Botox, a product marketed by Allergan, Inc, is a potent neurotoxin derived from bacterium Clostridium botulinum and has a controlled paralyzing effect on muscles it is injected into. It is used in several clinical applications to control muscle spasms and treat migraines but is most commonly known to smooth fine lines and wrinkles on the face for a period up to 3 months. Other products utilizing the same active ingredient, such as Dysport by Galderma or Newtox by Jeveau are available on the market but we ONLY carry Botox by Allergan, as we believe it to be the longest lasting and most superior product.
Botox is approved by the FDA to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time as well as Crow’s Feet around the side of the eyes.
Botox can also be used as a “Preventative” treatment by using smaller doses to try and prevent wrinkles before they start by partially paralyzing them so they cannot grow stronger and more defined and have less permanent impact on the skin. Used in this manner, areas of the face can be injected to slow down the onset of fine lines and wrinkles.
Botox can be used to treat wrinkles on the forehead by injecting various sites along the Frontalis Muscles.
Frown Lines, known also as Eleven lines or 11’s, are vertical lines that develop in the Glabellar Region. They can be treated by injecting botox into the Corrugator Supercilii and Procerus muscles.
Crow’s feet are wrinkles that develops along the outer edge of the eye. They are called Crow’s feet because they resemble the forked pattern found on the feet of birds (shocker!). Botox can be used to treat Crow’s feet by injecting into the Obicularis Oculi Muscle that controls movement around the eye.
Botox can be injected into the Obicularis Oris, the muscles surrounding the mouth, to correct Gummy Smile or to produce a “Lip Flip” effect. Gummy smile, as the name indicates, occurs when a persons lips rise over the gum line when smiling, relaxing the Orbicularis Oris can lower the smile so as not to expose as much of the gum line when performed correctly. Lip Flips are often recommended for people whose lips face downward when they smile. Relaxing these muscle can produce a more outward facing lip, increasing visible size and volume.
Many women who suffer from teeth grinding or other TMJ disorders experience above average masseter muscle hypertrophy leading to a squarer, wider jaw. Injecting Botox into the Masseter can relax these muscles and over time can help reduce their size, helping to craft a more streamlined, downward-V shaped facial structure.
The chart to the left, taken from Allergan, Inc official dosage guidelines indicates that a full dosage of Botox is about 64 Units. This includes 20 units to treat forehead lines, 24 units to treat Crow’s Feet Lines and 20 Units to treat Glabellar Lines.
We typically do NOT go up to this dosage, especially for first time patients. We prefer to start new patients conservatively at lower dosages and work up over the course of several treatments to find the right dosage for that particular patient.