Botox Guide

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Botox Dirt That You Should Know… and Avoid

We’ve covered all the necessary basic matters and we can (finally!) move on to the treatment proper. But before we do, there’s an important issue that we want to bring to your attention.

The price of Botox is extremely high, fetching as much as $525 per vial. In these tough times, people have learned to cut corners and try to save money where they can. Even Botox treatments were not spared from cost-cutting measures that ultimately placed health, careers and lives in jeopardy. Below are a few of the ways that people tried to scrimp on some cash.

Fake Botox is something that you don’t want in your system. They’re not FDA approved and they’re not intended for use on humans. Yes, these are the industrial strength kind of Botulinum toxin intended for research and lab tests only. They did not undergo the necessary processes to make them suitable for human use. To put it succinctly, fake Botox is actual poison.

Unfortunately, people have been caught buying and using these toxins even if the vials had the proper warning about being for research purposes only. What shady individuals, some of them doctors, have done was dilute the toxin and use these watered down solutions on their clients. The side effects that cropped up were those that every Botox patient dreads – facial disfigurement at best and botulism poisoning at worst. Regardless of where the scale tips, anyone who uses this will be at the losing end.

While the FDA is hot on the heels of physicians who purchase these types of medicine, there may still be a few of them who are able to get away with it so be sure to check the vial that will be used on you before your treatment.

A vial of real Botox has the manufacturer’s hologram. You may need to rotate the vial back and forth to see it, but the name Allergan must be visible within horizontal lines of rainbow color like this:

Do-It-Yourself Botox is another thing you shouldn’t want any part of. You might have heard of the controversy involving Discount Med Spa. The site was investigated and several alarming things were discovered. First, the website did not require a prescription or medical license to process orders. Second, the drugs being sold did not have the proper labels nor any quality control hologram. Third, each kit came with a vial of Fake Botox, a syringe and a reminder to view their instructional home videos featuring a woman in her bathroom showing how to self-inject the drug.

If the fake Botox didn’t throw you off enough, then the thought of injecting yourself with a toxin should do the trick.

Injecting Botox requires knowledge of facial anatomy and the structure of the muscles of our faces. One wrong prick could mean poking your eyeballs, hitting a blood vessel or delivering the toxin into a muscle that you didn’t want to treat in the first place. There are just so many other things that could go wrong in this scenario but you get what we’re saying, right?

Another danger of DIY Botox has to do with the fact that the vials do not have proper labeling. Labels are important because they contain vital information that is used as basis for treatment in case of side effects. If you don’t know what exactly it was that brought about the negative effects, then finding an antidote will be extremely difficult.

DIY Botox kits sure seem like a steal but be aware that you might be spending so much more to reverse the undesirable effects that you will most probably experience so, our advice is to just lay off of them.

Botox parties represent a trend that physicians whipped up to save on cost. These usually involve a group of women having wine and cheese with a Botox injection for a night cap. As famous as it has become, this practice actually stands on a myth: that Botox will retain its efficacy for only 2 hours after it is reconstituted. Experience has proven differently though. Seasoned Botox injectors assure patients that it doesn’t lose effectiveness even after a few days so long as it is kept frozen.

You should be wary of physicians who advertise Botox parties using this myth as their reason. We can’t help but assume that they have ulterior motives for convincing you to do something using a myth as leverage.

Botox parties became famous for a couple of reasons.

First is that the people who get their treatments during these events are able to get a group discount. The doctors agree to treat everyone in the party for a price lower than normal because they are able to save time, which is a very precious commodity nowadays. The guests at the party will, for lack of a better analogy, become a Botox assembly line and he is able to treat more people for less amount of time than ordinarily required.

Secondly, the party is commonly held in a house, a more relaxed environment where guests usually come with a friend and this helps relieve first Botox jitters.

While it may be tempting to join the craze, it would still be best to go to your physician and schedule a personal consultation and treatment.

The last warning we will give you is to be very cautious of the people you trust to administer your Botox. Be sure that they are licensed medical practitioners and that they are conducting the procedure in at least a medical office environment. Avoid dealing with persons who promise to give you Botox treatments in their kitchens, hotel rooms or random garages. A Botox treatment is still a medical procedure despite being minimally invasive. It needs to be administered in an appropriate venue by the proper health practitioner.

