There’s a reason why Botox and other botulinum injections (Dysport, Xeomin) are the most commonly performed cosmetic procedure. It works. Over 6,000,000 injections were performed last year, an increase of over 700% from the year 2000. It is a quick way to decrease the wrinkles and furrows in the face caused by the contraction or the underlying muscles. While we most commonly use Botox for injection, we also utilize Xeomin and Dysport when we feel these are more appropriate for the patient. These products are similar to Botox in their mechanism of action and how we utilize them.

How it works
Many wrinkles and furrows in the skin are caused by the contraction of the underlying muscles. As we age these lines occur in fairly predictable locations such as the forehead, between the eyebrows, around the eyes, and around the mouth.

Injection of Botox temporarily weakens and paralyzes the muscles in the areas we treat, usually for 3-6 months. Although the wrinkles themselves are not injected, the wrinkles tend to soften and disappear once the muscles are treated. This muscle relaxation also slows the formation of wrinkles in the future.

How we do it
The actual injections of Botox only take a few minutes in our office. However, it is import to first carefully evaluate your wrinkles and furrows to determine where we will inject the medication and how much we will use. All patients are slightly different in the relative strength of their facial muscles and how they use them, which we will take into account when we treat you. Appreciating these subtle differences is what sets us apart from inexperienced injectors. Once we have determined our injection pattern, we first chill the area with a cool pack to minimize pain. The injections take just a few minutes and cause minimal discomfort. You may have some slight swelling and redness of the injection site for a few hours. Bruising may occur but is unusual. You may resume everyday activities right away, but we suggest you to refrain from strenuous activities such as vigorous exercise for the rest of the day. The medication generally takes effect in 3-5 days.

If you are having injections for the first time we encourage you to return in a week or two to see if we have achieved the desired effects. This will help us adjust and fine tune your future treatments. We want you to have a natural appearance, and will avoid overtreatment that may give you a flat appearance to your expressions.

Areas we typically treat:
▪ Frown lines in the glabella (the area at the top of the nose between the eyebrows)

▪ Around the eyes (“crow’s feet”)

▪ Perioral (around the mouth)

▪ Forehead

Use with other treatments
Botox may be used alone or in combination with other treatments to enhance your overall appearance. For example, we have found that deep furrows in the forehead and glabella region may respond best to treatment with a combination of Botox injections followed about 1 week later with a dermal filler. This temporary muscle paralysis enhances the result of the filler and achieve a longer lasting result.

How we charge
Like most practices, we charge by the amount of medication we use. Some patients will require more product to achieve the same effect than others. We try to use the minimal amount necessary to achieve a good, long lasting effect.

Why we like this procedure
Botox and other botulinum injections are an easy and effective way to quickly improve your appearance. They are also an excellent addition to other treatments, both surgical and non-surgical, that we offer. With over 6 million injections a year being performed, these products have an extensive track record supporting their safety and effectiveness.

Botox
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