Real Doctor, Beautiful Results
Looking tired? Wrinkles around the eyes tend to make us look tired. Botox can improve the wrinkles that appear when we smile. The goal of Botox treatment in this area is to gently relax, but not totally inactivate these muscles, which can lead to an unnatural appearance. Botox treatment in this area may also improve your appearance by opening the eye.
Looking stressed ? Wrinkles on the forehead make us look tense. Botox is used to relax the wrinkles that appear when we raise our brows. The goal of Botox treatment is to gently relax, but not to totally inactivate these muscles which might lead to a dropping of the brow, creating an unnatural, expressionless appearance. Botox treatment in this area may also provide for a gentle lift of the brow.
1. WHAT IS BOTOX?
Botox is a substance that is placed under your skin to relax the muscles that cause expression wrinkles. By injecting nerves that supply certain muscles, such as those that cause frown lines in the forehead, the appearance of the face can be improved. Botox can treat mild wrinkles, frown lines and lines around the eyes. After treatment, the overlying skin becomes smoother. Unrelated facial muscles continue to contract normally, allowing your normal facial expression to be unaffected. If your wrinkles are very deep you may need to consider a filler procedure as well.
2. IS BOTOX/DYSPORT A POISON?
BOTOX/DYSPORT have been used safely for many years worldwide to treat cosmetic (wrinkles) and non-cosmetic problems (headaches, sweating, muscle spasm, etc.). Dr. Friedman only treats his patients with Botox or Dysport. BOTOX ® is a purified protein and is very safe when used by experienced hands.
3. DOES BOTOX PREVENT WRINKLES?
Absolutely. Botox can temporarily erase or reduce horizontal forehead lines, vertical frown lines, and crow’s-feet. The injections slow muscles that contract hundreds of times a day, eventually etching lines in the skin.
4. HOW IS BOTOX DIFFERENT FROM FILLERS?
Botox is placed into the muscle that causes the expression wrinkle, while fillers are placed directly into a wrinkle.
5. WHICH IS BETTER, BOTOX OR FILLERS?
It depends on the cause of the wrinkle. If the wrinkle is caused by muscular activity, it is usually best to start your treatment with Botox. This is because Botox will usually suffice to relax the muscle that creates the wrinkle and thus you will probably have sufficient improvement with Botox alone. If your wrinkle is very deep, Botox will give you only partial improvement and you still may need filler placement to obtain even better results. It is still better to place Botox first so that you will need less filler and so that your filler will last longer.
6. WHAT’S THE IDEAL AGE TO START USING BOTOX?
You don’t need Botox before you have wrinkles to hide. If you have muscular activity that is producing a wrinkle only when you contract the muscle, the reason to start Botox early is to prevent the formation of a wrinkle which will be apparent even if you are not contracting the muscle.
If you already have a wrinkle even if you are not contracting the muscle, the reason to start with Botox treatment is to prevent the wrinkle from getting deeper. There is no problem regarding long term use of Botox.
Depending on your race, genetics, and prior sun exposure, you may begin to experience premature aging of your skin that would benefit from BOTOX ® therapy. At times, BOTOX ® can be very helpful for some twentysomethings who are already beginning to show fine lines. Typically, for fairer skinned individuals (lighter-skinned Caucasians), BOTOX ® should be started in the early thirties to avoid the development of wrinkles. In darker-skinned patients, BOTOX ® may be delayed possibly until the late 30s.
7. IS BOTOX PAINFUL?
The thought of an injection is enough for some people to be completely put off having the treatment but you really shouldn’t worry. The injections that are used are extremely fine, meaning most people report only a very mild pricking sensation on administering the drug. Dr. Friedman has a special technique that minimizes discomfort. Patients are often pleasantly surprised how little they actually feel during the treatment, especially if they have had it done elsewhere.
8. WHAT CAN I EXPECT THE DAY AFTER MY BOTOX APPOINTMENT?
Not much. Results begin to show in a couple of days and develop gradually over the course of two weeks. Patients taking medications that contain aspirin or NSAIDs can develop pinpoint blue bruising. Patients can wear makeup immediately but should avoid heavy workouts for 24 hours. It usually takes 3-5 days to see the result and in a week it will look even better. To enhance the uptake of your treatment, smile and frown a lot for two hours following treatment, don’t touch or massage the area and remain in a vertical position for 90 minutes so it stays where it belongs.
