Many men and women wish to have frown lines in the forehead, worry lines in the brow and lines around the eyes and lips smoothed out, some even going as far as receiving facelift surgery. The worried or angry look caused by the pulling in of the brows in the midline is improved through injections. Our BOTOX, patients even find that Platysma muscle bands in the neck are also relaxed by the injections.
BOTOX Cosmetic was first approved by the FDA in 2002 for the treatment of crow’s feet, the 11s between the brows, and forehead wrinkles. These wrinkles, known as dynamic wrinkles, form when a person makes expressions such as frowning, grinning, showing surprise, or squinting.
BOTOX Cosmetic works on the upper third, the expressive area, of the face. BOTOX Cosmetic does not work on the other kind of wrinkles – static wrinkles. Static wrinkles show themselves at all times, not unlike a wrinkled shirt. Static wrinkles are the result of sun damage, decreasing collagen production, and natural aging. Static wrinkles can be addressed with dermal fillers.
BOTOX Cosmetic targets one of the underlying causes of frown lines and crow’s feet – the repeated muscle contractions from frowning and squinting over the years. BOTOX Cosmetic temporarily reduces this muscle activity so you’ll begin to notice a visible smoothing of these lines.
Using a very fine needle, BOTOX Cosmetic is injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream.
For temporary improvement of moderate to severe crow’s feet, your doctor will inject our BOTOX into the muscle surrounding the sides of your eyes – called the orbicularis oculi muscles.
For temporary improvement of moderate to severe frown lines, your doctor will inject BOTOX Cosmetic into 2 muscles – the corrugator and procerus muscles.
Results can usually be seen within a few days of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals.
Patients like using BOTOX Cosmetic because it allows them to address some of the signs of aging on the upper third of the face without resorting to surgery. A brow lift can address some of these wrinkles, namely the 11s and crow’s feet, but this is a surgical procedure. Some people opt instead to take the 10 minutes required for a BOTOX Cosmetic session to say goodbye to their dynamic wrinkles, even though the results are only temporary (3-4 months).
Dr. Gill injects BOTOX Cosmetic with a very tiny needle. Most patients equate the feeling of these injections to a pinprick. For that reason, we usually don’t use numbing cream on the injection sites. However, if you would like to have numbing cream, of course we’re happy to provide that for you.
Our BOTOX patients will find that this procedure is a technique-sensitive treatment. You should not lose the ability to show expression when you are treated by someone who is licensed, trained, and a medical authority in facial anatomy. It is important to talk to your provider about the results you want from treatment.
The treatment takes approximately 10 minutes and requires minimal downtime or recovery – it’s often called a lunchtime procedure.
People sometimes worry about injecting the botulinum toxin (basically what BOTOX is made of) into their skin. Scientists first discovered back in the 1950’s that when the botulinum toxin is injected in minute amounts, it does nothing more than temporarily stop a muscle from contracting.
This is how BOTOX Cosmetic stops dynamic wrinkles from forming during muscle contractions. Since its approval in 2002, BOTOX Cosmetic has been used hundreds of millions of times around the world, with very few side effects of any sort.
The skill of the injector is important to be sure BOTOX Cosmetic is injected into the correct muscle. That’s where Dr. Gill’s extensive understanding of facial anatomy and experience with BOTOX Cosmetic comes into play.
An inexperienced injector can inject the BOTOX into an incorrect muscle, or it may migrate, leading to temporary problems such as a droopy eyelid.
After your session, patients may have some temporary redness at the injection sites and possibly some slight swelling. This passes quickly. Otherwise, it’s important not to rub your injection sites for the first 24 hours after your BOTOX Cosmetic session. Rubbing the sites can make the BOTOX migrate to an unwanted muscle.
Dr. Kiran Gill is a board-certified plastic surgeon an is a member of the American Society of Plastic Surgeons and American Society of Aesthetic Plastic Surgeons. She has an intimate understanding of underlying facial structure, making her well-versed in injecting Botox or other injectables.
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To our esteemed patients,
We are excited to announce that we will be re-opening the our office on:
Monday, May 4th
Our office has always implemented stringent protocols to ensure the safety of our staff and patients. Many of these protocols are in place to meet the strict requirements of our fully AAAASF accredited operating room. In short, we are already ahead of the game given our office-based surgical center.
However, as a result of the Covid-19 pandemic, we have implemented additional protocols throughout the practice to ensure maximal safety with regards to this novel coronavirus.
Thank you for your support and understanding during these trying times. We truly look forward to seeing you back!
Please call the office (239) 596-8000. We are ready to schedule your appointment and answer any questions.
- Dr. Kiran Gill & Staff