So, you already know what Botox is, how it works and why it is really safe. We already dished out the secret ingredient for the best Botox treatments as well as Botox shams that you should avoid.

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How long does Botox last?

The Botox effect lasts for 4-6 months – this means you will need top-ups a few times a year if you wish to maintain your look. Once you’ve had Botox injected, the effects on the muscles become apparent within a few hours, with the main effects appearing in about a week.

Botox Pre-Care Instructions

Contraindications to Botox include known allergy to botulinum toxin, certain neuromuscular disorders, or if you are pregnant or nursing.  Please inform us of any allergies or medical conditions you may have.

Avoid blood-thinning medications such as Ibuprofen (Motrin or Advil), Aspirin, naproxen (Aleve) for 5 days prior to your treatment and for 3 days after.  These may increase your chances of bruising.  Inform your doctor if you are on any prescription blood thinning medications (do not stop taking prescription medications unless specifically instructed to do so).

  • Do not drink alcohol or take Vitamin E the day prior to treatment and the day after your treatment as this can also increase bruising.
  • Schedule your treatment at least 2 weeks prior to a big event to allow the results to fully appear and so that any bruising has time to resolve.
  • Be sure to have a good breakfast/lunch on the day of your procedure.  This will reduce the chance of any light-headedness during the procedure.
  • When taking on a patient for treatment there are certain questions that need to be asked to avoid any unwanted complications or adverse reactions.

Medical History

You must complete a medical history form to determine if Botox is a suitable treatment for you. A clinic must be aware of all medical illnesses, diseases and conditions and whether the person has undergone any surgeries or procedures in the past. It is also important to know if the person is pregnant or nursing a child.


The Botox administrator should inquire about medication, herbs, supplements and other drugs the patient is taking and whether they have any allergies.

The patient receiving the Botox injections must stop taking blood-thinning medication at least a week prior to Botox injections. Avoid Aspirin, Advil, Excedrin, Vitamin E supplements and natural sources such as Fish oil, Ginseng and Gingko Bilbao. This helps prevent any bruising after the Botox treatment. All pain medications are to be avoided except Tylenol.


Another important Botox pre-care instruction is to cut down on alcohol in the days leading up to the Botox procedure to prevent bruising.

Region to Treat

If it is decided that Botox is the right solution for you, the next step is to decide which facial regions need to be treated. Discuss the ideal result – as sometimes the patient and medical professional might disagree on it. The targets of the Botox administrator should align with the patients.

Botox Aftercare Treatment


The patient should exercise the injected areas by trying out natural facial expressions for an hour after they are injected to help Botox spread throughout the face. Refrain from heavy exercise for 24 hours after your treatment.


Patients must avoid massaging the Botox injected areas with their fingers for a few hours after the procedure, since the Botox may spread to unwanted areas. Avoid rubbing the areas that have been treated with Botox for the first 48 hours.


Painkillers should be used sparingly following the Botox injection for headaches or facial pain. Strong painkillers such as Aspirin and ibuprofen should be avoided at all costs.

Ice and Ointment

Bruising may occur from Botox, which may last a couple of days. This is normal and can be managed by applying ice to the affected area. Some people can also be prescribed topical ointments to speed the healing.

Facial Treatments

Facial treatments such as chemical peels and microdermabrasion should be avoided for 24 hours after the Botox is injected to prevent any reactions and complications.

Physical Activity

Botox patients must limit physical activity because if the Botox spreads to unwanted areas it can cause breathing and swallowing problems. The patient must not lie down or bend for a couple of hours after they are injected.


Alcohol intake is to be restricted for those who have had Botox treatments done. It will only slow down the healing process and worsen any complication or side-effect that might occur due to the Botox injections.


You may apply makeup after any pinpoint bleeding has resolved.

Your treatment will take effect in 3-7 days.  We recommend that you make a follow-up appointment for 2 weeks after your treatment so that we can evaluate your results and determine if any adjustments to your dose need to be made, especially if this is your first time getting Botox with us.

What are the risks of Botox?

Botox is a relatively safe treatment, but it should always be undertaken by a qualified medical professional. Visiting someone without the correct qualifications and experience for Botox could lead to asymmetrical results, muscle drooping, frozen expressions as well as various other dangerous consequences.

Are there any side-effects to Botox?

If the Botox treatment is carried out correctly, side effects are generally minimal – and some may not experience any at all.

