Frequently Asked Questions

FAQs: Botox®

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a highly purified protein injected into the skin to relax the muscles that cause wrinkles due to repeated facial expressions, such as in the forehead. It binds to the muscle and prevents the nerves from sending signals to the muscle to contract. The onset of action is usually a few days to two weeks after treatment and the duration of action is typically from three to four months. Not all wrinkles in the face are amenable to treatment with Botox; however, those due to excessive contraction of the muscles of facial expression often are improved after the administration of Botox. For instance, Botox will not correct lines due to loss of volume or gravitational sagging of tissues such as the nasolabial folds (the “parentheses” between the cheek and upper lip) and the marionette or “puppet lines”. These lines are better treated with fillers to restore volume, and occasionally, surgery.

Results may vary.botox-injectionIs Botox FDA approved?

A few years ago, the FDA approved the use of Botox for treatment of glabellar (the area between the eyebrows) wrinkles. However, Botox continues to be used “off-label” to treat wrinkles of the forehead and crows-feet (the outside area of the eyes). By selectively relaxing other facial muscles, Botox can be used to sculpt the face by elevating the lateral (outside) aspect of the eyebrow, producing a pleasing, feminine arch to the brow. Botox can also be used to elevate the corners of the mouth.

What can Botox treatments do for me?

Facial lines and wrinkles: Botox is the most popular non-surgical cosmetic procedure in the United States and one of our most frequently requested services. Quick, safe, easy and effective, Botox reduces or eliminates facial lines and wrinkles for three to four months (infrequently longer) with no downtime and little to no discomfort. Through a series of tiny injections, Botox gives you a rejuvenated look by smoothing worry lines around the mouth, frown lines between the eyebrows, crow’s feet beneath the eyes, horizontal lines across the forehead, and lines on the neck.

Facial sculpting and elevation of facial structures: Botox can also be used to sculpt the face by selectively relaxing specific facial muscles that position facial structures in an undesirable place. For example, the outer eyebrows and corners of the mouth can be elevated by relaxing the depressor muscles that pull them down

Headaches: In addition to smoothing out fine lines and wrinkles, Botox may be useful for treating migraine headaches, excessive sweating, chronic back and jaw pain, and muscle spasms.

Excessive underarm perspiration: Patients who suffer from severe underarm perspiration that does not respond to conventional over the counter treatments may be a candidate for treatment with Botox. For this particular problem, the duration of effect of the Botox is typically 5 – 6 months. Patient satisfaction is usually quite high after this procedure.

How Botox Works

Botox is the brand name for botulinum toxic A, a therapeutic muscle-relaxing agent derived from the bacteria Clostridium Botulinum. Originally approved by the FDA for the treatment of eye muscle spasms, Botox was quickly recognized for its cosmetic value.
Physicians have been using Botox for years as a treatment to correct visible signs of stress and aging. The medication relaxes the muscles in the face that cause wrinkles. When injected in small doses in specific areas, Botox injections block nerves from sending stimuli to the muscles responsible for the contractions that cause fine lines and wrinkles. In this way, Botox smoothes the lines in the skin that make you look sad, tired or angry.

How much Botox is required?

Everyone varies as to how much Botox they require. Some individuals are more sensitive to it than others. All treatments are customized to the needs of the patient. Sometimes adjustments need to be made with future treatments, either increasing or decreasing the treatment doses based on response to the previous treatment.

Are there any medications to avoid prior to treatment?

It is recommended that for ten days prior to treatment, you avoid any medications that might thin your blood and make you more likely to bleed. This includes aspirin, non-steroidal anti-inflammatory agents such as Motrin (Ibuprofen) and Naprosyn. If you are on blood thinners such as Coumadin or Heparin, you must notify us immediately. Medications used to treat such common conditions as high blood pressure, diabetes, asthma, allergies, heart disease, high cholesterol, thyroid problems, oral contraceptives, and antibiotics should not pose a problem. If you have a question about a particular medication, ask us!

Is treatment with Botox painful?

There is mild discomfort from the tiny needles. Some patients prefer topical anesthetics to diminish the level of discomfort

Risks and Side Effects of Botox

Side effects of Botox are rare and are usually mild and temporary. The most common side effects caused by Botox are headaches and temporary redness or bruising of the skin at the site of injection. In rare cases, slight drooping of an eyelid or asymmetry of expression may occur. Eyelid drooping can be treated with eye drops for a few days. Sometimes, asymmetry can be treated with additional Botox on the other side of the face.

Will my facial expression change after treatment?

When properly performed, there should be no overall significant change to your expression. Botox will permit adjustments to your appearance to make you look more youthful and refreshed. You should still be able to animate your face. You may have difficulty when trying to look angry.

How frequently can/should I have injections?

Botox can be used every 3-4 months, depending on how the muscles respond.

FAQs: Chemical Peels

What do chemical peels treat?

Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes and pre-cancerous growths to produce healthy, glowing skin.

chemical-peels Does freshly treated skin need to be kept out of sunlight?

All peels require adequate sun protection for your new skin.

When should I see results from my peel?

Our SkinMedica® peels are safe and effective and deliver results you can see with little or no downtime or irritation.

FAQs: Juvéderm ®juvederm

Juvéderm is an injectable HA (hyaluronic acid) gel that gently reverses many signs of aging in the face, including fine lines and wrinkles, crow’s feet, thinning lips and loosening skin by adding volume to that portion of the face. It can also “plump up” the lips, sculpt the cheeks, and restore a youthful oval shape to the face. It is made with hyaluronic acid, a natural substance found in the body. Juvéderm works with collagen and elastin to give volume and support to the skin. Because Juvéderm is non-animal-based and not derived from human tissue either, as well as being highly biocompatible, no pre-treatment testing is needed.

Touted as the “next generation” of facial fillers, Juvéderm injectable gels gently smooth wrinkles and folds around the mouth and nose and restore a youthful volume to the face. They are especially effective on smile lines and “parentheses” (nasolabial folds) that run from the bottom of the nose to the sides of the mouth, although it works wonderfully when adding volume to the lips as well.

Treatment takes only 10 – 15 minutes with immediate results and minimal downtime. Results typically last about 9 – 12 months.