Before & After
BOTOX INJECTION TO THE UPPER FACE: PROGRESSION OF RESULTS
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.
BEFORE & AFTER PHOTOS
What Is Botulinum Toxin?
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?
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)
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
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.
Facial Contouring & Botox Treatment: PROGRESSION OF RESULTS
Facial Contouring & Botox Treatment: Before and After
This beautiful patient was interested in facial contouring treatment options to address her chubby cheeks and overall round facial features. We pursued Botox injections to the masseters that narrowed the lower third of the face by the angles of the jawline and then buccal fat removal that slimmed her lower cheeks. Her facial contour is now enhanced with accentuated upper cheeks, slimmer lower cheeks, and a more balanced profile with more lip show. We are thrilled with her results!
Dr. Ho is simply AWESOME on so many levels! She’s personable, and professional. She’s also comforting and very thorough as well. Dr. Ho “Listens” to your needs & discusses all options. Results after administering Botox & Fillers are AMAZING, Very Natural. I feel like myself, but a younger, better, version. I’d totally recommend Dr. Tina Ho, to Any, & Everyone!
Incredible eye for detail! Dr. Ho is not only a perfectionist but she is one of the warmest, most thoughtful doctors I have ever come across! She spends so much time with you that you really are made to feel like a personal friend..
Dr. Ho and her team are excellent! My new spot for injections and facials. I won’t trust anyone else with my botox or filler needs. I was nervous that cheek and under-eye filler would change my face but instead it contoured my appearance and I love it.
Thanks for all you do Dr. Ho and team! My skin is glowing
– Verified Client
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
I have been getting my Botox done by Dr. Ho for a while now and she is excellent at what she does. She always thoroughly explains the procedure and makes sure to answer my questions and concerns. You want someone you can trust for things like this, and Dr. Ho is that person! I highly recommend seeing her. The new office in Wayne is beautiful too.
I went to Dr. Ho primarily for botox to the masseters for facial contouring but also received lip filler and chin filler. I was so pleased to find an Asian facial plastic surgeon close by me that really understood what I hoped to achieve. She listens to what your perceived flaws are and makes recommendations, but doesn’t push procedures. When I initially asked if there were others things I should consider getting done, she turned the question back around to me, as if to say that nothing needed to be ‘fixed’ from her perspective and instead what mattered was how I felt about my own face. I found this highly reassuring but can see why another reviewer might have felt that the recommendations were insufficient. I think it’s important to go into any appointment with some research done, and a firm idea of your objectives first. Her injection technique is very experienced and down time is minimal. No bruising! She counsels her patients well about the rationale for different filler types, anticipated benefits and side effects. I’m very pleased with my results! I look like a better and natural version of myself and no one would be able to guess that I’ve anything done without specifically being told –all of which is reflective of Dr. Ho’s philosophy. I highly recommend her, particularly for the more niche procedure of botox injection to the masseter for jawline contouring (and TMJ pain!)
– Angela Hu
I recently moved to the area and was thrilled to find Dr. Tina Ho. She is the best! I was impressed with my Botox results. I’ve been getting Botox regularly for 6 years now and not every injector is equal. Because she is a facial plastic surgeon, she picked up on a small asymmetry with my face and was able to correct this. Thanks Dr. Ho!
– Stephanie Hazell
Dr. Ho and Hanna were amazing!! The procedure was painless and Hanna even would warn me before the more “pinchy” areas (but I didn’t feel much at all). I received both Botox and filler and have a natural result, I love it so much! They also walked through everything they were doing beforehand to explain the process, which was comforting and eased any nerves. Plus, the office is beautiful and super clean. I would highly recommend!
– Sydney Beatty
Find Out More with a Consultation
What is Dr. Ho’s approach to Botulinum Toxin Injection?
As a double board-certified 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.
What are Dr. Ho’s Signature Botulinum Toxin Injection Procedures?
* Individual results may vary.
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, 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.
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.
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?