Occasionally some light bruising or redness around the area of injection might occur, although this shouldn’t last long.

Rare side-effects can include difficulty in swallowing, speaking and breathing – if this happens you should seek medical attention immediately.

Here are a few side effects that you may experience:

  • Mild pain
  • Numbness
  • Headache
  • Mild nausea
  •  Flu-like illness
  • Double vision
  • Bleeding
  • Blurred vision
  • Dry mouth
  • Fatigue
  • Rashes
  • Swelling

What happens if I stop my Botox treatment?

By stopping your Botox treatments, lines will come back. If you decide to discontinue your Botox injections, the muscles in your treated area will begin to function normally again – as will the aging process.

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How Is Botox Used for Lip Injections?

The “Botox lips flip” is a procedure done with Botox injections to make your lips appear larger.

Your dermatologist or plastic surgeon will inject multiple units of Botox into the upper middle part of your upper lip. When the muscles relax, your lip will curl upward. This lengthens your upper lip, making it appear larger without actually adding any volume.

Injecting Botox into your lip area can provide several cosmetic benefits or improvements.

Botox is the cosmetic form of botulinum toxin, a chemical that can temporarily weaken or paralyze your muscles. One round of injections can cause your muscles to relax for about three months.

When injected into the lip area, Botox can help:

  • Minimize creases in the upper and lower lip area
  • Elevate the corners of your mouth
  • Remove marionette lines or lines that run downward from the corners of your mouth
  • Correct a “gummy” smile
  • Enhance the upper lip, also known as the “Botox lip flip”

In most cases, Botox injections take about 10 to 15 minutes. Injections aren’t considered a surgical procedure, and no recovery time is needed afterward. You should be able to continue your usual activities immediately after your Botox appointment.

If you’re looking to add plumpness, talk to your dermatologist or plastic surgeon about adding a lip filler injection. You can opt for only lip filler, or use Botox and lip fillers for a dramatic plumping effect.

If you choose to combine procedures, your doctor will likely use Botox to create the lip flip and the filler hyaluronic acid (Restylane or Juvederm) to add plumpness. This effect usually lasts two to three weeks, making it a popular choice for special occasions.

What’s the Botox technique for a ‘gummy’ smile?

You may have looked up lip plumping as a treatment for a “gummy” smile. If the gums above your upper teeth show when you smile, it’s considered “gummy.” Some people display little or no upper lip when they smile. The technique for reducing a gummy smile is similar to the Botox lip flip.

Your doctor will inject Botox into the area of your lip known as the Cupid’s bow. This is the middle of your upper lip, where the orbicularis oris muscle is. This is the muscle you work when you pucker your lips.

The Botox will make your muscles relax, causing your lips to curl slightly. When you smile, your relaxed muscles will help cover your gums and allow more of your lips to show. This effect will make your lip look bigger. Always consult your dermatologist or plastic surgeon if you wish to add volume to your lips.

Botox for migraines?

For anyone having been diagnosed with migraines and get migraine headaches often, Botox can help.

Botox was approved in 2010 for adults who get chronic migraines. That means you have both:

  • A history of migraine headaches
  • Headaches (including tension-type) on most days (15 or more) of the month of which 8 are migraine

It won’t work for you if you:

  • Get headaches 14 or fewer days each month
  • Have other types of headaches, like cluster

Botox Treatment for migraine

  • You’ll get several shots of Botox around your head and neck once every 12 weeks to dull or prevent migraine headaches.
  • You may need 30 to 40 shots in all, and you’ll get an equal number on each side of your head. If you have migraine pain in one particular spot, you may need more shots there. You could see results 2 to 3 weeks after your first treatment.

Botox for migraine & side effects

  • Neck pain and headache are the most common side effects for people who get chronic migraine headaches and use Botox.
  • It’s rare, but you can have an allergic reaction to Botox. Signs of this can be hives, shortness of breath, or swelling in your lower legs. Although there’s no confirmed case where Botox spread to other parts of the body, it is possible and could be deadly. The medication label includes this warning.
  • The mechanism of action involved in the alleviation of a headache is not entirely clear. One possibility is that Botox may decrease muscle contraction that may act as a trigger to migraine.
  • Botox is approved by FDA and Health Canada for treatment and prevention of chronic migraine. Health Canada approved Botox for the treatment of chronic migraines in 2011.
  • The average dose is 100-200 units. The onset of action is usually within the first 2-3 weeks of injection. However, patients may require a set of 2-3 injections before a maximum benefit is seen. Injections are spaced at 12-week intervals.

