Wrinkles and Frown Lines
Years of squinting and frowning can leave deep wrinkles that form between the eyebrows and may extend to the bridge of the nose. Wrinkles and frown lines also may appear across the forehead and at the corners of the eyes (“crow’s feet”). Dermatologists can quickly and safely inject BOTOX during an office visit to diminish these wrinkles and lines that create an angry or sad look and detract from a pleasant facial appearance.

What is BOTOX?  

BOTOX are purified substances that block muscular nerve signals.  Injecting very small amounts into specific facial muscles blocks the muscle’s impulse.  This temporarily weakens the muscle and diminishes the unwanted lines.  
For optimal results, BOTOX may be used in combination with other cosmetic skin procedures such as chemical peels, laser resurfacing, and FILLERS. Using BOTOX and FILLERS in the same area may achieve longer-lasting results. Combination therapy also can help prevent the formation of new lines and wrinkles. BOTOX is less useful for the smile lines around the mouth because muscle action in this area is needed for important functions such as eating and talking. 

BOTOX Therapy
Before treatment, the dermatologist obtains the patient’s medical history, including any medications taken. Treatment involves injecting very small amounts of BOTOX directly into the underlying facial muscles to relax them. A tiny needle is used; the procedure is well tolerated and takes just a few minutes with no “down time” or prolonged recovery period. BOTOX takes effect about 3 to 7 days after treatment. The improvement generally lasts about 3 to 6 months; the effect gradually fades as muscle action returns. Patients require re-injection at various intervals. With repeated treatments, atrophy (thinning) of the muscle may occur. This usually produces longer-lasting results. 
Treatment Areas
  • Vertical lines between the eyebrows and on the bridge of the nose
  • Squint lines (crow’s feet) at the corners of the eyes 

  • Horizontal lines on the forehead 

  • Muscle bands visible on the neck, commonly known as “turkey neck” 

Are there any side effects?
Side effects are generally minimal, temporary, and typically relate to the local injection.  Soreness or mild bruising, while uncommon, may occur around the injection site. Makeup may be applied after the treatment, but care should be taken to avoid pressing or massaging the area for several hours. A temporary headache is not uncommon after injections in the forehead area, especially after the first treatment. In rare instances, patients may develop weakness of the neighboring muscles leading to a temporary droopy brow or eyelid. All of these possible effects are mild, reversible, and self-limiting. 

Other Applications 

Hyperhidrosis (excessive sweating) can be treated with injections of a highly diluted form of BOTOX which is superficially injected directly into the underarm skin, skin on the palms of the hands, or on the soles of the feet. This weakens the action of the skin’s sweat glands which are responsible for excessive perspiration. A single treatment session can provide months of relief, and injections can be repeated when the excessive perspiration returns. Twitching muscles also can be treated by injecting BOTOX into the appropriate muscle.  

BOTOX can make a great difference in a person’s life. 
Its uses in combination with other modalities achieve successful results. 

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