What is Botox

BOTOX® Cosmetic is the #1 selling treatment of its kind:

It’s the first and only treatment FDA-approved to temporarily smooth out moderate to severe frown lines, crow's feet and forehead lines in adults. Botox is also used to treat conditions such as neck spasms (cervical dystonia), excessive sweating (hyperhidrosis), an overactive bladder and lazy eye. Botox injections may also help prevent chronic migraines.







Dr Michelle Karl qualified as a dentist from the University of Pretoria in 2005, and it

was then when her passion for reconstructive and aesthetic dentistry was born. 

Being actively involved in the Cosmetic industry she developed an interest in facial

aesthetics as a whole.

“ In performing these procedures, we enhance people, so they can be a better

version of themselves. We create self-confidence and I would like to think making a

positive impact on the world”                                                                                                                         

Who is Dr Michelle

BOTOX® Preparation and what to expect:

Botox injections are performed exclusively by Dr Michelle Karl. Botox injections are performed after the identification of anatomic landmarks and muscle activity, and the injections take only minutes to administer. There is no downtime after Botox, and one can return to work and most social activities within 30 to 60 minutes. The effects of Botox Cosmetic become noticeable in about two to three days, the full effect in about seven days, and the duration of action about four months. Botox effects generally last about four months, however this may be shorter or longer depending upon the individual, the areas treated, and the Botox treatment dose.

Immediately after your treatment, you may notice small red bumps. These will resolve in 20-30 minutes. Bruising is always a possibility. If you bruise, this will be very minimal and should resolve after a couple of days. You can reduce your risk of bruising by avoiding ibuprofen, aspirin and any over the counter supplement not prescribed by a doctor before your treatment.

Botox Uses

BOTOX® for Facial Rejuvenation:

Glabellar wrinkles - the vertical lines, often called the "11s" between the brows

Forehead wrinkles - the transverse lines of the forehead that result from eyebrow elevation

Crow's feet - the fine lines at the corners of the eyes

Bunny lines - the lines at the bridge of the nose

Vertical lip lines - the wrinkles above and below the lips

Corner droop - the slight descent or frown of the corners of the mouth

Platysmal bands - the muscle bands of the neck


BOTOX® for Hyperhidrosis/Excessive sweating

Botox has been FDA-approved for people who sweat excessively. Botox works by blocking the nerves responsible for activating your sweat glands. Normally, your nervous system activates your sweat glands when your body temperature rises. This is how your body automatically cools itself. In people with hyperhidrosis, however, the nerves that signal the sweat glands are overactive.

When you receive Botox injections directly into the area of your body that commonly sweats, your overactive nerves are essentially paralyzed. When your nerves can’t signal your sweat glands, you don’t sweat. However, Botox only prevents sweating in the specific area where it’s injected.


BOTOX® for Migraines:

Botox is the only FDA-approved treatment for chronic migraines, which means headache on 15 or more days a month. Botox is injected around pain fibers that are involved in headaches. Botox enters the nerve endings around where it is injected and blocks the release of chemicals involved in pain transmission. This prevents activation of pain networks in the brain. One treatment lasts for 10-12 weeks, and patients reported that two Botox treatments reduced the number of headache days by approximately 50%.

BOTOX® for Bruxism/Unconscious teeth clenching and grinding

By injecting small doses of botulinum toxin directly into the masseter muscle (the large muscle that moves the jaw), the muscle is weakened enough to stop involuntary grinding of the teeth and clenching of the jaw. This significantly relaxes the muscle and reduces the wear and tear on the teeth due to grinding. Damage to the TMJ (temporomandibular joint) and headaches should be reduced or eliminated as well.  Voluntary movements, such as chewing and facial expressions, are not effected at all by Botox®.


How does Botox work?

BOTOX® works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults – to help them look visibly smoother.

Is it Painful?

The needle is extremely small so feels like nothing more than a pin prick, and there's no stinging or warm sensation when the solution is injected - other than the injection itself, the procedure is painless.

Is it Safe?

Botox is safe to use long term, and you can stop using it at any time without your skin looking worse than it did before you started Botox.

How long before I see results?

Botox usually begins to take effect anywhere from 3 to 5 days after treatment, though it can take up to a full 14 days after treatment for the full results to become apparent.

How long does the results last?

In general, Botox lasts 3-4 months. There will certainly be patients in which in lasts longer, in that 4-6 month range, or shorter, in that 2-month range. It is also common for first-timers to notice that it may not last as long initially but may last longer after the second treatment.


When should I start using botox?

Most people wait until they start to see wrinkles before they seek Botox treatment, but preventative treatment uses Botox to treat wrinkles before they emerge. Most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

How long does the procedure take?

Botox only takes a few min, depending on how many units are injected you should be out of the treatment room withing 15 – 20 min.

Is there any down time?

There is no recovery time for Botox injections and patients may return to normal activities after 30 – 60 min

Are there any side effects?

Side effects are rare but may include minimal swelling or bruising around the injection site which will disappear after 2-3 days.

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