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Thread: Botox

  1. #21
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    Good luck and please do keep us updated. I am very interested in having my ears treated they fush even if my face doesnt.

    Alba
    using elidel at night, taking atelenol, had 2 vbeam laser treatments, 46 year old female

  2. #22
    Senior Member Steve95301's Avatar
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    Quote Originally Posted by RedFaced View Post
    So when you get this done are you going to a specialist that does these injections to treat flushing specifically?
    Actually he said this is the first time he's used Botox for flushing. He's quite interested in the outcome. I printed out this case report and showed it to him (just the abstract). He said he would obtain the full report to see what methods were used, although he couldn't imagine them being much different from what he did (injected just under the skin, not into the muscle).

    Or can any physician that is versed in the general administration of botox injections, such as a pain specialist do this treatment?
    I don't know for certain, but yes, I would think so.

    How much money does it cost for this and it is covered by insurance?
    My txt cost $500. I did not even try to bill my insurance. He said they won't cover it unless the diagnosis is hyperhidrosis, which they will sometimes cover.

    Can you get it in the nose to treat nose flushing/pain?
    I don't know.

    Does it work for pain? I have neuropathic pain that comes even without flushing in the facial area, including the nose, would botox help? I have read that it can with chronic pain...
    I don't know. Be aware, Australian Sciences seems to think botox could aggravate some people's rosacea and result in increased innervation from blocking ACh:

    In normal subjects, locally applied botulinum toxin has shown to abolish cutaneous vasodilation due to whole body heat stress. This action of botulinum toxin is on the post- synaptic sympathetic nerves that employ ACh as the primary neurotransmitter. However, the majority of Rosacea sufferers who undergo subcutaneous botulinum toxin treatment do not achieve a significant benefit in flushing reduction and can experience a greater burning sensation in the botulinum treated area.

    Link
    And now for my update.

    I am t+48 hours and I already see a pretty big difference. In fact I was noticing a difference even yesterday. Both yesterday and today, after taking a hot shower I have not been flushed at all. My baseline seems to be improved 10-30%. Every time I think (feel) that I'm flushed, I'll take a look and I'm not. But I haven't put it to the real test yet, which will be those stressful afternoon meetings that I dislike so much. I'll report back next week on how that works out (I'm taking vacation this week.) I'm quite pleased so far. All the signs are promising.

    The nurse who was cleaning my face off after the procedure told me she had a friend who used Botox for flushing and loved it, she said it helped her by 60%.
    KNOWLEDGE = POWER

  3. #23
    Moderator Melissa W's Avatar
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    That's really great news Steve and I am keeping my fingers crossed for your continued good results with this treatment!

    Good luck next week and keep us posted

    Melissa

    ps I would still try to get it covered with insurance at least partly. I had people tell me that VBeam would not be covered for flushing/burning relief treatments etc and it was. You just never know what the insurance company will decide if you make a good case. Get the doctor to write a letter and then you give the insurance company a call and tell them how bad the flushing/burning is and how this treatment relieves that pain and if you get a kind hearted empathetic person on the other end you just might get some coverage. Doesn't hurt to try!

  4. #24
    Senior Member RedFaced's Avatar
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    Quote Originally Posted by Steve95301 View Post
    Actually he said this is the first time he's used Botox for flushing. He's quite interested in the outcome. I printed out this case report and showed it to him (just the abstract). He said he would obtain the full report to see what methods were used, although he couldn't imagine them being much different from what he did (injected just under the skin, not into the muscle).

    I don't know for certain, but yes, I would think so.

    My txt cost $500. I did not even try to bill my insurance. He said they won't cover it unless the diagnosis is hyperhidrosis, which they will sometimes cover.

    I don't know.

    I don't know. Be aware, Australian Sciences seems to think botox could aggravate some people's rosacea and result in increased innervation from blocking ACh:

    And now for my update.

    I am t+48 hours and I already see a pretty big difference. In fact I was noticing a difference even yesterday. Both yesterday and today, after taking a hot shower I have not been flushed at all. My baseline seems to be improved 10-30%. Every time I think (feel) that I'm flushed, I'll take a look and I'm not. But I haven't put it to the real test yet, which will be those stressful afternoon meetings that I dislike so much. I'll report back next week on how that works out (I'm taking vacation this week.) I'm quite pleased so far. All the signs are promising.

    The nurse who was cleaning my face off after the procedure told me she had a friend who used Botox for flushing and loved it, she said it helped her by 60%.
    Hey, thanks for the info. How many injections did you get and where abouts? Just the cheeks? How long do they think the results last for before it would wear off? Thanks for the update and hope things continue to improve.

