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Botox Cosmetic: Botulinum Toxin Type A

Botox® Cosmetic

Why Try Botox® Cosmetic?

Botox® Cosmetic is a simple, nonsurgical, physician-administered treatment that temporarily smooths moderate to severe dynamic facial lines such as frown (glabella) lines, crow's feet and horizontal lines of the forehead. Other areas treated with Botox® Cosmetic include dynamic wrinkles on the nose, “smoker’s lips,” correct down turned nose-tip and the platysma muscle bands of the neck.

Treatments can be done in as little as 10 minutes after the appropriate medical documention and a brief history and physical is taken. A few tiny injections and within days you will notice the improvement, which can last up to four months. Of course results will vary.

In 2005, almost 3.3 million procedures were done with FDA approved Botox® Cosmetic.

How does Botox® Cosmetic work?

Botox® is a purified protein produced by the Clostridium botulinum bacteria. This protein reduces the activity of the muscles it is injected into by temporarily blocking the transmission of nerve impulses. By paralyzing the selected muscles the lines that previously formed are now prevented from forming. Because the protein is taken up by the nerve, the effects are not immediate. Results will be seen in three days with maximum results noted in 10 days. Results can last up to four months.

Who should administer Botox® Cosmetic?

Only trained doctors are allowed to administer Botox®. The Medical Board of California has set Business and Professional Codes that states nurses, nurse practitioners and physician-assistants are only allowed to perform these procedures if directly supervised by a physician. This means the doctor is present in the facility at the time the procedure is being performed. There is no provision for “sponsoring of nurses.” This is obviously done for patient safety. If there should occur an unforseen event such as an allergic reaction the doctor needs to be immediately available to diagnose the problem and prescribe treatment. Neither of which a non-physician is allowed to do.

Where does Dr. Basile perform Botox® treatments?

Botox Before and AfterDr. Basile specializes in medical aesthetics only and all his services are offered in the “Forever Young” Walnut Creek, CA office. The Walnut Creek office offers a quiet, spa atmosphere for your Botox® injections. For your convenience, Dr. Basile will also do house-calls for group Botox® treatments to the following cities and counties: Alamo, Sausalito, Tiburon, San Anselmo, Mill Valley, Greenbrae, Petaluma, Santa Rosa, Healdsburg, Marin county, Napa, St. Helena, Calistoga, Oakland, San Jose, Saratoga, Pleasanton, Walnut Creek, Benicia, Modesto, Sacramento, Fairfield, Concord, Orinda, Moraga, Lafayette, Danville, Dublin and Livermore.

There is no “recovery time” after the Botox® injections. There may be slight redness at the injection sites that will resolve within the hour. There will be local swelling since 0.1 ml of Botox® is administered with each injection. This also resolves quickly. Do not massage the bumps as this could displace the Botox® and cause unwanted side-effects.

Botox Before and After

Who should not use Botox® Cosmetic?

People with neurologic disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side-effects. The most common side-effects were headaches, respiratory infection, flu syndrome, temporary eyelid droop and nausea. People with an active infection at the proposed injection site should not receive Botox®.

Botox Forehead, Before and After


Botox is used to treat excess sweating of the underarms, scalp, hands and feet. The same type of nerve endings that stimulate muscles also stimulate the sweat glands. Excess sweating or hyperhidorosis can be extremely embarassing in social situations. Sometimes Dr. Basile will do a "starch test" to identify the sweat glands before injecting them. For the hands and feet a nerve block may be performed first. The amount of Botox used varies by area treated and will be determined after your consultation with Dr. Basile.

This is written to give patients a rough idea of what they might need when they are wanting a Botox® treatment. These are just a range of units needed for particular zones. The values are total units for both sides. The amount you actually need will depend on your consultation with Dr. Basile as well as his evaluation of you.

Horizontal Brow/forehead lines = 10 to 20 units. Usually 14 units.
Vertical "#11 sign" frown lines between the eyebrows = 12 to 24 units.
Usually 20 units.

Crow's feet on the sides of the eyes = 12 to 24 units. Usually 24 units.
Bunny Nose = 4 to 8 units.
Smoker's Lip = 2 to 4 units.
Downward Corners of Mouth = 8 to 16 units.
Neck Bands = 20 units per band.
Cheek injections to reduce size of lower cheeks = 60 to 80 units.
Armpits for excess sweating = 100 units.

For more information, visit:
Botox® Cosmetic
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