive or “pulled-down” appearance. The facial muscles implicated in this downward effect can negatively affect the vertical positioning of the soft tissue of the brow, cheek, and jowl line.

Why Choose SpaMedica for your Botox Treatment?

  • Dr. Mulholland has been successfully performing Botox Injectable procedures for 20+ years.
  • He has developed highly advanced and specialized Botox techniques for brow lifting, mid-face shaping, neck contouring, and mandibular bordering.
  • Our clinic is staffed with skilled injection nurses like Audrey Kaufman, RN, and Terri Clarkson, RN—expertly trained by Dr. Mulholland and boasting 10+ years’ experience.
  • How Does Botox Work?

    How Does Botox Work for Wrinkles?

    When administered near a selected muscle, Botox Injectable makes its way to the selected muscle and is absorbed into the nerve which is directly responsible for the contraction of that muscle. There it produces a temporary, localized blockage of muscle contraction function, smoothing out any fine lines or wrinkles triggered by the muscle. This blockage is temporary, and after several months the body’s natural enzymes will break the compound down.

    Generally, treatment takes about 15 minutes.  A very small needle is used— similar to the kind used to administer insulin to diabetics.

    How Does Botox Work for Migraines?

    Botox Injectable is FDA-approved for the treatment of chronic migraines, and many patients are reporting success. Botox is injected around the pain fibres implicated in headaches. There it enters the nerve endings and blocks the release of chemicals involved in pain transmission, preventing the activation of pain networks in the brain. Botox prevents migraine headaches before they start, but takes time to work. Patients tend to see success after their second or third treatments and increasing benefit with each treatment cycle. A single treatment lasts approximately 10-12 weeks.

    What Areas can you Treat with Botox?

    Virtually any animated muscle that causes an unattractive line or wrinkle or causes an area of the face to look pulled down can be treated with Botox Toronto treatments. These include the lip lines, cheeks, jowls, neck, and even chest lines. The most common areas for treatment and those that Health Canada has approved for treatment are the forehead glabellar area, crow’s feet around the sides of the eyes, and the worry lines which occur horizontally across the forehead. Patients rely on Dr. Mulholland and his injectables team to expertly locate the facial animation muscles, which can be treated safely and effectively to produce a smoother and more youthful appearance. Additionally, Botox Injectable can even be used for calf reduction and hyperhidrosis aka excessive sweating!

    How Long Does it Take to See Results?

    Botox Injectable blocks the release of a chemical called acetylcholine from the nerve ending plate which serves the targeted and intended muscle(s) being treated. Acetylcholine is necessary for the muscle to contract once you consciously or subconsciously wish to activate the muscle. It takes three hours to bind to the targeted receptors on the muscle, at which point you begin to see the expressive ability of that muscle weakening after about three days. The full effect of the injection occurs up to six days later, and most patients begin to see a very significant softening and smoothing out of their undesirable lines and wrinkles and significant elevation of the overlying soft tissue.

    Dr. Mulholland’s treatments provide outstanding results. It is common for SpaMedica patients to appear 5-10 years younger with his combination treatment of Volumalift, Soft Lift, Botox Injectable, and laser treatments.

    How Many Units of Botox Do You Need?

    Patients frequently ask us how many units of Botox Injectable they require for their treatment. The answer varies widely depending on how large your muscle is, how strong it is, its positioning, as well as other factors. Men and women also have very different muscle qualities, so that can play a role as well. Typically however, your forehead glabellar region requires 20-35 units, the horizontal lines on your forehead need between 6-20 units, and your crow’s feet around your eyes will take 6-15 units—roughly. It is very common for Dr. Mulholland to use between 60 and 90 units of Botox Injectable during a patients’ full treatment program. The only way to fully determine how many units of Botox you’ll require however is to come in for a consultation.

    How Much Does Botox Cost?

    SpaMedica Botox Toronto nurse prices are generally charged per unit and range from $8.99 to $12, depending on the number of units injected and whether there are any SpaMedica specials, deals or promotions on offer. Dr. Mulholland’s pricing starts at $18 per unit for the first 60 units, then drops significantly for any additional units. The cost also varies depending on how many areas you choose to treat. On average, to cover all the areas mentioned above, most patients pay approximately $1500 for their Botox Toronto treatment.

    Dr. Mulholland performs all his Botox Injectables on our “Injection Fridays.” First-time patients can take advantage of the SpaMedica $99 Injectable Deal! All units purchased with this promotional special are to be used in the same visit and there is no banking of units for future use.

    Is Botox Safe?

    There is very little discomfort and, in most cases, little to no bruising caused by Botox Injectables. You can apply makeup immediately afterwards and return to regular activities after three hours. All medical procedures have some degree of risk and there may be complications. However, fortunately, in qualified hands, these complications are very rare.

    What are the Side Effects of Botox?