  5. #25
    Senior Member Steve95301's Avatar
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    Quote Originally Posted by RedFaced View Post
    Hey, thanks for the info. How many injections did you get and where abouts? Just the cheeks? How long do they think the results last for before it would wear off? Thanks for the update and hope things continue to improve.
    I don't know how many injections I got, it's hard to know from feel and you can't see all the injection sites afterward.

    Yes I was only treated on the cheeks. The 50 units covered most of the area, but not quite all. (25 units cover approximately the area of your palm. The Dr. knew this from treating hyperhidrosis on people's palms. So he treated approximately that same surface area on my cheek.)

    It's uncertain how long the results will last, because he's never used Botox for flushing before. He said Botox for hyperhidrosis usually lasts at least three months, and can last up to six.
    KNOWLEDGE = POWER

  6. #26
    Senior Member Steve95301's Avatar
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    Update #2
    t+3.5 days

    The results are better than I had hoped (well, they are approaching my best-case scenario).

    My baseline is still improved 15-30% and I have not flushed once since the treatment.

    I have tested it by doing flush-inducing things: hot showers, hot thermostat, food (hot dogs) but my face remains calm/unflushed.

    Like every rosacean I am suspicious of things that seem too good to be true, but it sure is hard to argue with the results I'm seeing in the mirror.

    Now my only concern is whether or not I can do this the rest of my life ;) I emailed the Dr. to ask if there is any reason to believe I would become resistant to Botox with continued use.
    KNOWLEDGE = POWER

  7. #27
    Senior Member cashisclay's Avatar
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    Quote Originally Posted by Steve95301 View Post
    Update #2
    t+3.5 days

    The results are better than I had hoped (well, they are approaching my best-case scenario).

    My baseline is still improved 15-30% and I have not flushed once since the treatment.

    I have tested it by doing flush-inducing things: hot showers, hot thermostat, food (hot dogs) but my face remains calm/unflushed.

    Like every rosacean I am suspicious of things that seem too good to be true, but it sure is hard to argue with the results I'm seeing in the mirror.

    Now my only concern is whether or not I can do this the rest of my life ;) I emailed the Dr. to ask if there is any reason to believe I would become resistant to Botox with continued use.
    Cool stuff man. I was always under the impression that Botox only worked on blushing. I found that to be odd because I never understood the difference between a flush and a blush. They are both just blood rushing to the face. You figure if you put something on your face that stops a blush, it should stop a flush as well.

    Any white patches on your face? I remember Bob Bear mentioning that when he got it done he noticed these white patches would appear during a flushing in the Botox areas.
    "Tomorrow the sun will rise. Who knows what the tide could bring?"

  8. #28
    Senior Member Steve95301's Avatar
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    Quote Originally Posted by cashisclay View Post
    Cool stuff man. I was always under the impression that Botox only worked on blushing. I found that to be odd because I never understood the difference between a flush and a blush.
    I've never understood the difference either. I tend to say "flush" just to differentiate it from being embarrassed. I wouldn't "blush" from eating a hot dog. I think they're both the same (dilated blood vessels). I can't imagine a treatment that worked on one but not the other.

    Quote Originally Posted by cashisclay View Post
    Any white patches on your face? I remember Bob Bear mentioning that when he got it done he noticed these white patches would appear during a flushing in the Botox areas.
    I do have white patches but they don't come and go, they're there all the time.
    KNOWLEDGE = POWER

  9. #29
    Senior Member RedFaced's Avatar
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    Hey, excellent to hear. I'm really happy for you. I have read some people say it "freezes" their face, with one poster claiming they couldn't even smile...any evidence of this in your case?

    As for flushing and blushing I believe they are both mediated by the sympathetic nervous system. I have read that people who sweat a lot often flush at the same time because they have an overactive or dysfunction of the sympathetic nervous system. As I understand it, Botox somehow disrupts a pathway along the nerves in the facial region which somehow mediates or modulates the sympathetic nervous system in the area it is applied.

    I also sent you a PM (Private Message).
    Last edited by RedFaced; 20th February 2010 at 10:52 PM.

  10. #30
    Senior Member Steve95301's Avatar
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    Quote Originally Posted by RedFaced View Post
    I have read some people say it "freezes" their face, with one poster claiming they couldn't even smile...any evidence of this in your case?
    No, my face is fully functional

    If the Botox doesn't go into the muscle, there shouldn't be any side effects like that. Maybe that person's doctor messed up, or didn't realize it should only be subcutaneous.

    As I understand it, Botox somehow disrupts a pathway along the nerves in the facial region which somehow mediates or modulates the sympathetic nervous system in the area it is applied.
    Yes Botox blocks the release of acetylcholine, a primary neurotransmitter, blocking nerve activity.
    KNOWLEDGE = POWER

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