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Injection de botox. Botox Injections: Understanding the Purpose, Procedure, Risks, and Results

What is Botox. How is Botox used? How does Botox work? How is a Botox procedure done? How long does a Botox shot last? What are the side effects of Botox? Who should not get Botox? Will health insurance pay for Botox?

What Is Botox?

Botox is a drug that doctors have been using for years to treat wrinkles and facial creases. It is a brand name of a toxin made by the bacterium Clostridium botulinum. There are other brands, such as Dysport and Xeomin, but Botox is the term you hear most often because it was the first injectable botulinum toxin.

How Is Botox Used?

The most common reason doctors use Botox is to reduce the appearance of face wrinkles. But getting a Botox shot can also help treat other conditions, such as severe underarm sweating (hyperhidrosis), cervical dystonia (a neurological disorder that causes severe neck and shoulder muscle spasms), blinking that you can’t control (blepharospasm), eyes that point in different directions (strabismus), chronic migraine, and overactive bladder.

How Does Botox Work?

Botox blocks signals from the nerves to the muscles. The injected muscle can’t contract, which makes wrinkles relax and soften. Botox is most often used on forehead lines, crow’s feet (lines around the eye), and frown lines. However, Botox won’t help with wrinkles caused by sun damage or gravity.

How Is a Botox Procedure Done?

Getting Botox takes only a few minutes, and you won’t need anesthesia. The provider uses a small needle to inject Botox into specific muscles with only minor discomfort. It generally takes 7 to 14 days to take full effect. It’s best to avoid alcohol starting at least 1 week before the procedure, and you should also stop taking aspirin and anti-inflammatory medications 2 weeks before treatment to help prevent bruising.

How Long Does a Botox Shot Last?

The effects from Botox will last 3 to 6 months. As muscle action slowly returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are shrinking.

What Are the Side Effects of Botox?

You may have some temporary side effects after a Botox injection, such as bruising (the most common side effect), headaches, eyelid drooping, crooked smile or drooling, eye dryness or severe tearing, mild pain or swelling around the injection site, flu-like symptoms or a general unwell feeling, upset stomach, numbness, and weakness in nearby muscles.

Who Should Not Get Botox?

People who are pregnant, breastfeeding, or have a neurological disease shouldn’t use Botox. Because Botox doesn’t work for all wrinkles, it’s important to check with a doctor first. You shouldn’t have Botox shots if you’re allergic to cow’s milk protein.

Will Health Insurance Pay for Botox?

Botox isn’t covered by insurance when used for cosmetic purposes. However, check with your health insurance company for coverage details, as Botox may be covered for certain medical conditions like chronic migraines or excessive sweating.

What Precautions Should Be Taken with Botox?

Botox can spread to other parts of the body after the injection, causing serious (possibly fatal) side effects. These can occur hours or even weeks after the injection. However, the chances of such serious side effects occurring when Botox is used for migraines or skin conditions such as wrinkles, eye spasm, or excessive sweating are extremely unlikely.

How Should Botox Be Used?

Botox should be administered by an experienced health care professional. It is injected into the affected muscles (intramuscularly) when treating eye disorders, muscle stiffness/spasms, and wrinkles. When used to prevent migraines, it is injected into the muscles of the head and neck. It is injected into the skin (intradermally) for the treatment of excessive sweating. For the treatment of drooling/excess saliva, Botox is injected into the salivary glands.

What Factors Should Be Considered Before Using Botox?

Before using Botox, it’s important to discuss the risks and benefits with your doctor, especially if you have certain medical conditions that may increase the risk of serious side effects. Children being treated for muscle stiffness/spasms have the greatest risk of these effects, as well as anyone that has certain medical conditions.

What Should You Do if Serious Side Effects Occur?

If you experience any serious side effects, such as chest pain, difficulty breathing, excessive muscle weakness, irregular heartbeat, severe difficulty swallowing or speaking, or loss of bladder control, you should seek medical help right away.

Botox Injections: Purpose, Procedure, Risks, Results

Written by WebMD Editorial Contributors

In this Article

  • What Is Botox?
  • How Is Botox Used?
  • How Does Botox Work?
  • How Is a Botox Procedure Done?
  • How Long Does a Botox Shot Last?
  • What Are the Side Effects of Botox?
  • Who Should Not Get Botox?
  • Will Health Insurance Pay for Botox?

Botox is a drug doctors have been using for years to treat wrinkles and facial creases. Botox is a brand name of a toxin made by the bacterium Clostridium botulinum. There are other brands, such as Dysport and Xeomin. Botox is the term you hear most often because it was the first injectable botulinum toxin.

