Botox, Dysport, Xeomin, Jeuveau

Now seeing patients in Wayne and the surrounding Main Line area and Center City Philadelphia
Before & After
Before & After

* Individual results may vary.

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To date, botulinum toxin injection is the most popular procedure for reducing facial lines and wrinkles. Annually, over 7 million people receive this injectable treatment in the United States. Common brand names for botulinum toxin injection include Botox®, Dysport®, Xeomin®, and Jeaveau®,. Dr. Tina Ho regularly performs Botox®, Dysport®, Xeomin®, and Jeaveau® injections in Philadelphia and Newtown that reduce the appearance of wrinkles in the face and promote younger and smoother-looking skin.

Botox Injection to the Upper Face: Progression of Results

  • Grateful for this beautiful patient’s share of her Botox journey with me, which received over 220K views on Tiktok! She was most bothered by her forehead lines and underwent injections to her forehead, glabella, and tails of brows to achieve the smooth yet natural look she was desiring. Note that with any injection to the forehead (and paralysis of the frontalis muscle), brow elevation becomes more restricted. I pursue a #lessismore approach to forehead treatment to preserve brow movement as much as possible.

 

What Is Botulinum Toxin?

Botulinum toxin is a protein that is formed from a toxin that is produced by the bacterium Clostridium botulinum. Botulinum toxin is a deadly neurotoxin and is extremely life-threatening when taken in large doses.

However, when this toxin is used in small doses in the form of Botox®, Dysport®, Xeomin®, and Jeaveau® injections, it is quite safe. Commercially sold preparations of Botox are also known as onabotulinumtoxin A. Botox®, Dysport®, Xeomin®, and Jeaveau® are common brand names of botulinum toxins and are associated with the following pharmaceutical companies, respectively: Allergan, Galderma, Merz, and Evolus.

How Does Botulinum Toxin Work?

 

Humans tend to exhibit certain common facial expressions and repeat the same facial movements over and over again. This leads to stiff contracted facial muscles that have trouble returning to a resting state. The overlying skin wrinkles due to these repeatedly contracting muscles.

Botulinium toxin injection acts upon muscles of facial expression. When injected into targeted muscles, Botox®, Dysport®, Xeomin®, and Jeaveau® cause the muscles to relax instead of staying contracted and therefore prevent wrinkle formation. Botox®, Dysport®, Xeomin®, and Jeaveau® are neurotoxins that act at the neuromuscular junction level and block the release of the neurotransmitter acetylcholine. By stopping the release of acetylcholine, the botulinum toxin blocks the signals of the nerves responsible for stimulating muscle contractions. This prevents the muscle from contracting, and as a result, muscle stiffness and the overlying wrinkle lines are reduced.

What Is Botulinum Toxin Used to Treat in the Face?

Botox®, Dysport®, Xeomin®, and Jeaveau® are great treatment options for the following facial issues:

  • Frown lines or wrinkles between the eyebrows (glabellar lines)
  • Horizontal forehead creases
  • Fine wrinkles around the eyes (crow’s feet)
  • Wrinkle lines in the nose (bunny lines)
  • Drooping nasal tip
  • Fine upper lip lines (smoker’s lines)
  • Lip flip effect
  • Excessive gingival show (gummy smile)
  • Downturned corners of the mouth
  • Temporomandibular pain (TMJ pain)
  • Large masseter muscles for facial slimming
  • Wrinkled or dimpled skin in the chin area
  • Harsh vertical neck bands (platysmal bands)
Botox® units per area of the face

The FDA (Food & Drug Administration) has also authorized the use of botulinum toxin as a treatment for several medical conditions, such as migraine headaches, certain bladder problems, excessive sweating (hyperhidrosis), and spasms of the eyelid.

 

The Botulinum Toxin Treatment Procedure

Botox®, Dysport®, Xeomin®, and Jeaveau® injection are effective, safe, and efficient treatments that only take mere minutes to perform. Botulinum toxin powder is diluted in saline and then injected directly into the muscles. The injection procedure can be described as a series of quick needle prick sensations that is tolerated well by the average patient.

Following treatment, Individuals can return to daily life immediately without any recovery time or frustrating downtime. Patients may notice a degree of bruising and swelling in the injected areas that is minimal and will fade shortly. They can be exacerbated with use of blood-thinning medications, alcohol consumption, and prolonged sun exposure, so avoid these for 48 hours prior to the procedure when possible.

