Eyelid Rejuvenation ![]() BOTOX® Cosmetic
Frequently Asked Questions about Botox® Cosmetic: How Is Botox Cosmetic Used? After numbing the skin with a topical ointment, Dr. Stout injects a few drops of Botox® Cosmetic, using a tiny needle, into the muscle that is causing a wrinkle on the skin’s surface. This blocks the nerve impulse from stimulating the muscle, and as a result, the muscle relaxes. When the muscle stops contracting, the skin overlying the muscle smoothes and the wrinkles in the skin soften. Within a few days of the treatment, patients see a marked improvement of the area they received Botox® Cosmetic. Wrinkles relax along with the muscles, while the surrounding untreated facial muscles contract in a normal fashion. This allows patients to maintain normal facial expressions, while diminishing the appearance of wrinkles. For over 17 years, BOTOX® treatments have been used safely and successfully in oculoplastic surgery and for wrinkle therapy. Since the results of BOTOX® injections are not permanent, possible side effects are temporary and localized to the injection area. Dr. Stout uses tiny special needles to minimize discomfort, and most patients tolerate this quite comfortably. However, cold compresses and anesthetic cream are available and can be used to numb the skin prior to BOTOX® treatment.
BOTOX® Cosmetic is most commonly used to treat frown lines between the eyebrows, horizontal forehead creases, and crow’s feet. However, BOTOX® Cosmetic can be used to treat other areas, like thick bands on the neck, as well as an effective treatment for excessive sweating in the palms or armpits. Most recently, BOTOX® Cosmetic has been used to treat chronic migraine headaches.
Allergan, the manufacturer of BOTOX® Cosmetic, states the effects last about three months. In the experienced hands of Dr. Stout, the benefits of Botox® routinely last four to six months. Patients usually return several times a year for maintenance treatments at our office in Pasadena. After a few BOTOX® treatments, the effects may begin to last longer, sometimes six to eight months in skilled hands and experienced application of Dr. Stout.
Dr. Stout prides himself in softening your wrinkles without immobilizing your facial expressions. When BOTOX® injections are administered by a skilled and experienced cosmetic surgeon, such as Dr. Stout, they only rarely affect a patient's facial expressions.
If patients choose to discontinue Botox® Cosmetic, wrinkles will gradually return to their appearance before the start of the treatments.
Botox® Cosmetic should not be administered on individuals with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome for they may have serious risk of side effects.
An oculoplastic surgeon like Dr. Stout truly understands the complicated muscular and tissue structure, mechanics, and aesthetics of the eyelids, eyebrows, and forehead. As one of the nation’s rare fellowship-trained oculoplastic surgeons, Dr. Stout has provided the skills of his specialty to each of his patients for over 20 years. When the FDA approved BOTOX® treatments for strabismus in 1989, Dr. Stout found it to be highly effective. Soon after, patients across the country pointed out that it was also softening their wrinkles and fine lines around their eyes. This discovery prompted the use of BOTOX® injections for facial rejuvenation. Some time later, patients also noticed that BOTOX® treatments provided relief from migraine headaches. Studies are currently being conducted that promise to shed light on why BOTOX® Cosmetic works so well to treat migraines. Since 1989, Dr. Stout has been safely treating patients in Pasadena and across Los Angeles with BOTOX® Cosmetic. His philosophy when performing BOTOX® injections or any other cosmetic procedure is that the results should look natural. His experience and artistic application allows him to pay special attention to each patient's unique pattern and degree of wrinkling.
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