The most common reason doctors use Botox is to reduce the appearance of face wrinkles. But getting a Botox shot can help treat other conditions, such as:

  • Severe underarm sweating (hyperhidrosis)
  • Cervical dystonia, a neurological disorder that causes severe neck and shoulder muscle spasms
  • Blinking that you can’t control (blepharospasm)
  • Eyes that point in different directions (strabismus)
  • Chronic migraine
  • Overactive bladder

Botox blocks signals from the nerves to the muscles. The injected muscle can’t contract. That makes wrinkles relax and soften.

Botox is most often used on forehead lines, crow’s feet (lines around the eye), and frown lines. Botox won’t help with wrinkles caused by sun damage or gravity.

Getting Botox takes only a few minutes. You won’t need anesthesia. The provider uses a small needle to inject Botox into specific muscles with only minor discomfort.

It generally takes 7 to 14 days to take full effect. It’s best to avoid alcohol starting at least 1 week before the procedure. You should also stop taking aspirin and anti-inflammatory medications 2 weeks before treatment to help prevent bruising.

Avoid rubbing the injection site for 24 hours so you don’t spread the Botox to another area. Your doctor may also tell you to stay upright for 4 hours after the shots and to take a day off from exercising.

The effects from Botox will last 3 to 6 months. As muscle action slowly returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are shrinking.

You may have some temporary side effects after a Botox injection. These could include:

  • Bruising. This is the most common side effect and will go away.
  • Headaches. Typically, these are rare and end in 24 to 48 hours.
  • Eyelid drooping. This happens with only a small percentage of people and usually goes away within 3 weeks. It usually happens when the Botox moves around, so don’t rub the treated area.
  • Crooked smile or drooling
  • Eye dryness or severe tearing
  • Mild pain or swelling around the injection site
  • Flu-like symptoms or a general unwell feeling
  • Upset stomach
  • Numbness
  • Weakness in nearby muscles

People who are pregnant, breastfeeding, or have a neurological disease shouldn’t use Botox. Because Botox doesn’t work for all wrinkles, check with a doctor first.

You shouldn’t have Botox shots if you’re allergic to cow’s milk protein.

Botox isn’t covered by insurance when used for cosmetic purposes. Check with your health insurance company for coverage details.

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Botox injection: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Warnings:

See also Uses section.

This medication can spread to other parts of the body after your injection, causing serious (possibly fatal) side effects. These can occur hours or even weeks after the injection. However, the chances of such serious side effects occurring when this medication is used for migraines or skin conditions such as wrinkles, eye spasm, or excessive sweating are extremely unlikely.

Children being treated for muscle stiffness/spasms have the greatest risk of these effects, as well as anyone that has certain medical conditions (see Precautions section). Discuss the risks and benefits of this medication with your doctor.

Get medical help right away if any of these very serious side effects occur: chest pain, difficulty breathing, excessive muscle weakness, irregular heartbeat, severe difficulty swallowing or speaking, loss of bladder control.

How to use Botox Vial

Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get an injection. If you have any questions regarding the information, consult your doctor or pharmacist.

This medication is given by injection by an experienced health care professional. It is injected into the affected muscles (intramuscularly) when treating eye disorders, muscle stiffness/spasms, and wrinkles. When used to prevent migraines, it is injected into the muscles of the head and neck. It is injected into the skin (intradermally) for the treatment of excessive sweating. For the treatment of drooling/excess saliva, this medication is injected into the salivary glands. When treating overactive bladder, it is injected into the bladder.

Your dose, the number of injections, the site of injections, and how often you receive the medication will be determined by your condition and your response to therapy. For children, the dose is also based on weight. Most people start to see an effect within a few days to 2 weeks, and the effect usually lasts 3 to 6 months.

Side Effects

See also Warning section.

Because this medication is given at the site of your condition, most of the side effects occur close to where the medication is injected. Redness, bruising, infection, and pain at the injection site may occur.

Dizziness, mild difficulty swallowing, respiratory infections such as cold or flu, pain, nausea, headache, and muscle weakness may occur when this medication is used to relax muscles. Double vision, drooping or swollen eyelid, eye irritation, dry eyes, tearing, reduced blinking, and increased sensitivity to light may also occur.

If any of these effects last or get worse, notify your doctor or pharmacist promptly. You may require protective eye drops/ointments, an eye patch, or other treatment.

