Botox for Wrinkles

BOTOX and Xeomin for wrinkles

Facial wrinkles are caused by sun (UV) exposure, repetitive contraction of facial expression muscles, and loss of skin collagen and volume. As skin become less elastic, the muscles pull and force the skin above to form a wrinkle, which become etched in the skin. There are two types of wrinkles. Dynamic wrinkles form when the muscle is contracted. Static wrinkles are present even when the muscle is relaxed. Dynamic wrinkles progress to static wrinkles.

Botulinum Toxin (BOTOX) blocks the release of acetylcholine, the chemical that a nerve uses to tell the muscles to contract. Thus BOTOX weakens the muscle. With less muscle movement, the skin surface above it smoothes and wrinkles begin to soften. The effect is temporary and wears off in approximately 3 months.

Ophthalmologists have been longest users of BOTOX and have used it for two decades for treatment of benign essential blepharospasm, hemifacial spasm, and strabismus. Ophthalmologists began using BOTOX for facial wrinkles, and dermatology and others have followed.

BOTOX injections in the brow region have a high patient satisfaction rate. Dr Dresner and Dr Erb perform the injections themselves. We inject above and between the eyebrows to smooth the wrinkles. The procedure takes 10 minutes. We can numb the area with anesthetic cream, cold pack, or no numbing is needed at all. We use a tiny needle, so it just feels like getting your eyebrow plucked, and we places anywhere from 5 to 8 tiny injections. Risks include possible temporary bruising at the injection site which can be covered with makeup and temporary eyelid droop which is exceedingly rare. It takes about 3 days for the BOTOX to work, and lasts for about 3 months. We also can inject the forehead to smooth those wrinkles, and/or we can inject the “crow’s feet” to soften them as well. We can even elevate the Brow with BOTOX. We customize your treatment with BOTOX to help soften or eliminate facial wrinkles.


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