9. WILL BOTOX MAKE ME FEEL NUMB AND LOOK FROZEN?
It will not affect the nerves that cause sensation, or make you feel numb. When it is used correctly, it can give an appealing, relaxed and sincere look. But if too much is injected you might get an unnatural frozen look. That’s why it’s important to be treated by an experienced doctor who can judge the size of your muscles and how much Botox you will need.
10. WILL MY FRIENDS KNOW I DID BOTOX?
Yes and no. A good result will leave you looking fresher, more cheerful, and perhaps younger. Telltale signs of Botox that has been poorly injected are a smooth and shiny forehead, or a forehead and crow’s-feet that don’t move when you laugh or cry. In order for a lay person to know that you underwent a Botox treatment, it most likely means that the results are not natural and appear overdone or too good. The correct goal of a beautification procedure is to look relaxed, rested and natural without people knowing how you achieved this. They may ask you if you returned from vacation or changed your hairstyle. Botox treatment should give you a relaxed, not a frozen look.
11. HOW LONG WILL THE EFFECTS OF MY BOTOX TREATMENT LAST?
BOTOX/Dysport is only temporary, typically lasting 3 to 6 months in duration. However, BOTOX ® is the only product to minimize wrinkles when you smile, frown, and raise your forehead. If you think about the analogy of a well-pressed shirt that is constantly folded, wrinkles will appear over time that becomes etched into the shirt. The same is true with your face: if you constantly smile, frown, or raise your forehead, the wrinkles that initially only appear when you move your face eventually become permanently etched into your face, becoming deeper and deeper over time. When that happens, BOTOX ® helps very little. Besides the tremendous benefit that BOTOX ® provides for prevention or minimization of developing etched-in wrinkles over time, BOTOX ® also makes you look better immediately, as wrinkles don’t appear when you smile, frown, etc. There is no denying that the effects of Botox can be impressive, knocking as much as 10 years off your appearance. But just how long does it last for? On average, Botox lasts for around 4 months and it is important to understand that your appearance will return to exactly as it was previously after this time.
There is some variation between individuals and for some people the effects may only last for as little as two months while in others it may last six months. This will depend on how you use your muscles. If you are in total control of your expression muscles and only wrinkle when you want to, you probably will need to repeat the treatment every six months. If you are partially in control of your expression muscles, that sometimes you will wrinkle even if you did not intend to, you may have to perform your next treatment after four months. If your expression muscles do not stop contracting and you are constantly making the wrinkle, then you might need a treatment after two months.
Generally, if you do not wait until the muscle returns to full activity, but have a treatment right before the muscle starts contracting again, this may lead to longer intervals between treatments in the future. Therefore, it is recommended that during the first year, you schedule appointments every four months. This will increase the likelihood that after the first year, you will only have to have treatments two to three times a year.
Lines will gradually revert to their pre-treatment appearance over a period of months. Continued muscle activity will clearly make them worse over time if treatment is not resumed.
15. WHAT IS UNIQUE ABOUT BOTOX FOR THE FOREHEAD LINES?
Here less is more. A relaxed, natural, “not done” appearance is superior to complete removal of all forehead wrinkles. This is because if all of your forehead wrinkles are removed you might:
16. WHAT IS UNIQUE ABOUT BOTOX FOR THE AROUND THE EYE LINES?
In this area, Botox is only for wrinkles that appear when you smile. Sometimes treatment of these muscles will raise the lateral eyebrow. Wrinkles below the level of the lower eyelid are not treated so as not to affect cheek muscles that may affect the movement of your mouth.
Placement of Botox around the eye is primarily to relax the muscle that makes the around the eye wrinkles. In addition, Botox treatment can give the appearance that your eyes are a bit more open. Here again, our goal is to relax and not freeze the muscles. If the muscles are frozen, you may appear unnatural when you smile.
17. WHY DO I SEE SOME EXPRESSION LINES AFTER MY TREATMENT?
There are two usual reasons:
18.WHAT UNEXPECTED BENEFITS COME FROM BOTOX® THERAPY?
Tension headaches and migraine for some patients have disappeared. This occurs in patients using the muscles of the forehead and brow during periods of stress and tension. When muscles are relaxed using Botox, the headaches fade.
19. WHEN WILL I SEE RESULTS OF BOTOX®?
On average, results become visible within 7 to 10 days after treatment. You may however experience effects as early as 3 to 5 days. One week after the treatment, you will return to our office to evaluate your progress and determine if more BOTOX® Cosmetic injections are needed.
A current trend is that some patients opt to have just partial relaxation of the muscles, allowing for some movement, in an attempt for a more natural look. However, many clients still prefer complete muscle relaxation, which requires more BOTOX® units.