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Cosmetic Procedures
 
BOTOX®

 

Authentic Botox Cosmetic Packaging

What is Botox?
Botox is botulinum toxin, an amazing natural protein derived from the bacterium Clostridium botulinum. Dr. Davis injects Botox into muscles just below the surface of the skin to treat wrinkles on the face. It works by relaxing the muscles she injects; generally on the upper face, to prohibit them from contracting. By stopping muscles from contracting, we can stop wrinkles from forming and lessen the ones you now have. As the medicine is absorbed by the muscles (over the next 10 days) the surface of the skin will appear smooth as the muscles relax and folds vanish. Botox gives the face a fresh youthful, peaceful look by erasing years of fine or deep lines and wrinkles. It will make you look less tired, less angry, less sad, and less worried. Dr. Davis will make your treatment appear natural, and will not leave you looking “frozen” or mask-like.

What can Dr. Davis improve with Botox?
Botox can be used as a corrective or preventive measure. Whether you are just starting to see wrinkles on your forehead and crow’s feet (outer corners of the eyes), or you want to correct the lines that have formed over time, Botox can work for you. Botox can relax an angry frown by smoothing out the muscles between the brows. Botox injections can erase the horizontal folds of the forehead, eliminating the need to cover them with bangs. Botox can also lessen the creases that form at the corners of the eyes from smiling. Dr. Davis can inject Botox into the outer portion of the eyebrows to lift them; opening up the eye and lessening the appearance of ageing droopy eyelids. She can inject this medicine to relax a wrinkled chin to make it appear youthful and smooth. Botox can be used to lift a drooping nose, and when injected into the neck muscles below the jaw, can smooth out tight neck bands.

We use as much product as is needed to relax your muscles in each region and Botox treatments are thus priced per area. Included in this fee is a touch-up treatment (at no additional cost) between 2-4 weeks later to assure satisfaction. Botox treatment can also be effective for patients with hyperhidrosis (excess perspiration) of the underarms, hands, and feet. See our page on Botox for hyperhidrosis for more information on this topic.

How often will I need to get Botox for treatment of my wrinkles?
For optimum results, we recommend treatment every 4 months. The more frequently you return, the better your results will be, since you want to prevent the muscles from returning to baseline contraction. By coming in for treatment just as muscle activity returns, you can continue to further relax the muscles and iron-out even the deepest of folds.

Is Botox treatment with Dr. Davis safe?
Yes. Botox has been FDA approved for cosmetic use for over fifteen years and is the number one cosmetic procedure performed worldwide. Prior to that, it was safely used in children to correct strabismus (cross-eyed muscles). This miracle drug has numerous other non-cosmetic applications such as treatment of migraines, muscle spasms, paresis, cerebral palsy, hyperhidrosis (excess sweating), etc. For more information on Botox injections for excess sweating, please see our Botox for Hyperhidrosis page.

Botox Before and After Female Frown
Botox Before and After Man Frown
Botox Before and After Female Frown
Botox Before and After Female Frown

What are the side effects of Botox injections?
The most common side effect is temporary light bruising at the injection site. This can largely be prevented by avoiding certain medications and foods just prior to treatment– see the section below, entitled

How do I prepare for Botox?
For more information. In rare cases, the product can spread to surrounding muscles causing temporary weakness. In very rare instances, drooping of the eyelid can appear as well as asymmetry of the face. However, all of these side effects are reversible and last only a few weeks. For this reason, we recommend that you do not wear a hat, headband, or visor just after your Botox treatment in order to minimize drifting of the medication. Similarly, we ask you to avoid exercise for 48 hours after treatment. We also recommend that you remain upright for 1 hour after your injections.

Less common side effects include problems swallowing, speaking, or breathing if Botox is injected into the neck muscles. This occurs if the Botox spreads away from the injection site, which happens extremely rarely. This has never happened with the Allergan-made product which is what we purchase for use in our practice. There was a problem in Florida several years ago when a ‘home-made Botox-type’ product was used as a substitute on several patients who later developed botulism. For that reason, our office only uses authentic products from accredited, FDA approved, American manufacturers; rather than looking to save on cost, but gamble with safety. Fortunately, these side effects are very rare and Botox has become an extremely popular cosmetic treatment.

How do I prepare for Botox treatment with Dr. Davis?
There are certain things we recommend adhering to for about a week prior to your procedure. These tips will help reduce bruising, bleeding, and swelling during and after the treatment.

Avoid the following:

  • All pain relievers except Tylenol (acetaminophen): avoid Aleve, Aspirin, Ibuprofen, Motrin, Naprosyn and even low dose baby aspirin (unless recommended by your physician).
  • Vitamin E and all multi vitamins containing Vitamin E. Foods high in Vitamin E should also be avoided such as: sunflower seeds, dry roasted almonds, olives, (including olive oil), papaya, spinach, arugula, broccoli, blueberries.
  • Cinnamon and horseradish
  • Herbal remedies such as St. John’s Wort, Ginkgo Biloba, Ginger Root, Fish Oil, etc.
  • Alcoholic beverages (optional)

Take the following:

We recommend that you purchase Arnica tablets, which can be bought at health food and vitamin stores. Follow the instructions on the package; you can start as early as a few days before your procedure. We suggest that you take them at least the day before and the day of the treatment. You may also want to take them after.

An alternative supplement to minimize bruising after the treatment is Bromelain (Pineapple extract). You can take 500mg twice a day for 3 days following a procedure. You should begin taking Bromelain the day of your treatment, after the procedure has been completed. Bromelain can be taken in addition to or instead of Arnica tablets, though Bromelain should not be taken before the treatment, only after.

Is there any special care that needs to be taken after Botox treatment with Dr. Davis?
We recommend the following after your Botox procedure.

  • You must be upright for the first hour after treatment.
  • If you wish to read, make sure you bring the document, magazine, book, etc., up to eye level.
  • Work the Botox into the muscles treated, i.e. forehead (raise and lower your eyebrows), frown (move brows in and out) and crow’s feet (smile and relax) repeatedly.
  • Do not wear a hat, baseball cap, visor or a headband as this will push the Botox down, resulting in a lower brow.
  • Do not exercise for at least 48 hours after the treatment. Avoid cardio training such as elliptical, treadmill, biking and running. Avoid yoga and Pilates. You may do stationary weight training, as long as your head remains still.
  • If you wish to apply makeup post treatment, make sure you apply it upright on your forehead and downward on your crow’s feet.
 
 
 

69 Fifth Ave at 14th Street, New York, NY 10003
Tel. 212-242-3066 themanhattandermatologist@gmail.com

www.themanhattandermatologist.com