Botox®, one of the most sought after cosmetic procedures today, is an injectable treatment that temporarily improves the appearance of moderate to severe lines and wrinkles on the face. Many wrinkles are actually creases that have been worn into the skin by making the same expression thousands of times. These "expression lines," often called frown lines or crow's feet, are due to the contraction of a muscle under the skin in that area. Physician performed.
Frequently Asked Questions
What is Botox®?
Botox® is the brand name of botulinum toxin type A that has been in use since 1990. Although Botox® is a toxin, there have been no serious side effects. This is because it is used in extremely small amounts and does not spread throughout the body.
Where can Botox® be injected?
The most common areas to receive Botox® are the frown lines between the eyebrows, the horizontal frown lines, and the crow's feet.
What is Botox® Cosmetic?
Botox® Cosmetic is a treatment for wrinkles caused by repeated movements. The most commonly treated areas include:
lines around the eyes known as crows feet caused by squinting or smiling
horizontal lines across the forehead caused by raising the eyebrows
lines and folding of skin between the eyebrows caused by frowning.
Is it Safe?
Yes! Botox® has been available for over 20 years and has been proven safe with very few side effects. Botox® Cosmetic is an approved prescription drug by the FDA.
Will it give me food poisoning? Is it boutulism? Isn’t it a toxin or poison?
No, it is not botulism and will not cause food poisoning and is neither toxic or poisonous to humans. Botulism is the name of an illness, not the name of the active drug. The product is a purified protein which is extracted from a naturally occurring bacteria and then rigorously processed under strict pharmaceutical manufacturing guidelines. It is very similar to how Penicillin comes from mold.
How do I know it won’t be toxic to me?
For cosmetic treatment, a typical dose is under 100 units. You would have to receive over 35 times this dose at one time to make you even remotely sick. The cost for that large a dose would be over $42,000.
How does it work?
Simply by relaxing the muscles underneath the skin to create a smooth and refreshed appearance.
How long does the procedure take?
Generally, after consultation, the procedure only takes up to 15 minutes. Since there is no downtime, you can do it on your lunchtime and no one would even know you have had it done.
How quickly does it work?
It can take up to 2 weeks for the full effect. Usually, we ask patients to wait for the 14 days to pass in order to fully see results.
How is it done and does it hurt?
The drug is injected with a very delicate, tiny insulin-type needle. Most patients say the injections feel similar to a little pinch, although everyone is different. We usually hear patients ask “Is that all?”.
How long does it last?
This is not a permanent procedure. It will last between 3 and 4 months on average. If you follow our dermatologist’s directions by having your first 4 treatments promptly every 3 months, your next few treatments will last longer than 3 months. Most patients who strictly adhere to this schedule find:
their next treatment lasts 4 months
the following treatment lasts 5 months
treatments can be stabilized at approximately 2 times per year.
Is my face going to look worse when it wears off?
No. Botox® stops or slows the clock of aging, and when you stop treatments, the aging clock resumes like normal. At the very minimum, you will simply return to where you started. If you use Botox® for a number of years and then stop, your muscles learn to relax and you often end up looking a little better than when you originally started treatments.
How much does it cost?
This varies by each patient and a personal consultation can give you the specific amount. The number of units you will need can be given to you during consultation.
I don’t want to look like a mask without any expression; will that happen?
No. We ensure you get the look you want, as natural as you want. Most people simply want to look natural, relaxed and refreshed, without looking “done”. In the experienced hands of our Dermatologists, patients typically say that no one knows they had anything done. Friends simply say they look well-rested and great!
What side effects can I expect?
Any side effects are rare and not permanent. There can be some minor bruising (which is easily covered with make up) or a slight short-term headache.
Where does the Botox® distribute in my body?
The drug stays local to the muscle where it was injected. It is metabolized and broken down into natural by-products within a few hours.
Can I receive Botox® treatments if I am nursing or pregnant?
No, it is not recommended. Although there is no clinical evidence to prove any harm to the mother or baby, we prefer to be 100% safe.
Restylane® is the ideal treatment for instantly enhancing your looks. It works from the inside by adding volume to your skin without affecting your natural expression. It is not a beauty cream and it is not surgery — it is an instant beauty lift to enhance your looks naturally.
