On 1-6-03 I had my first injection, (had to drive 5 hours to get there) have experienced the breathiness that everyone talks about, but the biggest shock was the dramatic shift downward in frequency range. Singing is next to impossible (not that anyone wants to listen) If I try to yell, nothing comes out but air. I am somewhat concerned about this at work for obvious safety reasons. So far, talking above the noise at work is next to impossible and I’m not sure if it’s going to get any better.

I’ve read a couple of posts on others judging you by your voice, and I can certainly relate to that. SD definitely has an effect on how you are portrayed and also how you portray yourself. Since I have had the botox, my self confidence has improved. The strain that I would have when dealing with disciplinary issues with employees put them ill at ease and they would become more defensive. Now I can handle things in a more calm manner since I don’t have to strain to be heard. Bottom line, there are pros and cons to botox and I will have to weigh them heavily

before I decide to get re-injected.