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Botox is one of the most popular cosmetic treatments around the world. Each year, millions of women and men utilize this anti-aging treatment to improve their appearance without surgery or downtime. Botox, or similar therapies like Xeomin and Dysport, diminishes fine lines and wrinkles around the brow, eyes, and forehead. It is FDA-cleared, safe, and effective.

Frequently Asked Questions

1) How does Botox work?

Botox attaches to the nerves and prevents them from sending the signal to the muscles. The muscles can relax and the skin over the muscles looks smoother.

2) Is Botox safe?

Botox was initially used by Ophthalmologists in the 1990’s to treat eye movement disorders and uncontrollable blinking. In addition to cosmetic treatments, Botox is used for many medical indications like bladder spasticity, cervical dystopia, migraines, teeth grinding and many more. It has been safely used in millions of patients for over 20 years.

3) How long does Botox last?

In most people, treatments last for 3-4 months. Results are dose dependent and higher doses create longer lasting results.

4) When is a good age to start using Botox?

Botox is FDA approved on people over age 18. It can be used to prevent wrinkles from developing in younger patients treated with low doses and in older patients to remove wrinkles and prevent them from getting worse.

5) Who is not a candidate for Botox?

People who are pregnant or breastfeeding, people with a previous allergic reaction to Botox or its components, people with neuromuscular disorders such as myasthenia gravis are not candidates for this treatment.

60 What are the most popular areas to treat with Botox?

The elevens or the furrows between the brows are the most frequently treated areas. Also, the horizontal forehead lines and the areas around the eye corners, also known as the crow’s feet.

7) What areas can be treated with Botox?

Botox can be used on both the upper and lower face. In addition to treatment of the forehead, the lower face can be treated for facial slimming, TMJ, and downturned mouth. Gummy smiles and lip flips can be done to create a more attractive mouth. Botox is also FDA approved for migraine treatment.

8) What is the Nefertiti neck lift?

Botox can be used to relax the platysma. The platysma is a superficial neck muscle that acts to pull the face downward, contributing to jowling and a downturned mouth, which looks sad. By relaxing it, the neck and face look defined and less like a turtle. Also, the progression of jowling is reduced.

9) What else besides Botox can relax wrinkles?

Botox is one of four FDA approved neuromodulators. Dysport, Xeomin and Jeuveau are all effective Botulinum type A medications that can be used. Injectors often have a favorite based on their experience.

10) Does Botox hurt?

Botox treatments are quick and comfortable. Very tiny needles are used and carefully placed.

11) How long does it take to see results?

Botox starts to work in 3-5 days and is in full effect after 14 days. It starts to wear off after several months and most people are retreated every 12-16 weeks to maintain a smooth appearance.

12) How much does it cost?

Botox is priced per unit and dose is dependent on your goals, number of areas treated, strength of the muscle. Budget is discussed prior to treatment and a plan is created.

Dermal fillers have become a very popular way to restore a more youthful appearance, plump lips and smooth wrinkles.
Learn about injectable dermal fillers and see how they can help you look your best.

1. What are fillers made of?

Most dermal fillers are made of hyaluronic acid, which is naturally found in our skin.

Others are made of Calcium Hydroxylapatite, Polymethylmethacrylate (PMMA) and poly-L- lactic acid (PLLA).

Hyaluronic acid dermal fillers are a gel that is injected into the skin. Hyaluronic acid is a naturally occurring substance that helps keep the skin plump and hydrated by attracting water.

When we are young, our skin has enough hyaluronic acid to store the required amount of moisture and keep our skin fresh. As we age, the amount of hyaluronic acid naturally decreases—making us appear older.

Volume loss contributes to many visible signs of aging. Dermal fillers can replace the lost volume, restoring a more youthful face and enhancing facial features.

There are other types of fillers but Hyaluronic Acid Fillers are the most popular because of their high safety profile.

2. How are Botox/ Dysport different from fillers?

Botox and Dysport are neuromodulators that prevent the muscles from moving, thereby relaxing wrinkles. Fillers restore the lost volume and smooth the wrinkles.

Fillers and neuromodulators work well together to help balance the face, creating a well rested and balanced face.

3. How long do fillers last?

This depends on the area treated, the filler and the patient. In general, hyaluronic fillers last 6-18 months. To maintain optimal results, touch ups are periodically necessary for optimal results.

4. When should people start getting treatments?

Fillers can refine, define and restore. In younger patients, optimizing features like lip and chin augmentation, improving jawline definition and under eye circles are very popular.

Older patients require a more comprehensive approach, with special attention to restoring volume loss, creating a refreshed look without creating a weird look. Facial balancing and pan facial treatments have optimal results. They can be staged and done over time.

Sunken cheeks and temples, lines around the mouth and nose, above lip lines and more can all be treated.

An aesthetic injector needs to have both an excellent aesthetic sensibility and technical knowledge to create natural results. Good work is subtle and elegant.

Dermal fillers, neuromodulators, lasers, good skincare, along with exercise and a good diet, are a great way to flatten the aging curve.

5. Who is not a candidate for dermal fillers?

• Pregnant and breast feeding women are not candidates for fillers.
• People with a history of cold sores should be pretreated with antivirals before getting lip fillers.
• Fillers should be avoided for at least 2 weeks before & after any dental work, vaccines, and tattoos. This helps reduce the risk of infection, swelling and nodules.
• People who are having an active skin, sinus or dental infection should avoid fillers until they are well.
• People with a history of autoimmune disease are at a higher risk of complications and need to discuss this with their injector.
• People with severe allergies and anaphylaxis need to discuss this with their injector.