Botox is a highly diluted nerve toxin that is the most frequently performed cosmetic procedure of all. With 4 million procedures annually, it has a solid safety record. The problem has been with counterfeit material and incompetent injectors. As always, I evaluate your health history and carefully screen each candidate. The genuine product is delivered overnight from Allergan.
It works like a local anesthetic except the effect is on motor activity and the duration is longer, usually three to four months. In my practice, I use Botox to lessen the wrinkle production of overactive facial muscles, yet maintain expressivity. I do not believe in a frozen mask-like appearance. You will appear more relaxed and be perceived less angry.
The art of Botox administration can produce a face lift effect by selectively weakening the muscles with downward pull, thus shifting the balance in favor of upward pulling muscles. Botox can reduce the repetitive bending fatigue on the skin wrinkles and help avoid permanent facial creases. Areas of use are the vertical creases between the brows, horizontal forehead wrinkles, crow’s feet, bunny lines, downturned lips, chin creases, neck bands, and lip pucker wrinkles.