Botox Cosmetic is an FDA-approved natural product made from the botulinum toxin type A (clostridium botulinum) that can be used to soften and smooth moderate to severe frown lines between the eyebrows (the glabella) and other fine lines and wrinkles. The effects are noticeable after 24 hours and reach the full effect by 3 days. It usually lasts from 3 to 4 months, for this reason, but this can vary from patient to patient. Botox injections are also helpful in reducing the appearance of crow’s feet and dynamic wrinkles at the corners of the eyes.
What many patients don’t know is that Botox can also be used to change the shape and position of the eyebrow. As people age, it is natural for the brow to slowly drop, allowing excess skin to roll over the upper eyelid, giving a heavy, tired appearance to the eyes.
And though not a real substitute for Brow Lifts, Botox can improve this problem by elevating the brow back up into a more youthful position. It does this by reducing the activity of muscle contracts that pull the eyebrow down. This allows the muscles that elevate the brow to act with less resistance, thereby bringing the eyebrow up improving the patient’s facial expression.
Candidates for the Botox Treatment
As shown below, the patient here is in her mid 30’s and has had some normal signs of aging changes to her brow. Notice the excess skin lying over the upper eyelid (Figure 1). After using only 15 units of Botox (2 units near each eye and 11 between the eyebrows) I elevate her eyebrows into a more youthful position (Figure 2). Notice how much more of the upper eyelid is visible, and see how, when applied correctly, will then create an attractive elevation of the lateral brow. Each patient is unique, with their own medical conditions, and I, as a plastic surgeon, design these treatments for every patient. Learn more about your specific case by scheduling a consultation.
Before & After Pictures
* All patients are unique and individual results may vary.
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Related procedures: Eyelid Surgery, Dermal Fillers.
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FAQs about Botox Injections
With Botox, the more units you use, the more effect you will have on a particular patient. Therefore, for a more subtle result, less can be used and it will cost less. A more dramatic result may require more Botox and will cost more. I believe the best results can be attained by customizing the approach for every patient and finding the appropriate amount to get the desired results. By charging by the unit, the patient will only pay for the effect requested.
Frequently patients request an improvement in the “purse string” or “Smoker’s lines” around the mouth. Despite the name, these lines can be found even in non-smokers and can be caused by repeated use of the muscles around the mouth. Often the presence of these wrinkles imparts a look of disapproval. A small amount of Botox can be used in this muscle to slightly soften these wrinkles. Thus, in the appropriate patient, it can significantly reduce these bothersome lines.
Botox works by temporally weakening the muscles it is injected into, so it basically depends on your anatomy and the desired effect. Some patients only need 15 units, while others require as much as 50 or more. For first-time patients, I like to err on the conservative side to avoid any side effects. But we can always add additional as needed.
If you live near Beverly Hills, CA, Los Angeles Facial Plastic Surgery offers Botox among its services, and is conveniently located at 435 N Bedford Dr Suite 203 Beverly Hills, CA 90210,
Why choose Dr. Swartout
- Fellowship trained sub-specialist in Facial Plastic surgery who attended college at Harvard University.
- Attended medical school at Albert Einstein College of Medicine in New York.
- Interned in general surgery at New York University, followed by a specialty residency in Otolaryngology – Head & Neck surgery at New York University.
- Completed a fellowship in Facial Plastic & Reconstructive Surgery at the University of Illinois at Chicago where he worked with Dr. Dean Toriumi.
- A member of the American Academy of Facial Plastic & Reconstructive Surgery, the American Academy of Otolaryngology – Head & Neck Surgery and the American Rhinologic Society.
- Teaches nasal surgery to residents at Harbor UCLA both to contribute to the education of future doctors and to give back to an underserved community.
- Special interests include the development of rhinoplasty techniques to create long lasting, favorable nasal shape and good nasal breathing.
