Hyperdynamic wrinkles are the most common indication for Botox® Cosmetic treatments and are caused by repeated contractions of the delicate underlying facial muscles every time you smile, laugh, or frown. A very animated individual who contracts these facial muscles frequently will have greater facial muscle tone, and deepening of unwanted lines of the face.

Botox® Cosmetic is injected into the small facial muscles through a tiny needle, and it works in two ways. First, Botox® Cosmetic relaxes hyper-dynamic muscles, dramatically softening or eliminating wrinkles within three to ten days. Second, over the ensuing months, the relaxed muscle slowly thins down to a more normal state, providing further cosmetic benefits for unwanted wrinkles. This secondary effect has been seen in our center to last as long as two years.

The needle is so small that 99% of patients require no topical anesthetic cream or other medication prior to the procedure.  Certainly, one can show up early for their appointment and our staff would be happy to apply such a cream for 20 minutes prior to the injection.

All skin types may undergo Botox® Cosmetic treatments. Patients who are pregnant or have neuromuscular diseases such as myasthenia gravis should not undergo the therapy.

Reduction or complete elimination of wrinkles, excessive sweating and headaches with no down time associated with other conventional therapies. You will not see the full effect for three to ten days, and results last approximately five months.

Results may vary.

Our Physicians, Physician Assistants and Registered Nurses.

None. You can return to work the same day and resume all of your regular activities.

With more than 2.0 million treatments performed last year and a superb safety track record, Botox® Cosmetic has rapidly become one of the most popular cosmetic procedures performed in the United States. Side effects are rare and temporary. Although a bruise is possible, it is seen in less than 5% of our patients and it wanes away in a few days. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. Minor complications that do not affect the outcome occur occasionally.

Before Treatment Instructions

Though it seems that most of our patients have taken a blood thinner such as aspirin, Motrin, ibuprofen, naprosyn and other non-steroidal anti-inflammatory medication right before their procedure for headache pain or menstrual pain, or for sore muscles from working out, we do suggest that one avoid such medications if possible for 10 days prior to the procedure, as these medications make one more prone to bruising.  Even so, we treat most patients who are on such medications and can avoid bruising most of the time by special techniques, such as finger pressure applied over the treated area immediately after the procedure for a couple of minutes.

After Treatment Instructions

None required.

Botox® results commonly last for several months, although duration varies from person to person. Factors such as the treatment area, muscle activity, dosage, and individual metabolism can affect how long results remain visible. Your provider can discuss an appropriate maintenance schedule during your consultation.

Botox® temporarily relaxes targeted muscles and is generally used for expression-related wrinkles. Dermal fillers add volume beneath the skin and may be used for areas affected by volume loss, deeper static lines, or changes in facial contour. Some patients may benefit from using both treatments as part of a personalized facial rejuvenation plan.

The best way to determine whether Botox® is appropriate is to schedule a consultation. Your provider can assess your concerns, review your medical history, discuss your desired outcome, and recommend the treatment or combination of treatments most suitable for you.