Q&A with Dr. Keamy: September 2019

LT: You would not believe how many people use “Botox” as an umbrella term for all facial injectables. Would please clear up this misconception?

JK: Absolutely! The reason why Botox is often used as a generic term, the same as Kleenex or Xerox, is because it was the first of its kind. Botox Cosmetic trademarked by Allergan is the original botulinum toxin branded wrinkle-reduction treatment.

LT: I did some research and learned that Allergan launched Botox Cosmetic in 2002, but it seems like it’s been around longer than that.

JK: Therapeutic Botox was first used by ophthalmogists to treat double vision and blepharospasm, a condition causing the muscle around the eye to spasm. They found when Botox was injected it smoothed out wrinkles and, voila!, Botox Cosmetic was born!

LT: Some people are wary of the fact that Botox comes from the botulism toxin. Would put their minds at ease?

JK: Sure. The botulinum toxin has been biomedically engineered attenuating it so it cannot produce botulism. Botox Cosmetic can have some adverse side effects exist, but they are rare.

LT: Well, that’s a relief! Tell me where you use Botox and how it works.

JK: Botox freezes the dynamic muscles that cause wrinkles by movement; the forehead lines, the frown lines between the brows, and the crows’ feet around the eyes. I also use Botox around the mouth to decrease lips lines and frowns. It usually takes several days for the Botox to take effect; rarely is it over a week. It typically lasts 3-4 months.

LT: What are the other “botox” products do you use, are they interchangeable, and do they cost the same?

JK: I also use Dysport , Xeomin and Jeuveau. Yes, they cost the same per unit, and I use them for the same purposes as I use Botox Cosmetic. I frequently have specials involving all three of these products. If you let my office know your birthday, you will get 10 free units when it rolls around!

LT: Thanks, Jean. You’ve clarified many of the misconceptions about Botox. You better stock up – your phone will be ringing off the hook!



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