Botox’s uses go beyond treating wrinkles

Two local doctors tell us what you should know

People in search of the facial fountain of youth have long known Botox to be the answer to their prayers — albeit a temporary one. In fact, it remains the leading nonsurgical cosmetic procedure in the United States.

However, Botox isn’t just for wrinkles anymore. Increasingly, physicians are using it for myriad noncosmetic purposes such as excessive underarm sweating, chronic migraines, neuromuscular disorders and overactive bladder, to name a few.

“I have utilized Botox with several patients, many if not most of which have responded favorably, some with a dramatic improvement and reduction in migraine frequency,” said Robb Snider, MD, a neurologist with The Clinical Neuroscience Institute in Dayton, which is part of Premier Health Specialists.

We also interviewed Suzanne Quinter, MD, dermatologist with UC Health Physicians in West Chester to explain the benefits of Botox in treating certain medical conditions.

Botox and Botox Cosmetic — are they one and the same?

Both Botox and Botox Cosmetic contain botulinum toxin type A, a protein formed by the bacterium Clostridium botulinum. Although Clostridium botulinum can cause food poisoning if unintentionally ingested, both Botox and Botox Cosmetic utilize a purified version of the protein, which is not harmful when injected.

The difference between the two lies in how they are used. Botox is a prescription medicine injected into the muscle and is approved by the Federal Drug Administration (FDA) to treat conditions such as overactive bladder/incontinence; chronic migraines; muscle stiffness in elbow, wrist and finger muscles; neck pain; eye muscle issues and excessive underarm sweating. Botox treatments of this nature are sometimes covered by insurance.

Botox Cosmetic is a prescription medicine injected into muscles and is also FDA approved to be used to improve the look of moderate to severe frown lines/wrinkles. These injections are often not covered by insurance.

How does Botox work?

Botox decreases muscle activity by blocking overactive nerve impulses that trigger excessive muscular contractions or glandular activity. For example, in the case of excessive underarm sweating, Dr. Quinter says that the Botox inhibits the signal between the nerves and the sweat glands. “The body does not need underarm sweating to regulate body temperature, which is what sweating does,” said Dr. Quinter. “You’ll just sweat elsewhere — like through the sweat glands located throughout the body’s hair-bearing surfaces.”

When it comes to migraines, the precise way in which Botox works is not known. “However,” said Dr. Snider, “it is thought that Botox affects the area of the brain where migraines originate, making those areas less likely to trigger a migraine attack.”

How long do the effects of the injections last?

The therapeutic effects of Botox are unfortunately temporary and last anywhere from three to10 months, depending on the indication and the individual patient. According to Dr. Snider, the full effect of Botox for the treatment of migraines may take several days to develop. “The full benefit may not be realized after the first series of injections and repeated injections are required to maintain the effect,” explained Dr. Snider. “These beneficial effects usually last 90-120 days although some patients will enjoy a longer benefit between injections.”

How much does Botox cost?

The cost of Botox depends on the area treated and how many units are required per treatment. In some cases, insurance will cover the cost but usually only after other, more conventional treatments have been tried without success.

“Patients do pretty well with two treatments a year, which is good because they (the treatments for underarm sweating) can be kind of pricey, ranging anywhere from $750 to $1,000 per treatment,” said Dr. Quinter.

What are the side effects of Botox?

The side effects are usually minimal and may include pain, bruising, inflammation, bleeding, redness and swelling at the injection site.

“Typically the side effects are minimal and can infrequently include weakness of facial muscles resulting in droopy eye lid(s); weakness of the neck muscles, making it difficult to hold the head upright; or, rarely, difficulty swallowing,” said Dr. Snider.

Both Dr. Snider and Dr. Quinter advise patients to talk with their doctors about whether Botox is a viable option for treatment, as each patient’s health situation is unique.

For more information about Botox, go online to

Reader Comments ...

Next Up in Health

Free AOL Desktop is being discontinued

If you’re still using the AOL Desktop program, keep in mind that the company is slowly discontinuing the free service. Last April, it started pushing random waves of users to upgrade to AOL Desktop Gold ($4.99 per month after a 30-day trial) or to instead use their free services. At some point, they will stop email support on the older...
Diabetes and how it affects feet
Diabetes and how it affects feet

If you have diabetes, you have probably noticed that it affects your health in many ways. But it can be easy to overlook one spot that often escapes close attention: your feet. Understand the problem Just a small foot sore can lead to a diabetic ulcer and even amputation if not treated properly and in a timely manner. So if you have diabetes, every...
A few reasons to tour this famous presidential home before summer ends
A few reasons to tour this famous presidential home before summer ends

One of the best ways to absorb history is to visit a historic home. A few weeks ago my husband and I headed for Marion, Ohio, for what turned out to be a fascinating visit to The Harding Home Presidential Site, the residence of Warren G. and Florence Harding. Thanks to a terrific guide — the museum’s assistant director Shannon Morris &mdash...
D.L. Stewart: Some readers still try to mind their manners

The letter in The Washington Post this week seemed charmingly quaint, a throwback to an era in which men stood up and doffed their hats anytime a woman wearing long white gloves entered the room. “DEAR MISS MANNERS,” the letter began, “I find myself stunned at most people’s table manners. For example: breaking bread/rolls and...
Parenting with Dr. Ramey: A few clues to the secret lives of teens

Your teen has a secret life — feeling, thinking and acting in ways unknown to most parents. Therapy offers young adults the confidentiality and safety to reveal themselves in ways that they cannot do with others. Here is a glimpse at your teen’s private world. 1. High level of insecurity. Many teens feel uncomfortable and uncertain about...
More Stories