Patients typically start to see some treatment effect at 48-72 hours with maximal results seen at fourteen days after injection. Botox®, Dysport®, Xeomin®, and Jeaveau® injections usually last three months on average depending on the dose injected and patient response.

 

What is Dr. Ho’s approach to Botulinum Toxin Injection?

As a facial plastic surgeon, Dr. Ho specializes exclusively in aesthetic procedures of the face. She possesses extensive experience in injectable procedures and trained under mentor Dr. Steven Dayan, a world-renowned leading authority in injectable procedures. Her treatment philosophy is centered on producing results that are natural and conservative. She is experienced in injecting Botox®, Dysport®, Xeomin®, and Jeaveau® and will help determine with each patient the most ideal product to achieve their treatment goals. Dr. Ho understands the pain tolerance of every patient is different and is known for her gentle technique that is tailored to the comfort level of each patient. She also maintains an excellent hygienic protocol to avoid infection as well. For those patients new to botulinum toxin injections, Dr. Ho seeks follow-up with her patients two weeks after to ensure that every patient is satisfied with their treatment outcome.​

“She’s Amazing!!!”

I was really nervous to receive Botox for the first time, but Dr. Thuy-Van Tina Ho was SO kind, understanding, gentle, and patient. I am extremely pleased with the results, and I will be going back ASAP!!!Juliana Slaven

Read More Testimonials

 

What are Dr. Ho’s Signature Botulinum Toxin Injection Procedures?

Jawline Contouring
Jawline Contouring

* Individual results may vary.

Masseter Injection

Botulinum toxin injection to the masseter muscles (the muscle of mastication located by the angle of the jaw) is a common injectable procedure in facial rejuvenation, particularly among Asian patients. This procedure atrophies the muscle and therefore produces a slimming effect on the lower face. Patients with a round or square-shaped face often seek out this treatment to help achieve a narrower appearance to their face. Botulinum toxin injection is also a common adjunct procedure for temporomandibular joint (TMJ dysfunction), which is typically associated with symptoms of chronic teeth grinding or jaw clenching due to stress. The treatment weakens the masseters and reduces muscle tension in this area.

Gummy Smile
Gummy smile, otherwise referred to as excessive gingival display, is a type of smile where there is excessive gum show below the upper lip. It occurs due to a variety of genetic reasons including short upper lip, excessive gum tissue, or small teeth. Natural appearing smiles typically only show up to 2 millimeters of gum below the upper lip. Patients with a gummy smile often feel self-conscious and lack confidence with their smile. Botulinum toxin injection is an increasingly popular non-surgical treatment option for this issue. When injected into the upper lip levator muscles, Botox®, Dysport®, Xeomin®, and Jeaveau® will temporarily paralyze these muscles and therefore inhibit contraction and elevation of the upper lip with smiling. The overall result is less gum show with smiling and correction of gummy smile.

Brow Lift
When injected in the lateral aspects of the eyebrows at the level of the orbicularis oculi muscle, botulinum toxin can create a natural chemical brow lift. This is a great adjunct treatment to counter the forehead relaxation and ultimate brow restriction that occurs with forehead treatment for relaxation of wrinkle lines. Furthermore, this proceudre is often utilized in treating and correcting for brow asymmetry as well.

Eye Rejuvenation
Botox®, Dysport®, Xeomin®, and Jeaveau® injections to the orbicularis oculi muscle softens the crow’s feet lines and result in more refreshed and awake-appearing eyes. Depending on the patient’s individual anatomy, Dr. Ho regularly performs this procedure combined with injection to the lateral brows for brow lift and to the lower eyelids for additional relaxation of the orbicularis oculi muscle to maximize eye rejuvenation with beautiful, natural results.

What is the Cost of Botox?

Though the final price on any Botox treatment will vary based on the needs of the individual, the price per unit is $15.

Injectable Services Menu
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Find Out More with a Consultation

Botulinum toxin or neurotoxin injection offers numerous benefits. If you would like to arrange an appointment to find out more about Botox®, Dysport®, Xeomin®, and Jeaveau®, schedule your consultation by contacting our offices in Philadelphia and Newtown.

 

Additional Non-Surgical Procedures

American Academy of Otolaryngology- Head and Neck Surgery
Facial Plastic Surgery - American Academy of Facial Plastic and reconstructive surgery, inc.
American Board of Otolaryngology- Head and Neck Surgery

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