When this medication is used to prevent migraines, side effects such as headache, neck pain, and drooping eyelid may occur.

When this medication is used for excessive sweating, side effects such as non-underarm sweating, respiratory infections such as cold or flu, headache, fever, neck or back pain, and anxiety may occur.

When this medication is used for overactive bladder, side effects such as urinary tract infections, burning/painful urination, fever, or difficulty urinating may occur.

If any of these effects last or get worse, notify your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat), rash, severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients (such as cow’s milk protein found in some products), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor your medical history, especially of: bleeding problems, eye surgery, certain eye problem (glaucoma), heart disease, diabetes, signs of infection near the injection site, urinary tract infection, inability to urinate, muscle/nerve disorders (such as Lou Gehrig’s disease-ALS, myasthenia gravis), seizures, trouble swallowing (dysphagia), breathing problems (such as asthma, emphysema, aspiration-type pneumonia), treatment with any botulinum toxin product (especially in the last 4 months).

This drug may make cause muscle weakness, droopy eyelids, or blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Some brands of this medication contain albumin made from human blood. Even though the blood is carefully tested, and this medication goes through a special manufacturing process, there is an extremely small chance that you may get serious infections from the medication. Consult your doctor or pharmacist for more information.

Older adults using this drug for overactive bladder may be more sensitive to the side effects of this drug, especially urinary effects.

Children using this drug for muscle spasms may be more sensitive to the side effects of this drug, including difficulty breathing or swallowing. See Warning section. Discuss the risks and benefits with the doctor.

This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Use for the cosmetic treatment of wrinkles is not recommended during pregnancy.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Consult your pharmacist or physician.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: certain antibiotics (including aminoglycosides such as gentamicin, polymyxin), anticoagulants (such as warfarin), Alzheimer’s disease drugs (such as galantamine, rivastigmine, tacrine), myasthenia gravis drugs (such as ambenonium, pyridostigmine), quinidine.

Does Botox Vial interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. An antitoxin is available but must be used before symptoms of overdose become apparent. Symptoms of overdose may be delayed, and may include serious muscle weakness, breathing problems and paralysis.

It is important to understand the risks and benefits of this therapy. Discuss any questions or concerns with your health care professional.

Not applicable.

Not applicable. This medication is given in a hospital or clinic and will not be stored at home.

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Botox 100 unit injection

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This medicine is a colorless, clear, vial

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Botox, Dysport injections – correction of mimic wrinkles in Moscow

#clinic_kosmetomed

Botox is a generic term that is commonly used to refer to injections of drugs based on botulinum toxin type A.

Currently, there are three types of drugs based on botulinum toxin A on the world market of the beauty industry:

  • Botox – manufactured in the USA by Allergan
  • Dysport – made in France “Ipsen”
  • Xeomin – Made in Germany by Merz Aesthetics

They are identical in their pharmacological properties and have the same effect. All these preparations are actively used by specialists of our clinic for the correction of mimic wrinkles and in the treatment of excessive sweating.

Not so long ago, the Russian analogue of Botox, Relatox, appeared on the domestic market. The drug is produced in Ufa at the Immunopreparat enterprise, which is part of JSC NPO Microgen. Relatox is actively used in neurology for the treatment of blepharospasm, spasticity of the muscles of the upper limb after an ischemic stroke in adults and spasticity of the upper and lower limbs in children with cerebral palsy, as well as in cosmetology. The doctors of our clinic, when correcting aesthetic problems, prefer to use imported botulinum toxin preparations due to little experience in using Relatox.

For the first time, Botox as a drug was first discussed in 1989. Then he got good results in the treatment of strabismus and hemifacial spasm.

Just 2 years later, in 1991, as a result of painstaking research by Allergan scientists, the first injectable preparation for aesthetic medicine was released under the trade name Botox (Botox). In Russia, it has been used since 1994. In 2002, the international organization FDI (Food and Drug Administration) and the Russian Ministry of Health officially approved the use of Botox as a drug for aesthetic procedures in the correction of wrinkles in the forehead and between the eyebrows.

About the Botox injection procedure – what is botulinum therapy?

Botox injections are injections of drugs based on the neurotoxin botulinum type A under the skin. It is produced by the bacteria Clostridium Botulinum and has a neuroparalyzing effect. In cosmetology practice, a highly purified toxin is used in extremely minimal dosages, in which it is absolutely harmless to the human body.

