BOTOX ® Cosmetic is the trade name of Botulinum Toxin Type A, a purified toxin produced by the bacterium
clostridium botulinum. Very low doses of BOTOX ® Cosmetic are administered via a few tiny injections directly into
overactive muscles that cause these lines to form. BOTOX ® Cosmetic gently blocks the transmission of nerve impulses to the
injected sites and prevents the muscles from contracting and forming a crease or a wrinkle. BOTOX ® Cosmetic is
now FDA approved to treat Glabellar lines, which are the wrinkles located between the brows, and has been shown
to soften and reduce crow’s feet, forehead wrinkles, and the neck line.
Frown lines are caused by the bunching of skin from facial muscle contraction. When we frown, the skin between
our eyebrows is gathered into a fold which eventually causes a chronic furrow. This gives our face a frustrated,
discouraged, angry look which is distracting to others and a bother to ourselves.
Drs. Maloney and Agarwal, Naples Facial Plastic Surgeons, determine exactly where to administer several tiny injections
of BOTOX ® Cosmetic to receive the best results. Although no anesthesia is required, topical anesthetic cream and ice are used to
minimize any discomfort. The BOTOX ® Cosmetic injection sites should be iced before and after the treatment. The entire procedure takes
about ten minutes. It is unlikely that any significant side effects would occur, but some people develop slight temporary
bruising at the injection site.
If you are interested in BOTOX ® Cosmetic and how it may work for you, give our Naples office a call at (239) 594-9100,
or e-mail us to set up an appointment at The Aesthetic Surgery Center to discuss this exciting advancement in wrinkle treatment.
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Dr. Maloney talks about BOTOX® Cosmetic Quality Assurance on WINK News
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Dr. Maloney discussed the use of BOTOX® Cosmetic in treating excessive sweating on Fox News 4
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How do I know which injectable is right for me?
The choice of injectable agent is critical to the successful treatment of wrinkles, folds, and facial depressions. An
individual consultation with one of our Board Certified Facial Plastic Surgeons will give you an accurate assessment of
what will be best suited for your face. Often, a combination of agents (i.e. BOTOX ® Cosmetic, Restylane, Radiesse) may be used to
achieve optimal results in different portions of your face.
How long do injectables last?
Longevity of BOTOX® Cosmetic and Facial Fillers can vary from person to person. However, in general, BOTOX® Cosmetic lasts 3 to 5 months,
Restylane and JUVEDERM® Injectable Gel last 6 to 8 months in facial folds, JUVEDERM® Injectable Gel lasts 3 to 5 months in the lips,
Radiesse lasts 9 to 12 months in the folds, and Artefill lasts 1 to 5 years. These ranges are on the conservative side, and are often underestimates.
Is BOTOX ® Cosmetic safe?
BOTOX® Cosmetic has an excellent safety record and has one of the highest patient satisfaction ratings of any cosmetic procedure.
Who performs the injectables at your practice?
All of our injectables are physician administered by one of our plastic surgeons. They have the skill and aesthetic training
required to provide three dimensional volumetric enhancement and facial muscle relaxation.
Do injectables hurt?
Any injection will cause mild pain. However, we use a variety of measures to minimize this discomfort. Ice, topical anesthetic
creams, and/or nerve blocks with lidocaine are all techniques used to reduce pain, bruising, and swelling.
Will I bruise?
This varies from person to person. In general, BOTOX® Cosmetic rarely causes bruising. However, facial fillers, especially near the
corners of the mouth, often result in mild bruising. Avoidance of blood thinners can help reduce bruising, as long as you
are cleared to stop these by your medical doctor. Make-up can be applied the same day for camouflage, if necessary.
How much do each of these cost?
Please call us at 239-594-9100 for a price list of all of our injectables. BOTOX® Cosmetic is priced by the unit, while the facial
fillers are priced by the syringe. Keep in mind that only one of our plastic surgeons can give you an accurate assessment
of the number of syringes or BOTOX® Cosmetic units that are needed to accomplish your goals.
I am only 30 years old. Am I too young to start?
Many lines, folds, and depressions are hereditary. It is not too early to address these. In fact, many facial fillers
are made up of natural constituents of the skin, such as hyaluronic acid or collagen. Therefore, it makes sense to
restore these to the skin.
Do injectables accomplish the same thing as a facelift?
No!!!. Injectables are often complementary to facelifts, but a needle will not restore facial fat pads, muscle laxity,
or skin laxity to their youthful positions like surgery will.
Vice versa, surgery often softens but does not eliminate deep nasolabial folds and marionette lines. In these cases,
direct injectable fillers such as Restylane, Radiesse, JUVEDERM® Injectable Gel, or Artefill can complement surgical treatment.
Can BOTOX® Cosmetic or Facial Injectable Fillers be performed on the same day as my consultation?
Absolutely. When you call to make your appointment with one of our plastic surgeons, just specify whether you are
planning on having a consultation with or without actual injectable treatment on the same day.
