News & Events


What is Botox® Cosmetic?

Botox® is the trade name for botulinum toxin type A, a neurotoxin produced by the bacteria clostridia botulinum. Botox® blocks the chemicals that cause muscles to contract, thereby relaxing them. Botox® has been used for over 20 years to treat a variety of medical conditions. The same product with dosing specific to cosmetic indications was approved in 2002 as Botox® Cosmetic.

Correction of Dynamic Facial Wrinkles

The wrinkles caused by overactive facial muscles and repetitive facial expressions are called dynamic wrinkles. They include frown lines, crow’s feet, forehead wrinkles and lip wrinkles. Botox® can dramatically improve and often eliminate these wrinkles. The lines and creases that appear in the face result for repetitive muscle movement and the passage of time. For instance, the frown lines between the brows are created by two specific muscles, when they contract, the brows are drawn together. As skin becomes less elastic overtime, repeated frowning will result in moderate to severe lines between the brows. Injecting Botox® into those muscles will relax the muscles with improvement or elimination of the frown lines.

Muscle Shaping

Investigational uses of Botox® have been reported in Asia for reducing the bulk of the jaw muscle (masseter) in patients desiring a slight narrowing effect and for reducing the fullness of muscular calf muscles (gastrocnemius muscles). No detrimental effects on chewing or walking have been noted in preliminary studies. However, the doses of Botox® being used for these treatments are relatively higher than those used for most cosmetic treatments.

Relief from Excessive Sweating of the Armpits

Sweating is one of the most important ways in which the body loses heat. Excessive underarm sweating (Primary Axillary Hyperhidrosis) is extremely common. Although hyperhidrosis is not life-threatening, it causes significant detriment to the patient’s lifestyle.

The treatment options available to patients with primary hyperhidrosis include surgery, topical antiperspirants, systemic medication or Botox®.
Botox® is FDA-approved for severe underarm sweating not adequately managed with topical antiperspirants. Due to its large degree of success, Botox® has become the mainstay therapy for patients who fail to respond to more-conservative treatment prior to resorting to surgery.

Botox® temporarily blocks (average 7 months) the chemical signals from the nerves that stimulate the hyperactive sweat glands and the severe sweating stops.

Botox® treatment of excessive underarm sweating has proved to be extremely safe and effective. It has consistently resulted in long-lasting improvements in patients' symptoms, daily functioning and quality of life. Botox® results appear in 10-14 days and dryness lasts on average over 7 months.

After receiving Botox® under my arms, I am so much more confident and spontaneous.  I had always sweated excessively – even in the middle of winter!  I could never wear white shirts because they would immediately turn yellow after just one wear.  I tried prescription strength antiperspirant, and would attempt showering twice a day, but nothing could treat my embarrassing problem.  In the summer, I dreaded spending a day outside because of the discomfort and embarrassment I felt.  It is incredibly awkward to be the only person sweating among a crowd of people.  I had read online about how Botox® can treat excessive underarm sweating.  When I finally received the treatment with Dr. Pelosi, I noticed an immediate difference that very evening.  Some may be leary of the cost associated with Botox®, but it lasts for nearly a year.  Besides, I was spending so much money testing different deodorants and buying special soaps that never worked.  I am extremely pleased with the difference Botox®  made and plan to continue treatment every year.

- Robin P., age 21


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