Crow's Feet - Botox®
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About Botox® Cosmetic
The Berman Skin Institute is one of the Botox company’s national physician training centers.
We have been honored with the coveted Black Diamond classification by the makers of Botox, recognizing our clinic as the TOP 1% Most Experienced In The World!.
Botox is the most commonly performed cosmetic procedure worldwide.
Anti-Aging Procedures Video
See Dr. Berman performing no down time anti aging procedures (Botox, Juvederm Filler, Fraxel Laser and PhotoFacial) on the Live Well Network
- No down time and minimal risk
- Most popular cosmetic procedure in the world with safe track record
- Reduces forehead wrinkles and frown lines
- Reduces crow’s feet lines, lip lines, Platysmal neck bands
- Reduces turned-down corners of the mouth
- Reduces excessive sweating of the palms, feet and underarms
- Reduces migraine and tension headaches, and even symptoms of depression
- Patients undergoing laser skin resurfacing may obtain an indirectly benefit from Botox® Cosmetic; the administration of Botox® Cosmetic before and after laser resurfacing permits the underlying foundation of muscle to be more relaxed and flat. This results in the optimal alignment of the collagen fiber network into a horizontal pattern.
Ulthera, Chemical Peels, Fraxel Laser, Active FX Laser Skin Resurfacing, Microdermabrasion, PhotoFacial Intense Pulsed Light or the newer Broad Band Light (IPL/BBL), Fillers such as Juvederm, Restylane, Radiesse, and Sculptra. Retinoic Acid Creams
How Does it Work?
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 benefit for unwanted wrinkles. This secondary effect has been seen in our center to last as long as two years.
Who is a Candidate?
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.
What can I Expect?
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.
Safety & Side Effects
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.
None. You can return to work the same day and resume all of your regular activities.
Does it Hurt?
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.
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
Who Performs the Treatments?
Our Physicians, Physician Assistants and Registered Nurses.
Wrinkles & Aging Gallery
*Results may vary.