Over the past several years, Botox® has been the number one non-surgical aesthetic treatment performed in the United States. Botox improves facial appearance by softening unwanted lines of facial expression. Facial lines develop perpendicular to muscle contraction. When a muscle is overactive, deep creases are seen. This is commonly seen between the eyebrows (glabella), in the crow’s feet around the eyes, and on the forehead. Botox injected into these muscles reduces their activity and dramatically diminishes these lines. The effect from Botox typically takes 3-5 days to be seen and usually lasts 3-4 months. Prior to a Botox treatment, patients should take a few precautions to minimize bruising and bleeding. These include avoidance of aspirin and non-steroidal anti-inflammatory medications such as Advil or Motrin for 2 weeks prior, and avoidance of St. John’s Wort or high doses of vitamin E for 1 week.
In youth, skin is smooth and elastic with a healthy glow. With aging, the ability to maintain that youthful texture and elasticity diminishes, resulting in skin that becomes drier, thinner, and less able to replenish itself. The body’s natural collagen levels decrease, and skin becomes loose, resulting in wrinkling and deepening of the folds from the nose to corner of the mouth (nasolabial folds) and from the corner of the mouth to the chin (marionette lines). Typically, there is also a loss of volume in the lips and cheeks. In conjunction with a comprehensive skin care regimen, injectable fillers can help to rejuvenate the face.