Before & After
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Introduction
BOTOX INJECTION TO THE UPPER FACE: PROGRESSION OF RESULTS
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.
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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
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FAQ’s
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.
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.
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