REZA M. MADANI, DMD, FAGD
Over time, skin becomes less elastic; repeated frowning creates lines and wrinkles between the brows (also known as glabellar lines). BOTOX® Cosmetic is the only FDA-approved prescription treatment for moderate to severe frown lines between the brows in people ages 18 to 65. The American Society for Aesthetic Plastic Surgery ranked BOTOX® Cosmetic as the most popular physician-administered cosmetic procedure in the United States for the 4th year in a row; almost 3.3 million BOTOX® Cosmetic procedures were performed in 2005 alone.
How BOTOX® Cosmetic works
BOTOX® Cosmetic is a purified protein that smooths the muscles by blocking nerve impulses. With a few tiny injections, BOTOX® Cosmetic blocks the release of acetylcholine, the chemical that causes muscles to contract. With less movement, the skin surface gradually smooths out and the lines begin to fade.
The BOTOX® Procedure
The BOTOX® Cosmetic procedure consists of a few tiny injections and takes only 10 minutes. No anesthesia is required; however Dr. Madani may numb the area with a cold pack or anesthetic cream prior to injecting. There may be minimal and brief discomfort, along with slight temporary bruising at the injection sight which can easily be covered up with make-up. There is no down-time.
Results are typically seen in days and may continue to improve during the first week after treatment. Results may vary. With proper unit dosing, the effects of BOTOX® Cosmetic can last up to four months. 89% of men and women surveyed rated the improvement in their appearance of brow frown lines as moderate to better after one month.
What you should know before a BOTOX® Cosmetic procedure
To ensure the best treatment outcome, Dr. Madani should inject 20 units in the glabellar region between the brows - ensure you receive the proper dosage for best results! Dosage amount is not based on the number of syringes used - ask Dr. Madani exactly how many units you are receiving.
Other uses for BOTOX®
BOTOX® can be used for therapeutic and rehabilitative applications, such as a muscle relaxant to relieve pain associated with chronic clenching and grinding of teeth with TMJ Disorder. With TMJ, a BOTOX® injection is often required to relax the jaw muscles prior to surgery.
BOTOX® for Men
BOTOX® Cosmetic is certainly not just for women. If you are a man and think it's time to do something about those moderate to severe glabellar lines between your brows, talk to your doctor about whether BOTOX® Cosmetic is right for you.
- 6% of total BOTOX® Cosmetic procedures are performed on males (313,714 procedures). [ASPS 2008 Statistics, p.10]
- BOTOX® Cosmetic is the most popular minimally invasive physician administered aesthetic procedure for males (314,000 procedures). [ASPS 2008 Statistics]
BOTOX® Cosmetic (onabotulinumtoxinA) Important Information
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age for a short period of time (temporary).
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:
- Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
- Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities
The dose of BOTOX® Cosmetic is not the same as, or comparable to, another botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines.
Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
1. BOTOX® Cosmetic Prescribing Information, November 2012.
Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).
Human albumin and spread of viral diseases. BOTOX® Cosmetic contains albumin, a protein component of human blood. The potential risk of spreading viral diseases [eg, Creutzfeldt-Jakob disease (CJD)] via human serum albumin is extremely rare. No cases of viral diseases or CJD have ever been reported in association with human serum albumin.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; or take a sleep medicine.
Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.
For more information refer to the Medication Guide or talk with your doctor.
Full Product Information, including Boxed Warning and Medication Guide, has been provided to your doctor.
1. BOTOX® Cosmetic Prescribing Information, November 2012.
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based on 9 ratings.
Framingham Dentist Reviews.
| 2015 Harriet Shapira |
|Dr. Madani is a wonderful dentist! He is very skilled and knowledgable, and I feel very confident and comfortable with him; I know I'm in good hands. His warmth and friendliness put me right at ease, and his whole staff is always so friendly. My family feels the same way. Harriet Shapira|
| 2013 Suzanne B. |
|Thank you so much for 15 years of the most outstanding dental care a patient could ever receive. your skill at diagnosis, compassion, hands of pure gold, easy-to-understand explanations and fabulous 'chair-side' manner which immediately puts even the most fearful patient at ease all combine to make seeing you a pleasurable experience. how many people can say that they actually ENJOY going to the dentist and emerge with perfect results every time?? You are one of a kind.|
| 2012 Chrisa M. |
|I just wanted to drop you a note to say thank you so very much for my lovely smile. I get so many compliments on my teeth thanks to you. You did a job well done, and for all your patience, and time, I'm not afraid of the dentist anymore! Thanks to you and the staff.|
| 2011 Lucas R. |
| Thank you for all the good work throughout all those years we had spent as your patient. Many Thanks for everything your happiness, good spirit, and above all your excellent job. |
We are going to miss you guys.
| 2011 Lillian P. |
|Dear Dr. Madani, I just had to thank you again for my happy birthday ballon. I want to thank you for your kindness, patience, your good heart, your expertise in the care you've given me. I hope your future along with your beautiful bride will be blessed with happiness, good health and success in all your endeavors. Lucky me to have someone so sympathetic to my needs and the help you've given me in so many ways. You really are a great representative for the Gentle Dental Assoc. P.S. The dental assistants and the girls at the front desk are all sweethearts too.|
| 2011 Jeannette W. |
|Thank you for helping create the perfect smile for my wedding day!|
| 2010 Katrina E. |
|I saw Dr. Reza Madani for the consultation of a difficult big bridge replacement. This problem has existed for a few years, but I never understood completely all the issues. Dr. Madani went through this problem area tooth by tooth using my x-rays and even drawing pictures for a better understanding. he patiently explained to me all the options, advantages and disadvantages of every option. When I left the Centre Street office I though it was my best dental appointment - and I have had quite a few of them over my lifetime! I also liked very much the supportive team - receptionist, assistant, hygienist - who are professional and friendly. I really recommend this place.|
| 2010 Ye K. |
|I really appreciate for the treatment of my front teeth .... even for free. It was the niggest complex but I can smile confidently now. Thank you so much! I'm going back to Virginia tomorrow to finish my college degree. Thanks for helping and being kind to my parents. My family really likes you haha.|
| 2010 Diane P. |
| I can tell that this crown is stable and after a week, it is solid and feels great! Dr. Madani also suggested I wear a night guard to protect my crown (since I grind my teeth at night) which I have done. |
I also want to say that Imelda O'Connor, the Office Manager is a wonderful and efficient manager and should also be commended. She was able to coordinate with the JP office to work out the financial issue in regard to solving my crown problem. It is a true pleasure going to this Gentle dental office and I will recommend it to all my friends. The entire staff there; Dr. Lozada and Dr. Madani's assistants are wonderful as well.
This has been a great experience for me, a woman who has had many tedious and painful visits to dentists over the past 5 years. Presently I am unemployed and not able to afford the additional dental care I would love, since the medical insurance I am paying is quite high, but I hope to be working full time soon and will be sure to make an appointment at Gentle Dental West Roxbury for my overdue cleaning. I have always tried to keep up my dental appointments because I know that it is very important for overall health.