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Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery Richmond, Virginia, USA |
Facial Rejuvenation Surgery |
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| BOTOX ®Cosmetic Injections |
| BOTOX® Cosmetic Injections for Wrinkles: | ||
| BOTOX®, a bacterial product, is useful to limit the activity of certain overactive facial muscles which lead to unwanted deep wrinkles. Originally used for the treatment of crossed eyes, BOTOX® is now used to limit the action of muscles of the face, which cause frown lines of the nose and forehead, crows foot lines, and wrinkles around the mouth. The mechanism of action is reversible weakness of targeted muscles. The injections are relatively painless, when done | slowly, and show their effect within 7 days, lasting 3 - 6 months in most patients. BOTOX®, in the small doses used for cosmetic muscle relaxation is very safe, and effective. Side effects are minimal, and complications, such as allergic reactions, are rare. When BOTOX® is used on specific muscles around the eyes, and over the lower forehead, the results can mimic the results of a browlift in patients without marked excess skin. Photos of representative patients are shown below. | |
Photos Before and After:
| Case 1: A 40 year old with wrinkles over the nose and mid brow, along with crows foot lines is shown before and one week after injection with BOTOX®. The inability to create the wrinkles over the nose and the crows foot lines after the injections are demonstrated at right. As a bonus, her frequent Migraine headaches have disappeared since the injections, as has been recently reported. |  |
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| Browlift-like result is seen after BOTOX® injection into forehead and nasal frown lines, and the crows foot line areas, with elevation of the brows. This is because the orbital muscles which normally pull the corners of the brow down have been temporarily paralyzed by the BOTOX®, relieving the crows foot lines as well. |  |
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| Case 2: A 34 year old animating the forehead and nasal line wrinkles before and after BOTOX® injections into frown lines, forehead, and crows foot line areas. Note inability to create the same furrows in the photo at right, taken one week after the BOTOX®. |  |
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| Photos before and after BOTOX® injection, show improved definition of the upper lids, as the brows are elevated after selectively weakening facial muscles around the orbits and forehead, mimicking a Browlift. Note smoothing of the skin of the upper lids by un-opposed upward pull on the outer aspects of the brows. |  |
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©Copyright 1997-2008 Advanced Art of Cosmetic Surgery: Thomas M. DeWire, Sr., MD., FACS Revised: October 29, 2007 04:33 PM |