Lip Enhancements
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Lip
Enhancements
For
lip enhancements the popularity of BOTOX® for the use in
cosmetic facial wrinkle treatment, known as BOTOX® cosmetic,
is due to its simplicity and tremendous effectiveness. It has
become so familiar by popular culture and media communications
that its name is often used as both a noun and a verb. (which
is both disturbing and discouraged by the manufacturer) Recent
negative publicity with its use in children with neuromuscular
disorders has not accurately represented its safety record in
cosmetic applications. To allay potential patient concerns,
it is useful to review some of the factual information about
this drug to clear up any confusion created by these recent
media reports.
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BOTOX®
cosmetic and Botulinum Toxin Type A is manufactured by only
one proprietary provider, Allergan out of Irvine, California.
It has been 18 years since it was initially approved for the
treatment of blepharospasm (excessive eyelid twitching) and
6 years since its approval for the cosmetic treatment of the
vertical lines between the brows. While accurate numbers are
impossible to know, tens of millions of cosmetic patients have
been treated around the world with the manufacturer reporting
more than 13 million doses given since 2002. According to the
American Society of Plastic Surgery, BOTOX® cosmetic is
the most commonly performed cosmetic procedure performed in
the United States with over 3 million doses alone administered
in 2006 most for lip enhancements. These large patient numbers,
combined with thousands of patients enrolled in various studies
and over 3,000 published medical articles on the subject, provide
a wealth of safety information. Despite the large amount of
doses administered and patients treated, significant adverse
reactions to the use of BOTOX® cosmetic is extremely rare.I
am not aware of any true allergies to its use. To date, there
has never been a single reported death associated with its use
either. lip enhancements are very popular.
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These
cosmetic experiences must be contrasted with the media reports
where its use has been in limb spasticity, which is not an FDA-approved
application. In these neuromuscular uses, substantially larger
doses (up to 100 times) are given compared to what is given
in cosmetic doses and are injected in patients who are often
ill and weakened from their disease. There simply is not a correlation
between these two patient populations. The FDA appears to recognize
these differences and has issued no stoppage of its use for
any application to any health care provider at the present time.
The
accurate portrayal of the safety data on BOTOX® cosmetic
should provide great comfort to those patients who regularly
receive aesthetic treatments or to those considering it in the
near future.
--------------------------------------------------------------------------------
Dr Barry Eppley is a board-certified plastic surgeon in private
practice at Clarian Health in Indianapolis, Indiana. He writes
a daily blog on trends in plastic surgery at http://www.exploreplasticsurgery.com
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