Desire Beauty Spa

Desire Beauty Spa


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What is Botox?


Botox is the number one selling product of its kind globally, sales surpass over 10 million vials in the US alone. Botox is the only approved treatment to temporarily improve the appearance of moderate to severe lines between the eyebrow

Brief History of Botulinum Toxin


Clostridum Botulinum was identified by Prof. Emile Pierre avn Ermengem, of Ellezelles, Belgium


Purification process of Botulinum Toxin in crystalline form by Edward Schantz and colleagues.


Dr. Alan Scott of the Smith-Kettlewell Eye Research Foundation in San Francisco initiated animal studies with Bot-Toxin-A. and thru the years collaborated with Dr. Schantz to develop Bot-toxin A for human treatment.

Late 1970’s

Dr. Scott formed his own company, Oculinum, Inc.


Allergan acquired the rights to distribute Oculinum


FDA approved Oculinum for use Strabismus and Blepharospasms. Shortly after, name was change to Botox (onabotulinum toximA)


FDA approved Botox for Cervical Dystonia


FDA approved Botox for the glabellar region


FDA approved Botox for axillary Hyperhidrosis


FDA approved DYSPORT(abotulinum toxin A) for glabellar region rhytids. Developed in UK, and used in Europe and world market since 1994


FDA approve XEOMIN (incobotulinum toxin A)-for therapeutic use ms spasms/cervical dystonia; Then in 2011 approval for Cosmetic use


FDA approved Botox for the treatment of increase muscle stiffness in the elbow, wrist and fingers.


FDA approved Jeaveau for improvement of frown lines

How Botulinum Toxin works?

Botulinum Toxin is an acetylcholine release inhibitor and a neuromuscular blocking agent.
The botulinum products block the release of acetycholine, so muscle contractions are reduced.
Botulinum Toxin only works on “Dynamic Wrinkles” or “Wrinkles in motion”
The messenger, which is acetycholine is cut off, therefore muscles do not receive the message to move
In about 12 weeks, as nerve terminal heals, acetylcholine starts up again and muscle activity returns
Wrinkles “gradually” return as toxin wears off
With repeated injections, effects may last longer; fewer treatments may be needed

Basic Procedures:

Areas of hyperdynamic muscles in the upper face (frown lines, crow’s feet and horizontal forehead lines). There are minimal side effects reported in these areas.


  • Pregnancy or breast feeding
  • Allergies to Human Albumin
  • Allergies to cow’s milk protein (Dysport)
  • A known hypersensitivity to any botulinum toxin product
    Medications that inhibit neuromuscular signaling and may cause Botulinum toxin effects (eg: aminoglycosides )
  • Neurological Disorders (amyotrophy lateral sclerosis, myasthenia gravis, and myopathies)
  • Infection or active dermatitis in the treatment area (eg: psoriasis, eczema)
  • Bleeding abnormalities
  • Motor weakness in the treatment area (eg: due to polio or Bell’s Palsy)
  • Inability to contract muscle in the treatment area prior to treatment
  • Uncontrolled systemic condition
  • Professional occupation requiring the use of facial expressions (singing, acting)
  • Unrealistic expectations

What can you expect during our interview

Our team will assess the following

Examine areas of concern

Muscle hyperactivity

Dynamic vs static rhytides

Lines, creases

Have the patient prioritize the areas

Eyelid ptosis

Muscle sizes

Patient preferences

Brow position and contour

Facial weakness, asymmetry

Contour defects

Obtain Informed consents

Pre-Treatment Instructions

  • Avoid Alcoholic beverages at least 24 hours prior to treatment (Alcohol may thin the blood increasing risk of bruising.
  • Avoid Anti-inflammatory / Blood Thinning medications ideally, for a period 2 days before treatment.
  • Avoid supplements such as Aspirin, Vitamin E, Gingo Biloba, garlic, ginseg for two weeks.
  • Schedule Botulinum injections appointment at least 2 weeks prior to a special event since bruising is very common.
  • If possible, come to your appointment with a cleanly washed face.

Post-Treatment Instructions

  • Gently apply cool to the treated area for 15 mts if needed every few hrs to reduce discomfort, swelling or bruising.
  • After treatment, oral consumption or topical application of Arnica may help to reduce swelling and bruising.
  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It takes the toxin approximately 2 hours to start its work. Increase circulation in the area is not recommended since product may be washed away.
  • Avoid Manipulation of area for 3-4 hours following treatment. This includes not doing a facial, peel, or any other procedure.
  • Do not lie down or bend over for 3-4 hours following treatment. This instruction has been used for years due to possible traveling of the toxin. However, many practitioners do not adhere to this anymore.
  • Know It can take 10 days to take full effect. It is recommended for the patient to make a follow up appt in two weeks in order to assess results. Post pictures are very important.

More Common Complications (general Injection related complications:


Immediate use of ice can minimize bruise formation


Edema will resolve within few hours of treatment. Firm compression of injection sites will decrease swelling.

Injection site pain:

Pain can be reduced using small-gauge needle, ice or topical anesthetics


Usually resolve within few days after treatment. NSAID’s are usually the adequate treatment for management of the headaches.


It is rare, but it can occur. Prolonged pain and erythema should be evaluated and treated.

Less Common toxin related complications (upper face):

  • Immediate hypersensitivity reaction
  • Brow ptosis
  • Eyelid ptosis
  • Interference with eyelid function

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