BOTOX® Cosmetic

Photo Gallery - BOTOX® Cosmetic
BOTOX® Cosmetic
Crow's Feet: BOTOX® Cosmetic
Disuse Atrophy
Facial Filler & BOTOX® Cosmetic
Frown Lines: BOTOX® Cosmetic
Injections Made More Comfortable
Marionette Folds: BOTOX® Cosmetic
Overcoming Fears of Injections
Pricing Confusion
Safety of BOTOX® Cosmetic
Sweating: BOTOX® Cosmetic
Testimonial from a Patient
Unqualified Personnel in Non-clinical Settings
Vaginismus: Anesthesia & BOTOX®

Special Promotions:

In celebration of the Botox Cosmetic 7-Year Anniversary, Allergan is offering seveal special promotions. Please call us for more details at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 12 noon EST.

Allergan is celebrating:

• 7 years of physician experiance
• 11 million procedures and counting
• High patient satisfaction

Click here for more information on this and other Special Promotions offered by the Plastic Surgery Center or please call 1-800-640-0290 for more information and to make an appointment.

BOTOX® Cosmetic has been used for a number of years to improve dynamic (muscular) wrinkles, and was FDA approved April, 2002 for cosmetic use. BOTOX® Cosmetic is diluted Botulinum Toxin, initially used to control spasm of the eye muscles. Cosmetically, it is used to smooth and eliminate forehead lines, frown lines, crow's feet and neck bands by weakening or paralyzing the active muscles responsible for these wrinkles.

BOTOX® Cosmetic is now being used in combination with facial fillers, such as Restylane, Radiesse and fat grafting, to help eliminate deep wrinkles and furrows. It may also be used together with chemical peel or microdermabrasion to help smooth lines and wrinkles. BOTOX® Cosmetic is effective in relieving migraines and excessive sweating of the armpits, hands and feet.There are very few side effects, and the injections are done through a small needle making it virtually painless. BOTOX® Cosmetic has a high level of safety.

View Before and After Photo Gallery

•  BOTOX® Cosmetic Before and After

In our practice, we have injected hundreds of patients resulting in thousands of injections. The only problems we have seen is that once in a while a patient is resistant to the drug or becomes resistant and sees little or no benefit. Occasional temporary bruising may be noted. It takes about 2-5 days for effects to be noticed. Although results usually last 3-4 months, we recommend repeat injections at about 2-1/2 months just as the muscles are beginning to recover. By intervening before the muscles make a full recovery, we are trying to take advantage of the concept of "disuse atrophy." We want the muscles to slowly waste away, allowing for a reduced number of injections. This approach also applies to the use of BOTOX® Cosmetic for sweating and migraine headaches. After 3-4 sessions (usually about 1 year), smaller less frequent doses are used for maintenance. After treatment the overlying skin remains smooth and unwrinkled while the untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected. This procedure cannot improve wrinkles due to aging and sun-damaged skin since these are unrelated to facial muscle contractions. For wrinkles due to aging and sun damage, we recommend the Obagi Nu-Derm Advanced Skin Care System.

For patients with deep furrows in the frown area, or permanent wrinkles due to muscular activity, BOTOX® Cosmetic is combined with a facial filler to both plump out the areas and reduce muscular activity. It has been noticed that when combining a facial filler, such as synthetic Restylane, JUVEDERM™ Injectable Gel, Perlane or Radiesse, that the results are longer lasting due to the reduction in muscular activity. Fat grafting from the patient's own natural tissues can also be used.

The use of BOTOX® Cosmetic for excessive sweating (hyperhidrosis) has been dramatic. Patients are often embarassed because they soak through their blouses or shirts. The use of BOTOX® Cosmetic for the armpits and less frequently the hands and feet has allowed these patients to live a life free from the worries of drenching their clothing. Injections are repeated every 2-1/2 to 3 months.

BOTOX® Cosmetic has been shown to improve or complete eliminate vaginismus.

BOTOX® Cosmetic has also proven to be extremely valuable for migraine headaches, especially when the trigger zone is in the area of the frown lines. Here too, injections are repeated after 2-1/2 to 3 months.

All of our patients get a questionnaire to fill out after their BOTOX® Cosmetic treatment so that we can determine both the effectiveness of the injections and levels of satisfaction with the treatment. Patients sometimes indicate that they don't want a complete elimination of the faulty area, only a reduction of the muscular activity, so that some degree of animation persits. By working with different dose schedules, we are able to titrate the proper dose on an individual basis.

Almost all of our patients are on our skincare program to combine the best of facial rejuvenation with healthy, radiant skin.

Best Candidates

For everyone, except pregnant women and people allergic to eggs.

Fees for Botox® Cosmetic:

Forehead: About 8 to 10 injections at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Frown Lines: About 4 to 10 injections at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Crow's Feet: About 3 to 4 injections per side at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection)
Armpits (for sweating): About 10-12 injections per side at $30.00 per injection ($12 per unit -- 2.5 units per .05cc injection).

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