Neuromodulators - "botox"


Do you know all the things that botox products can do for you?

Botox is a cosmetic treatment designed to relax muscles and reduce lines and wrinkles on your face. Some wrinkles and lines are caused by overactive muscles. Botox relaxes these muscles, allowing for fewer unwanted expressions.

The following is a list of common indications for botulinm therapy:

  • Forehead wrinkles
  • Bunny lines
  • Gummy Smile
  • Lateral Canthal Rhytids (Crow's Feet)
  • Lower eyeld (Jelly Roll)
  • Vertical Lip Lines
  • Marionette Lines
  • Dimpled Chin
  • Platysmal bands in the neck
  • Frontal (Migraine) Headaches
  • Hyperhidrosis (excessive sweating)
  • Blepharospasm - abnormal contraction or twitch of the eyelid
  • Bruxism (grinding of the teeth)

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What do I need to know before a botox treatment?

It is prudent to follow some simple guidelines before treatment by reducing some possible side effects associated with the injections; this can make all the difference between a fair result and a great result. We realize that this is not always possible; however, minimizing these risks is always desirable. 

AVOID alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood increasing the risk of bruising). 

AVOID anti-inflammatory/blood thinning medications ideally for a period of 2 weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Ginko Biloba, St. John’s Wort, Ibuprofen, Motrin, Advil, Aleve, and other NSAIDS are all blood-thinning medications and can increase the risk of bruising/swelling after injections. Schedule the “botox” appointment at least 2 weeks prior to any special event which may be occurring: i.e., wedding, vacation, etc.

When can I expect to see results?

Many people see results within four to five days, but it could take up to two weeks for full results to show. Deep wrinkles should show improvement shortly after treatment and could continue to gradually improve over time.

What happens on the day of treatment?

The day of your treatment likely won’t be very different from any other day. It will be similar to going to your primary care provider to receive a shot. We will make a series of injections in the desired area(s).  Then you are on your way. 

What should I know about my after-care?

You should be able to resume normal activity immediately after your injections are done. You might have some redness or slight bruising after, but it should dissipate quickly.   

We recommend patients do not lie down for at least four hours following injections to prevent any possible migration to unintended areas of your face. We also suggest avoiding vigorous activity, especially those activities that might involve straining or bending down for at least a few hours and up to a day. You should not rub the area aggressively or get a facial massage for at least 48 hours after your injection.

How much does a treatment cost?

The cost depends on the treatment area and how much of the injection is required. The cost is $8 per unit. Sometimes there is an injection fee when botox is being used for medical applications.

What are common complications?

If injected properly, Botox side effects should be minor. Some patients experience bruising or redness immediately after the injection. Those effects should last for only a couple of hours. This can be minimized by holding pressure over the areas injected if a bruise or immediate swelling occurs.  Some people have reported getting headaches following injections; this is a rare side-effect and usually resolves within  24hrs. 

You can't eliminate all risks of any medical device or procedure, but the chance of you individually getting a serious side effect is exceedingly small.

Some potential botox complications may occur. Some rare side effects include temporary diffusion of the medication which can cause drooping eyelids (ptosis), a crooked smile, crooked eyebrows, or similar complications. If too much serum is injected, you could be left with a frozen look. Each treatment plan is tailored to the individual. 

Pre & Post Instructions

Patient Pre and Post Instructions for botox and filler (pdf)