Dysport® is an FDA-approved injection used to temporarily improve the look of our moderate to severe frown lines without changing the look of your whole face. With just one treatment, Dysport® blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines.
Juvéderm® Injectable Gel
With long-lasting Juvéderm® you can treat those parentheses lines on the sides of your nose and mouth for up to 1 year with 1 treatment. Our Doctors will customize your treatment and give you the instant, natural-looking results you want- all in one treatment.
Microdermabrasion is a medically-based, in-office treatment designed to exfoliate and rejuvenate the skin. During a microdermabrasion session, a powerful, yet gentle machine uses vacuum pressure to move tiny crystals over the skin’s surface to remove dead cells, stimulate collagen, and circulate more blood and oxygen to the surface. Not to be confused with “at-home” kits that simply exfoliate the skin, this treatment should always be performed in a physician’s office by medically trained and supervised clinicians. Generally, we recommend combining a series of six treatments, three to four weeks apart, along with professional skin care products to improve sun-damage, acne and acne scars, fine lines and wrinkles, and overall texture of the skin. You may need more than one series in order to achieve the desired results. Although microdermabrasion treats most skin types and conditions, the procedure is not for active cystic acne.
Before the procedure, a clinician cleanses the face, removing surface makeup, oil and/or dirt, and covers the eyes to protect them. After adjusting the power of the vacuum and the flow of crystals to the desired levels, the clinician applies the tip of the hand piece to the skin and moves a stream of crystals slowly over the surface of the face. The pressure and number of passes over the face varies for each individual. Upon completion of the procedure, the clinician removes the crystals with cool water and applies a calming and hydrating cream or lotion to the skin, followed by sunscreen. The skin may be pink or “glowing” after the treatment, but this condition usually dissipates after a few hours. For women returning to work or attending an event, we recommend applying a mineral-based makeup to assist in covering any redness and lessen any chance of sensitivity or reaction.
After your first treatment, the clinician observes how your skin reacts and determines the number and frequency of future sessions. In addition, the clinician will recommend professional skin care products to help you reach the desired results and control how your skin responds.
Another method of exfoliating and rejuvenating the skin, the chemical peel, is the application of an acid, such as glycolic, salicylic, lactic, or combination of acids, to induce exfoliation and a subsequent “peeling” of the skin, similar to a mild sunburn. Different acids accomplish different results; see more details for glycolic and salicylic treatments below.
Chemical peels have not had fair press over the years – most people have heard the worse case scenarios and usually it is after a very deep peel performed by a doctor. The peels we are speaking of here are considered “superficial” with little to no downtime. Although we have given basic guidelines for each peel, please understand that since every person and skin condition is different, you may need less or more treatments to obtain your desired results. Because of this, it is very important to have a consultation with a clinician prior to performing any type of peel treatment.
Glycolic acid (Glytone™) is a water-soluble acid derived from sugar. With one of the smallest molecules, this acid penetrates the skin quickly and helps break up the intercellular cement that bonds skin cells together so that the dead and damaged skin can break free. This method may produce a mild burning or tingling sensation. You can find glycolic acid in lower concentrations in a number of daily-use skin care products. Glycolic acid treatments are appropriate for most individuals and skin conditions and are effective in rejuvenation and slowing the aging process.
For maximum results, glycolic peels start with a low concentration (20 or 30%) and increase with each subsequent treatment (i.e., 20-30%, 30-40%, 40-50%). We recommend starting with a series of six peels spaced two to four weeks apart.
Salicylic Acid is an oil-soluble acid derived from birch bark, willow bark, or wintergreen leaves. This acid primarily breaks up oil and is used in low concentrations in a number of acne products on the market. Skin plagued by acne and acne scars may benefit most from higher concentrations of salicylic acid peels, but photo- or sun-damaged skin also responds well to this treatment. Salicylic acid also neutralizes itself, reducing the possibility of damage. We recommend a series of six peels, three to four weeks apart. Please note, this acid contains an ingredient similar to aspirin. Individuals with allergies to aspirin should avoid this type of acid treatment.