Bruce P.Robinson, MD

BOTOX®, Xeomin®

Smile, laugh, frown, and make all the facial expressions you want -- and stop worrying about wrinkles

After years of sun, squinting, laughing, frowning, smoking, and worrying, the skin around the eyes and on the forehead will often develop deep lines and wrinkles called “expression lines.” A frequent concern is that they often make you look older, tired, or stressed. Until recently, these advanced furrows have been difficult to treat. Now, by utilizing this FDA approved temporary muscle-relaxing agent, you can reduce "permanent expression lines". Botox® & Xeomin® are “neuromodulators,” an extremely popular agent used to treat the lines of motion that are accentuated with facial movement and expression. It is one of our favorite procedures to perform because of the extremely high patient satisfaction rate, and a great place to start if you are considering a cosmetic procedure for the first time.

Botox uses:

  • Wrinkles of the Face
  • Crow’s Feet
  • Frown and Worry Lines
  • Drooping Brow – Brow Lift
  • Bunny Lines of the Nose
  • Excessive Sweating

What age should you start Botox®?

If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative Botox can be the solution. Botox® is approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

What is treatment like?

With a very fine needle, BOTOX is painlessly injected into the specific muscle that is contracting and causing the lines and wrinkles on the face. No anesthetic is required. Treatment is effective, safe, and takes approximately 10 minutes. Immediately following treatment you may resume regular activities.

How long does a BOTOX® treatment last?

The effects usually last 3 to 4 months, and fade away gradually. Following several treatments, the results may last 4 to 8 months or longer. BOTOX® offers extended relief over the course of long-term treatment.

Are there any possible side effects?

Side effects of BOTOX®, if any, are usually mild and temporary. Botulinum toxins contain proteins, which in some circumstances may be naturally safeguarded against by the body?s ability to produce antibodies. If antibodies are formed, the therapy will generate a lesser response. Temporary bruising, mild pain and swelling are sometimes experienced, though these symptoms resolve on their own within 3 to 5 days. In rare cases, there can be a slight drooping of an eyelid or asymmetry of expression. If this should happen return to our office.

Here is a short guide of the do’s and don’ts after having Botox.

The do’s:

  • Frown repeatedly for about one hour immediately following the treatment. This will help the treatment to be more effective by increasing the uptake by the targeted muscle groups, then after this time try to avoid extreme facial expressions for the next 12 hours
  • Keep upright for the first 4 hours
  • You can gently apply light make-up after treatment but use a light dabbing motion instead of a rubbing or spreading motion

The don’ts :

  • Do not rub or massage the treated area and avoid make-up if possible.
  • Avoid sleeping on your face the first night
  • Do not exercise or partake in any strenuous activity for the next 12 hrs
  • Avoid excessive alcohol consumption for the next 24hrs
  • Do not have any beauty treatments on your face e.g. facials, facial massage for 2 weeks- this may cause the injected solution to spread to nearby muscles.
  • Avoid exposure to strong sunlight, very cold temperatures and saunas for the next 2 weeks

What type of results will I see?

Typically, the effect of BOTOX® is visible within 5 -7 days. Maximum benefits are reached between 10 to 14 days. Once the muscle becomes dormant and the skin softens, you will have a more relaxed and youthful appearance. BOTOX® treatments are not a substitute for the results achieved with a facelift. The optimum appearance may be achieved with BOTOX® therapy in conjunction with a facelift, dermal fillers, laser resurfacing, and skin rejuvenation.

What is BOTOX®?

BOTOX® is a therapeutic muscle-relaxing agent derived from the bacterium, Clostridium Botulinum. For over a decade ophthalmologists have applied BOTOX® for it's original intention, the treatment of blepharospasm. Physicians have utilized BOTOX® for years as a cosmetic treatment to correct visible signs of stress and aging.

How does BOTOX work?

The contractions and movements of the facial muscles are controlled by signals from the brain. BOTOX simple prevents the muscle from allowing responses to these messages. As a result, the muscle relaxes and the overlying skin remains unwrinkled and smooth.

Botox for excessive sweating/hyperhidrosis:

Botox injections have been FDA approved to treat excessive sweating. In the skin, Botox selectively turns off the sweat glands resulting in a normal appearance without wetness. Treatment is performed during an outpatient visit and no recuperative time or special care is needed afterward.

Cosmetic Consultation Reimbursement Policy

Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.

A Sure Way To Turn That Frown Upside Down

Before and After Images:

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