Botulinum toxin is a protein that blocks the transmission of nerve impulses to the muscles. In other words, the command comes from the nerve fiber, but the muscle cannot respond to them, so its blockage occurs. If this toxin is injected into the muscles of the face, during the contraction of which wrinkles appear – mimic wrinkles, this will allow for a while to immobilize this area during mimicry and smooth out mimic wrinkles.

The effect will last for about 6 months, after which the injected botulinum toxin is completely inactivated, and the innervation will resume, and, accordingly, the mimic activity of the muscles will resume. Therefore, further injections are necessary. If you repeat the procedure 3-5 times, then the habit of grimacing while expressing emotions will be lost, which will prevent the formation of deep wrinkles and folds in place of facial wrinkles.

In cases of pronounced deep mimic wrinkles, the effect of the drug may be limited to 2-3 months. In this case, the specialists of our clinic recommend combining the introduction of Botox with contouring procedures, laser resurfacing, etc.

How is the procedure for the introduction of Botox, Dysport, Xeomin

At the first stage, a consultation with a cosmetologist is carried out, during which the indications and contraindications for the procedure are evaluated. In addition, the area for wrinkle correction is determined. To this end, the client is asked to perform the usual facial movements, such as frown, smile, squint, etc. Based on the results of the examination, markings are applied to the skin, according to which injections will be carried out.

Next, the skin is disinfected and the drug is injected using a microneedle according to a previously developed plan. For another 10-30 minutes, the client remains in the clinic under the supervision of the medical staff. In order for the drug to have the claimed effect, it is necessary to periodically perform intense mimic movements during the day – 3-5 minutes every 2-3 hours.

The effect of the introduction of botulinum toxin becomes noticeable not immediately, but after a week, when the muscles relax slightly. The final effect of smoothing mimic wrinkles on average occurs after 14-16 days and lasts 3-6 months. Then you can repeat the procedure.

IMPORTANT NOTE: “According to Oregon Health & Science University study, patients can reduce the frequency of Botox injections after approximately 2 years of consistent use. The effectiveness of the drug for smoothing wrinkles is not reduced.”

Mesobotox Treatment

Botox can be administered using the mesobotox technique, an injection procedure with highly diluted botulinum toxin. By analogy with mesotherapy, the drug is injected subcutaneously and affects individual muscle fibers adjacent to the skin. As a result, partial muscle work is preserved – active facial expressions remain, but without pronounced wrinkles.

Indications for botulinum therapy

The main indications for Botox injections are:

  1. elimination of mimic wrinkles that appear during active muscle work:

    • Eyebrow wrinkles;
    • Horizontal forehead wrinkles;
    • Crow’s feet – wrinkles at the corners of the eyes;
    • Wrinkles at the corners of the lips;
    • Wrinkles on the bridge of the nose.
  2. In addition, with the help of Botox injections, you can lift the tip of the nose, smooth out the hump, and correct the shape of the nostrils.
  3. Botulinum toxin can block not only the muscles, but also the nerve endings of the sweat glands. Therefore, it is also used to treat hyperhidrosis – increased sweating in the palms, feet, armpits. The effect of such treatment can last 8-12 months.

After the procedure

To avoid unwanted consequences and achieve the expected effect, it is recommended to follow a few rules:

  • During the first 4 hours after the administration of botulinum toxin preparations, it is not recommended to touch the treated skin surface with your hands, do not take a horizontal position, and reduce physical activity on the first day.
  • During the first two days, it is not recommended to do sports and household chores with your head down: vacuuming, mopping, ironing. This can lead to increased blood circulation, and improper distribution of the drug.
  • During the week, it is desirable to avoid exposure to high and very low temperatures and direct insolation, it is not recommended to visit baths and saunas so that the injected drug is not inactivated.
  • It is not recommended to do hardware cosmetic procedures in the injection zone for 2 weeks, as well as massage, as this will speed up the process of restoring muscle innervation.

Contraindications for the administration of Botox preparations

  • Pregnancy and lactation.
  • Myasthenia gravis and myasthenic symptoms.
  • Bleeding tendency and need for regular intake of anticoagulants and antiplatelet agents.
  • History of neurological disease.
  • The presence in the area of ​​the proposed injection of manifestations of skin diseases and inflammatory elements.
  • Individual intolerance to the components of the drug.

In addition, Botox injections are not recommended for patients over 60 years of age due to the high risk of asymmetry and other aesthetic complications.

