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Can Botox Be Taken Out?

By Robert Kotler, MD, FACSMay 17, 2010
From the WebMD Archives

Botox and the latest entry in the muscle paralysant field, Dysport, cannot be removed. These are medications which are absorbed into the tissue and are effective in reducing wrinkles, smiles and squint lines, because they paralyze the muscle responsible for the pleating of the skin which manifests as lines and wrinkles. It is particularly effective between the eyebrows and the vertical frown lines. It helps erase horizontal forehead lines and can, even when judiciously injected, allow the portion of the eyebrows to be elevated mimicking the effect of a forehead and brow lift.

But once the effect is achieved, it cannot be neutralized. There is no antidote.

One of the nice things about these medications is that one can decide whether or not they are satisfied with them and feel the expenditure is worth it because they are temporary. Typically, they will last between four to six months. Men generally require larger doses because their muscles are bulkier.

Botox and Dysport have been very welcomed by the cosmetic surgery community because they fill a role that cannot be filled by surgery, chemical skin peeling or laser treatments. Likewise, fillers provide one function and Botox and Dysport provide another. Some people think their roles are interchangeable but a filler is not a muscle paralysant and vice versa.

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