The Anatomy of the Wrinkle

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Is it just aging? Too much sun? Too much stress? In general, how skin ages and wrinkles is a complex process. It isn’t just about cellular changes, collagen depletion, hormone loss, damage caused by free radicals, and so on; it’s a combination of many factors.

The lines that appear between your brows (glabellar lines) actually result from muscle movement and the passage of time. You may have heard the expression “wearing your emotions on your sleeve,” but in reality you wear them on your face. If you’re angry or annoyed, for example, you knit your brows together. Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you’re frowning.

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After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men’s, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent.

Fortunately, there is a way to temporarily reduce moderate to severe lines between your brows (glabellar), in your forehead (frontallis), and around your eyes (“crows feet”). Treatment with BOTOX¬ Cosmetic can visibly smooth and soften moderate to severe frown lines between your brows. An improvement can be seen within days and may last up to 4 months, although results may vary. In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate to better 1 month after treatment

 

 

 

What to expect from an BOTOX® Cosmetic treatment:​

• A consultation for new patients.

• Depending on individual goals and the condition of your skin, a pre-treatment plan may be recommended to prepare your skin for a BOTOX® Cosmetic procedure. This may include a reduction in blood thinning products such as aspirin prior to your treatment.

• The BOTOX® Cosmetic inject can take as little as fifteen minutes. Discomfort is minimal and very tolerable. 

• Bruising is always possible with an injection, please plan your schedule to accommodate for the possibility of bruising. Usually no down time is experienced after a BOTOX® Cosmetic injection. 

• BOTOX® Cosmetic has maximum effect about seven days after the injection.

• Treatments are usually repeated every three months

 

Unretouched photos of paid model taken at maximum frown before treatment with BOTOX® Cosmetic (onabotulinumtoxinA) and taken at maximum frown after treatment with BOTOX® Cosmetic at day 7. Individual results may vary.

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Things to consider when requesting a BOTOX® Cosmetic treatment:​

BOTOX® Cosmetic is one of the safest and most predictable aesthetic procedures you can have done. It works quickly, can have dramatic effects and lasts about three months.

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During your consultation our staff will review contraindications, such as ALS or other neuromuscular diseases that prevent you from being a candidate for BOTOX® Cosmetic.

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Bruising can occur at the injection site. 

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Be sure to check out the other Juanderful Aesthetics procedures and products while you're here. Many patients request information on Cool Sculpting fat removal and Intense Pulsed Light skin rejuvenation while they're getting their Botox.

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How does BOTOX® Cosmetic Work?​

As we age the repetitive contraction of muscles around the eyes, between the eyes and in the forehead create wrinkles and folds in the skin that are not present when we're younger. The combination of this constant folding of the skin with other environmental damage, such as sun damage and free radical damage (e.g. smoking) results in crow's feet, smokers lips and other cosmetic concerns.

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BOTOX® Cosmetic interrupts the chemical communication between the nerves and the muscles in the treatment site. Your body adjusts to this change in about three months and the muscle once again contracts.

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Allergan, the manufacturer of Botox has a more complete explanation of how Botox works and it's safety record.

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Eyes By Dr D.!​

Your eyes are one of the first areas to show the signs of aging. Most times it is the first place someone looks when we meet them. There is constant muscle movement in the area, the skin can be thin and the area can be constantly exposed to the sun.

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To return your eyes to their more youthful appearance you may want to consider adding light based procedures to your BOTOX® Cosmetic injection. Such as Laser Skin Resurfacing, Intense Pulsed Light or Skin Tightening. These procedures can help restore the skin collagen and elastin that has been lost in the skin around the eyes.

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And, don't forget about the impact you can have on the skin, particularly around the eyes, with the use of the proper skin care products. Foundational products of every skin care regime include a Vitamin A based product (e.g. Retin-A), Vitamin C, cleanser (preferably with a low pH) and a physical sun block (used everyday, preferably applied twice a day).

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BOTOX® Cosmetic Frequently Asked Questions​

Is BOTOX® Cosmetic safe?​

Extensive research has been conducted on the safety and efficacy of BOTOX® Cosmetic. The Allergan website is a great resource for detailed information, you can reach it with this link.

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How long will BOTOX® Cosmetic last?​

BOTOX® Cosmetic last about three-six months. 

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How much does BOTOX® Cosmetic costs?​

BOTOX® Cosmetic is sold by the injected unit. Each treatment area, each patient and each procedure are unique. New patients receive a consultation and the Juanderful Aesthetics skincare specialist can provide an estimate based upon your goals on desired treatment areas. Men usually have stronger, more developed muscles and can expect to need 50-100% more BOTOX® Cosmetic than a female. Generally you can budget between $250 and $450 for your first treatment. On subsequent procedures you can use the efficacy of the first treatment to judge if you'd like to increase or decrease the amount of BOTOX® Cosmetic you receive.

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What are the risks associated with BOTOX® Cosmetic injections?​

Extensive research has been conducted on the safety and efficacy of BOTOX® Cosmetic. The most common side effect of  BOTOX® Cosmetic f patients in a dropping of the upper eye lid, the other most common side effect is bruising of the injection site.

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What are other uses for BOTOX® Cosmetic injections besides Crow's Feet?​

BOTOX® Cosmetic has a number of uses many people are unaware of. Such as reduction of migraine headaches, excessive sweating (e.g. underarms and palms), and pain management. Speak to our medical providers for additional information on these other uses.

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Important Safety Information on BOTOX® Cosmetic​

BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

Approved Uses:

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to
severe crow’s feet lines and frown lines between the eyebrows in adults.

IMPORTANT SAFETY INFORMATION

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if
you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

• Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You
are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months

• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities

The dose of BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, or both at the same time.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
 

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products.

Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.  Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-433-8871.