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Botox For Headaches

Botox For Headaches

Headache is a common ailment. Most of us have taken an over the counter Ibuprofen or Acetaminophen once in a while to treat our headaches. We generally do not seek medical help for such minor headaches. However, up to four percent of Americans suffer from headaches that are daily or nearly daily. Most of these headaches are tension and migraine type headaches. They may also start after a concussion from a car accident and may persist. Yet another common cause of frequent headaches can be the very medicines that are taken to treat them. This would the example of a common phrase that,“too much of a good thing can be bad.”
In general, for a patient with no other organic cause of headaches, if headaches have grown markedly worse or more frequent, the problem is almost always medication overuse. Headaches that occur eight or more days a month along with frequent use of abortive medicines are likely to be rebound headaches. Overuse is defined as taking abortive medications for 10-15 days or more a month depending upon the medicine.
All too often patients fall into a trap of treating their headaches everyday, thinking that they are having migraines when they are really rebounding from medication overuse. Part of this problem is due to the limited understanding of the medical community about the treatment of headaches. All too often physicians fail to educate the patient that “abortive” medications to “stop an ongoing headache” are different from the “preventative” medications aimed at reducing the frequency or severity of the headaches.
Fortunately, Botulinum toxin A (Botox®) was approved in 2010 by the FDA to treat chronic migraines occurring more than 15 days in a month. It seems to lessen the severity and frequency of the headaches but it is not a panacea. It is injected by a trained professional in 31 sites, with an extremely thin needle, in the muscles around the head and neck. Numbing cream can be applied for those who are sensitive. Most people describe the discomfort from the needle as 1-2 on a scale of 1 to 10. The exact mechanism of action is not clearly understood but may involve action of Botox on nerves and muscles. Most of the injections are done in the vicinity of trigeminal nerve (fifth cranial nerve) branches. Botox has been in clinical usage since 1988 and in almost 30 years of clinical experience it has been a remarkably safe medicine. It is now covered pretty much by all insurance plans if the criteria of chronic migraines is met which includes the failure of two or three preventative medicines.
The correct approach to treating chronic migraines is to identify if there is any rebound going on and to stop the offending agent. This is often easier said than done and requires courage both on the part of the patient and the doctor. Preventative medicines and close follow up is needed. This used to require hospitalization but now can be done safely in the outpatient. The best approach is often a combination of medication management, massage therapy, nutritional supplements, Botox, biofeedback and psychotherapy. With the correct approach most patients can be completely or nearly headache free. In the present era of medicine most people should not have to live in a life of continued misery from their migraines.

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Infini : Technology Meets Beauty

Infini : Technology Meets Beauty

 

                The Aesthetics industry is a giant with no signs of slowing down.  The global spa services market is expected to increase to $154.6 billion by 2022, according to a report from Research and Markets titled, "The Spa Services Market-Global Opportunity Analysis Industry Forecast from 2014-2022."   Men and women globally are on an insatiable quest to look and feel their best. 

 

                One dimension of skin rejuvenation is the development of using cutting edge devices to tighten skin at the deeper levels of the skin.  Here at Palm Beach Botox after extensive research we have found the gold standard in skin rejuvenation devices which is called Infini®.  Infini® is a device for non-surgical skin tightening that utilizes Microneedling with High Intensity Focused Radiofrequency which is clinically proven to increase collagen production, with results lasting up to seven years. According to Dr. Steven Weiner, a plastic surgeon, who has used Infini® since its inception and has now performed thousands of procedures, it is "the best tightening technology of 2016."  The ideal candidate for Infini® RF Micro-needling has one or more of the following aesthetic concerns:  mild to moderate skin laxity, fine lines and creases, or acne scarring.

               

                 Infini® is clinically tested and cleared by the FDA as a safe and effective procedure for skin tightening.  The technology uses Radiofrequency energy, which is placed into the deeper layers of the skin by way of gold insulated needles.  The Radiofrequency energy penetrates into the dermis, creating a thermal coagulation zone.  The heat stimulates your body to rebuild collagen, the absence of which is the main cause of wrinkles in aging skin.  The needles are inserted into the skin in a quick and precise manner, which means less pain for the patient.  The needles are  insulated so the epidermis is protected; making this a safe and effective treatment for all skin types with no risk of post-inflammatory hyper pigmentation or in layman’s terms darkened spots, and hence no down time.  Topical numbing medication is applied prior to the procedure to relieve any discomfort.  Patients are able to wear makeup the next day.  Compared with other similar devices but with different technologies (such as the CO2 Laser and Ulthera), many patients find the Infini® treatments more comfortable and the recovery quick and easy. 

 

                There are very few side effects associated with the procedure.  Some patients have slight erythema (redness) afterward, but it usually subsides within 24 hours.  Treatment time is usually fifteen minutes to one hour.  Although improvement can often be seen after one treatment, we suggest 3 to 4 sessions, spaced about 4 weeks apart. Consultations are free in our office.

Before Infini®, both microneedling and radiofrequency were methods used around the world for many decades.  Microneedling alone done with a small pen like device provided limited results for wrinkles and acne scarring.  Radiofrequency energy delivered from the surface with a device such as Thermage® or Thermi®  often do not  produce the thermal coagulation zones in the dermis needed for optimal results.  Moreover, it is important to address the danger of indiscriminate heating of all tissues from the surface of skin, which may cause long term deleterious effects such as, melting of the subcutaneous fat and cause a haggard look to the face.  This unwanted effect was seen with Thermage® in some patients after years or decades of treatment.  Infini® addresses these concerns by selective targeted heating in deep dermis and yields results that catapult us into a 21st century where plastic surgery has fallen behind the non-surgical procedures in facial rejuvenation.

 

                Here at Palm Beach Botox we are proud to bring a technology that has proven safety for four years and the results are nothing short of spectacular yet affordable.  Along with Infini®, Palm Beach Botox also offers full spectrum of facial aesthetic services.

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Palm Beach Botox welcomes Katie O'Leary, licensed Esthetician

Palm Beach Botox welcomes Katie O'Leary, licensed Esthetician

Katie is a Florida licensed Esthetician with many years of experience in the skin care industry. She specializes in Anti-Aging Treatments, Acne Facials, Advanced Peels and Microneedling. Her training and certifications include:  Environ Skin Care, ZO Medical by Dr. Obagi, Hydrafacial MD, Eminence Organics, Microneedling, Eyelash Extension Artist, VI Peel and RYT 200/Yoga Teacher.  Her current skin care methods combine cutting edge technology, relaxation modalities and signature techniques.

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