As with any injection, injury can occur. An injection could result in localized infection, pain, inflammation, tenderness, swelling, bleeding, bruising, etc. BOTOX may cause asthenia (lack of strength), muscle weakness, somnolence (drowsiness), dizziness and visual disturbance, which could affect driving and the operation of machinery. If there is a reaction, further injections of BOTOX should be discontinued. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech or respiratory disorders arise.

Botox Contraindications

Botox is contraindicated:

  • In the presence of infection at the proposed injection site
  • In individuals with a known hypersensitivity to botulinum toxin type A or to any of the other ingredients used to form Botox

It is not advised:

  • During pregnancy, unless clearly necessary
  • During lactation as there is no information on whether BOTOX is excreted in human milk

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Botox treatment for Hyperhidrosis and how it works.

When Botox is placed near the sweat glands it signals the sweat to stop.  It can take a few days or more to work but the results are dramatic. On average, there is over 80% decrease of sweat production in that area that lasts on average 7 months. Remarkably, up to a third of patients can go 1 year before they return for more. Therefore, you are treated once or maximally twice per year and don’t have to worry about constantly treating the area.

What areas can be treated with Botox?

Underarms are the most common and easiest place to administer Botox. Often a simple solution is put on the skin to see the exact area a person sweats from and then Botox is injected with tiny needles just under the skin.  It is prepared on a way that some anesthetic is mixed with the Botox to make it a relatively pain-free treatment.  It takes only minutes to complete.

Hands: Hands are a sensitive area it is common to have some anesthetic placed in the hands so that the injections are painless.  Alternatively, a vibration device can be used to make the treatment more comfortable.

Forehead: Botox is extremely effective in this area of sweating.  Most sweating occurs near the hairline and drips down the face.  With a few simple injections this often very visible area of sweating can be treated.

Feet: This will often require some anesthetic before treatment.  It is not uncommon to find improvement of the feet after just the hands are treated. Although many people have a high level of satisfaction with treatment of the feet it can sometimes not be as predictable as the hands and underarms as to the degree of treatment success.

Cost of Botox treatment for hyperhidrosis

If you’ve been diagnosed with Hyperhidrosis almost all private drug plans cover the medication portion of the treatment. The Sweat Clinics of Canada will offer all individuals with an extended health care plan, a guarantee that the first treatment (drug costs only) will be covered so you can have treatment on your visit.

Although the medication may be covered by your private drug plan there is a cost for the injection procedure. Botox can last up to a year and these costs are by the treatment. Therefore, the underarm cost would work out to between $28 per month to $16 per month depending if your treatment lasts 7 months or 12 months.

Most people require 100 units of Botox to stop sweating under both underarms, which typically costs around $1,000. Coupled with dermatologist’s fees — usually another $500 — the total cost of Botox is typically $1,000 – 1,500 per session.

How Long Does Botox Results Last?

Botox is broken down differently for everyone, so the duration of the results will vary. Typically, you will experience dry armpits for around 3 to 6 months after receiving Botox injections. Exercise and stress can accelerate the body’s metabolic response to Botox, so the results fade faster.

Who Is a Good Candidate for Botox?

To get Botox injections for hyperhidrosis, you must be at least 18 years old, and it should be the last line of defense for heavy or severe underarm sweating.

Botox is only advised for severe cases of axillary hyperhidrosis that cannot be treated with topical solutions. People with certain medical conditions or taking certain medications should not receive Botox for hyperhidrosis.

Risks and Side Effects of Botox for Underarm Sweat

Some side effects from Botox for axillary hyperhidrosis include:

  • Problems swallowing, speaking or breathing
  • Muscle weakness or tiredness
  • Vision problems
  • Allergic reactions
  • Interactions with other medicines
  • Loss of bladder control
  • Headaches and neck pain

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Fill out the form and we will get back to you about any questions you may have.

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Dr. Tina Comeau

Dr. Tina Comeau


Myriam Lanteigne

Myriam Lanteigne

Registered Nurse

 Kate Webb-Brown

Kate Webb-Brown

Medical Aesthetician

Madelaine Caissie

Madelaine Caissie



48 Bromley Ave Moncton NB

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