4 reasons to choose our clinic for botulinum therapy procedures

  • experienced medical specialists who have undergone special training and have a personal certificate (with a unique number) from the manufacturer confirming the right to work with drugs based on botulinum toxin;
  • only certified drugs from an authorized dealer;
  • low price compared to commercial clinics;
  • strict observance of all rules of asepsis and antisepsis

Before the botulinum therapy procedure, you will definitely consult a doctor in order to discuss your wishes, the possibilities of achieving them and the predicted results, as well as indications and contraindications for the introduction of botulinum toxin.

Your safety, health and beauty have been our priority for many years.

  1. Botox (face, neck, décolleté) 1 unit

    345
    rub

  2. “Dysport” (face, neck, decollete) 1 ED

    145
    rub

  3. “Xeomin” (face, neck, decollete) 1 ED

    345
    rub

  4. “Relatox” (face, neck, decollete) 1 ED

    340
    rub

Botox injections in the forehead / between the eyebrows

Preparations based on botulinum toxin (“Botox”) are used by cosmetologists as mimic wrinkles . The drug is injected with a thin needle, acting on the muscles of the face, relaxing them. As a result, mimic wrinkles are visually smoothed , and new ones are not formed during the action of the drug.

The history of Botox

Botulinum toxin is the substance that forms the basis of Botox procedures. It is produced by the bacteria Clostridium botulinum. Initially, the substance was used to solve other problems. This is how people with neurosis of the facial nerves were treated. Muscle clamps are formed on the face due to nervous strain, psychological problems. A person does not fully control the muscles, and they are constantly in good shape due to psychological clamps. Botulinum toxin was used to relax them.

Doctors noticed that after the introduction of the drug, the network of wrinkles on the face completely disappears. And deep wrinkles become barely noticeable. This is how Botox procedures were discovered, both as a cosmetic preparation and as a cosmetic method.

Indications and contraindications for the procedure

Botox injections are given to patients with hypertonicity of the facial muscles. The main indication for the procedure today is the appearance of wrinkles . How many units of Botox are needed – the beautician will tell you. Botox injections for the forehead and between the eyebrows are applied according to individual indicators: the procedure may be required both at the age of 20 and at 40.

Contraindications

  • Inflammation of the skin of the face.
  • Infectious diseases.
  • Pregnancy and lactation.
  • Chronic diseases in the acute stage.
  • Allergic reaction to the drug.
  • Children under 18 years of age.

Before the introduction of the drug, the doctor of the Aesthetic Club will definitely conduct a survey, collect an anamnesis, and make sure that there are no contraindications.

Procedure description

Women call the procedure “lunchtime”. Regular patients of cosmetology clinics run in for injections at lunchtime. The doctor examines the skin, interviews the patient, performs the procedure. Everything takes 15-30 minutes.

Botulinum therapy is considered a painless procedure. . The needles for the introduction of the substance are so thin that they do not cause pain.

The patient is in a chair, in a reclining position. The doctor asks to smile, make several different grimaces in order to understand the location of the facial muscles and the level of their tension. After that, the introduction of the substance begins. The procedure is completely safe, injections are carried out with sterile disposable instruments.

The number of units for correction between the eyebrows in women varies on average in the range from 15 to 100 units, for the forehead – from 4 to 80 units. And for each patient, the indicators will be individual: it depends on the physical characteristics of the person and the selected drug.

In rare cases, a second procedure after 14 days is required. This is necessary when the muscles of the face work asymmetrically, or one of the sides of the face is less sensitive to the drug.

At the end of the procedure, barely noticeable traces of the introduction of the substance will remain on the face. They disappear, as a rule, in half an hour and do not cause any concern. In order not to bring the infection, it is better not to touch the face after the procedure.

Post-procedure advice and rehabilitation

The procedure is considered easy and does not require much effort on the part of the patient. However, there are still rules.

Period after the procedure

  • It is forbidden to take alcohol on the day of the procedure and limit its consumption for the next 2 weeks.
  • It is not recommended to take antibiotics during the same period.
  • Avoid taking B vitamins (within 2 weeks).
  • Immediately after the procedure, you can not lower your head, lie down. The rule is valid for 4 hours.
  • There will be no traces of the injection, so you can do almost any type of activity, except for those that will make you overstrain, sweat. On the day of the procedure, exclude sports.
  • It is not recommended to visit the sauna, bath for two weeks.
  • Facial massage not recommended.

After the procedure, doctors advise you to frown, smile, and exercise facial expressions as often as possible. So “Botox” is evenly distributed over the tissues. The effect does not come immediately: every day, patients notice more and more straightening of the skin.

Wrinkles disappear before the eyes . The effect of one procedure lasts an average of 2 to 6 months.