    The most common side effect of Botox Injectable is bruising. Our gentle technique, perfected by Dr. Mulholland and his injection team minimizes this risk. Other undesirable side effects and complications include the dispersion of the product beyond its intended region to affect adjacent or nearby muscles negatively. This is most common above the eyebrow, with dispersion of the Botox injectable over the eyebrow bone where it can weaken the eyelid levator muscle.  This weakening of the eyelid muscle results in a drooping of the upper eyelid, a phenomenon called levator aponeurosis ptosis. Although this can last for 2-6 months, the effects can be softened somewhat with topical eye drops. Fortunately, the droopy eyelid complication is very rare when performed by an expert and when patients follow post injection instructions carefully.

    Some Botox Toronto patients complain of vague flu-like symptoms, such as muscle aches, stiffness, headache and even mild nausea for 2-4 hours after the procedure. These symptoms can be treated with Tylenol or Advil and will resolve!

    Who Should Not get Botox?

    Botox is contraindicated in patients with a known hypersensitivity to botulinum toxin or any of the components in the formulation. Patients with an infection at the injection site are not candidates until the infection is resolved. 

    Perhaps most importantly, Botox Injectable is not recommended for those with unrealistic expectations. It is important to understand that Botox Injectable is not intended to eliminate all animation lines, but rather to significantly soften specific lines. Typically, a 50-75% softening of animation lines can be achieved. For those without strong depressor activity in the face, Botox is unlikely to provide a significant elevation of facial soft tissue. However, those with strong depressors commonly see a compensatory elevation of the brow, cheek, and neck.

    What You Need to Know Before Getting Botox

    How Long Does a Botox Treatment Last?

    Repeat Botox Injectable treatments are required for long term success, as Botox is not a permanent solution. Generally, significant wrinkle smoothing and reduction will last for 3-4 months, and the benefits begin to wear off by month 4 or 5. Patients generally return to SpaMedica in Toronto for repeat treatments between 4 and 6 months, or 2-3 times per year.  Lower concentrations will have less longevity. Some areas, such as the upper lip lines and other delicate facial animation regions may require smaller but more frequent Botox injections, such as every 2-3 months.

    Do Botox Injections Hurt?

    There is no post-treatment pain following the SpaMedica Botox Toronto procedure. Most patients can return to daily activities immediately. Topical anaesthetic cream and other techniques such as ice or topical air chillers can be used to reduce the minimal discomfort associated with Botox.

    Additionally, thanks to Pro-Nox, aka nitrous oxide or laughing gas, Botox can be an altogether “painless procedure.” The Pro-Nox specialized gas system is specially designed to deliver a 50% oxygen and 50% nitrous oxide mixture to patients for effective pain relief and anxiety reduction when undergoing virtually any nonsurgical procedure. It works to slow the brain and body’s responses, and triggers the release of high levels of serotonin and dopamine within mere seconds. Once inhaled, it facilitates relaxation within 1-2 minutes! Not only is this advanced anaesthetic perfectly well-suited for pain relief, but it is just as helpful for patients coping with anxiety or needle-phobia.

    What Not to do After Getting a Botox Treatment

    There are ways to affect the outcome of your Botox Injectable treatment for the worse, so for best results, it’s essential to know what not to do after a Botox treatment. Touching your muscles can affect the injection, and in a worst-case scenario, move it to other areas of your face. The last thing you want is for a Botox treatment to affect the wrong areas of your face, so resist touching your face. While the recommended time period to avoid touching varies, we recommend not touching your face for 24 hours if possible.

    When it comes to exercise, it is recommended that you wait at least 24 hours after a Botox Injectable treatment to take part in physical fitness activities. Many patients will wait even longer just to play it safe. Avoiding physical activity decreases the likelihood that you will bruise yourself or experience a facial impact—something you definitely don’t want. 
    Painkillers and alcohol should both be avoided at all costs for several days post Botox Injectable treatment (or at least 1 day), as they work to thin the blood. While this is normally acceptable, post Botox it can worsen any bruising that may occur after your treatment session. While bruising does not always occur, it’s not entirely uncommon, so why not do everything in your power to lessen the likelihood? In other words, delay your celebratory drinks until a few days later to give your body a chance to process your treatment and begin healing.

    After your Botox Injectable treatment at SpaMedica in Toronto, you’ll want to avoid laying down altogether for a minimum of 4 hours. The Botox procedure is carried out with vertical alignment in mind, so you’ll need to remain vertical until your treatment settles in! Four hours is the minimum, but like most of the other recommended precautions here, it doesn’t hurt to stay upright for longer if you don’t absolutely need to lay down. When you do lay down, try to sleep on your back. Although this may be quite challenging depending on your sleeping habits, you’ll regret pressing your face into your pillow if it ends affecting your Botox treatment.

    If your goal is to achieve overall facial rejuvenation, facial shaping, and natural anti-aging—with nonsurgical treatments, Botox Injectable, dermal fillers and laser fractional treatments with Dr. Mulholland and his professional team are your best bet. To book a consultation with our experts at SpaMedica in Toronto, simply fill in the online consultation form on the right and click the “Request Consultation” button. Or give us a call at 877-712-8367 today!

    Since 1997
    One of Canada’s oldest, most reputable cosmetic plastic surgery centers.
    SpaMedica in Toronto, headed by Dr. Stephen Mulholland, has been expertly treating Toronto patients since 1997. Schedule a consultation with Dr. Mulholland or the SpaMedica team.
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