Botox Injections Approved for Your Worst Headache

The United States FDA last week approved Botox, the anti-wrinkle shot from Allergan, as a treatment to prevent chronic migraines.  This came after the company agreed last month to pay $600 million to settle allegations that it had marketed the drug for off-label uses for years.

The FDA’s decision endorses doctors’ use of Botox to treat patients who suffer from a severe form of migraine involving headaches at least 15 days a month. Botox is already approved by the FDA to treat blepharospasm, strabismus, hyperhydrosis, cervical dystonia, and muscle spasticity in the upper extremities. It is widely known as the most popular wrinkle smoother on the planet and is approved for cosmetic purposes to treat glabellar furrows between the eyebrows.  Interestingly, Allergan projects that sales of Botox for chronic migraine and other medical uses would soon exceed sales of the drug as a wrinkle smoother... but I'm not so sure of that. Often insurance companies do not pay for medical uses (including treatment of migraines), and the out of pocket expenses can be quite high. Cosmetic patients expect such treatments to be an out of pocket expense and can typically afford it.
A Botox migraine treatment generally involves a total of 31 injections in seven areas — including the forehead, temples, the occipital area, the neck and shoulders. To treat chronic migraine headaches, injections are given about every three months.  There was some question about whether the FDA would want more medical evidence because one of two studies used to bolster Allergan's migraine application failed its main goal. Allergan said that the FDA was most interested the secondary goal of reducing headache days, however, where that study showed success was in treating migraine pain episodes.

Adverse reactions for patients in those studies included headaches, migraines, eyelid drooping, muscle weakness and some other conditions.

Allergan said the effects of Botox for migraine treatment last up to three months per treatment, about the same for other uses such as wrinkle ablation by injecting between the brows. It is great that there is now another approved treatment for such a debilitating condition as migraine headache, but I truly doubt that Botox for medical usage such as this one will ever eclipse the sales and usage of it for treatment of wrinkles given its enormous popularity in our desire for the fountain of youth!

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Breast Augmentation.. as easy as getting a shot?

Instead of going under the knife, dealing with scars and spending thousands of dollars, some women have been getting liquid silicone injections in their face and even breasts. These risky injections are not FDA approved and are considered an off label use of a drug used in opthalmology for retinal tears. The idea of taking the cheaper route to get larger breasts may sound to your liking, but women should be aware of the dangers involved with this procedure. When liquid silicone is injected into the breast area it has the potential to permanently damage tissue and incite scar tissue formation. Let the buyer beware.

Recently, a new procedure in Europe called the “boob jab” uses other artificial fillers to attempt to create the same appearance as getting implants. The procedure involves injections through the armpit with a temporary filler such as Macrolane which leads directly into the breast. This procedure costs thousands of dollars and is not permanent. This procedure could also be dangerous, possibly making it even more difficult for mammographers and to detect breast cancer.
Source:abcnews

Jocelyn Wildenstein has had silicone injections to her face (chin, lips, and cheeks). Now ask yourself, would you want your breasts to look as interesting as her face? Hmm, I think not. We do want to note that saline and silicone-gel filled breast implants are safe and approved by the FDA for breast augmentation and reconstruction. Right now this is the most reproducible, predictable option for breast enhancement, but injection of autologous fat (your own fat) and even stem cells is on the horizon as a potential viable alternative to traditional breast augmentation with implants.

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Has Ali Lohan had a Breast Augmentation?

Rumor has it that 14- year old Ali Lohan had a breast augmentation. That would be really weird, seeing as breast enhancement for cosmetic purposes is not recommended or approved by the FDA of the United States as well as plastic surgery specialty societies like ASPS (American Society of Plastic Surgery) and ASAPS (American Society for Aesthetic Plastic Surgery) for girls under the age of 18. Hmmm, could it just be a regular growth spurt? Probably. She has such a cute figure, and I can't imagine a surgeon implanting a 14- year old girl, especially one of such notoriety and fame since he or she would automatically be scrutinized for that choice. (She looks like she has on a good padded push-up bra too in the picture on the right).

Of note, reputable plastic surgeons and the FDA do approve of using breast implants for the reconstruction of abnormal breasts in women of any age, including those under 18. Certain developmental deformities such as tuberous breast syndrome and severe congenital breast asymmetry give a good reason for breast implants in women of younger ages given the embarrassment and difficulty finding clothes that fit growing up. Photo credit of Us Weekly Magazine.

Good luck defending yourself among the paparazzi, Ali!

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