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Nonsurgical procedures
Botox® is a trade name for botulinum toxin A. In this way, Botox® is related to botulism. Botulism is a form of food poisoning that occurs when someone eats something containing a neurotoxin produced by the bacterium Clostridium botulinum. Botulinum toxin A is one of the neurotoxins produced by Clostridium botulinum.

The most serious symptom of botulism is paralysis, which in some cases has proven to be fatal. The botulinum toxins (there are seven -- types are A through G) attach themselves to nerve endings. Once this happens, acetylcholine, the neurotransmitter responsible for triggering muscle contractions, cannot be released. A series of proteins, VAMP, syntaxin and SNAP-25, are essential for the release of acetylcholine. Certain botulinum toxins attack these proteins. Botulinum toxin A (Botox) affects the SNAP-25.

Basically, the botulinum toxins block the signals that would normally tell your muscles to contract. Say, for example, it attacks the muscles in your chest -- this could have a profound impact on your breathing. When people die from botulism, this is often the cause -- the respiratory muscles are paralyzed so it’s impossible to breathe.

Within a few hours to a couple of days after the botulinum toxin is injected into the affected muscle(s), the spasms or contractions are reduced or eliminated altogether. The effects of the treatment are not permanent, reportedly lasting anywhere from three to eight months. By injecting the toxin directly into a certain muscle or muscle group, the risk of it spreading to other areas of the body is greatly diminished.

Botox® Cosmetic has been successfully used to treat severe glabellar (frown) lines and is approved for use in adult patients up to 65 years of age. Also a form of botulinum toxin type A, when Botox® Cosmetic is injected into the muscles surrounding the brow area for instance, those muscles can not "scrunch up" for a period of time. They are paralyzed. So the wrinkles in that area, often referred to as furrows or frown lines, temporarily go away.