BOTOX® is the most common non-surgical cosmetic treatment in the United States among both men and women, as more people who are not ready for surgery turn to non-invasive means to look younger. In Naples, Florida, we are frequently asked, “who provides the best botox near me?” Botox Cosmetic is the top non-surgical cosmetic procedure that is performed in the United States and our doctors perform it multiple times per day at the Aesthetic Surgery Center. One question that patients often ask us is, do you inject Botox or Dysport? We have tried both products for numerous patients and we prefer Botox.
BOTOX® Cosmetic is the trade name of Botulinum Toxin Type A, a purified toxin produced by the bacterium clostridium botulinum. Very low doses are administered via a few tiny injections directly into overactive muscles that cause these lines to form.
Botulinum toxin injections gently block the transmission of nerve impulses to the injected sites and prevent the muscles from contracting and forming a crease or a wrinkle. Botulinum toxin injections are 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 neckline.
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.
Although the Dysport onset of action is faster (1-3 days) compared to the Botox onset of action (3-7 days), what matters most to our patients is how long the results last. We found that Botox lasts longer for our patients (average 3-4 months) so that is our product of choice. Botox Cosmetic has a long proven safety record, is predictable, and has an extremely high satisfaction rate. In our practice, Botox is injected only by plastic surgeons, who all have many years of aesthetic training and have completed accredited residency programs and fellowships in the United States. They do not delegate treatments such as Botox, fillers, or lasers to physician’s assistants, nurse practitioners, or nurses.
BOTOX® Injections
Prior to your procedure, inform the doctor if you have received any form of botulinum toxin injections within the last four months. You may also need to discontinue any non-prescription blood thinners a few days before the injections to reduce the risk of bruising and bleeding.
Dr. Agarwal, Dr. Maloney, and Dr. Ross, Naples Plastic Surgeons, determine exactly where to administer several tiny injections to receive the best results. Although no anesthesia is required, topical anesthetic cream and ice are used to minimize any discomfort. The injection sites should be iced before and after the treatment. The entire procedure takes about ten minutes and is performed as an in-office procedure.
The number of units required to markedly reduce wrinkles depends on the treatment area and the severity of the wrinkles.
After your procedure, you may resume normal activities immediately. Results may take up to seven days to be visible, with the maximum benefit seen at two weeks. BOTOX® results last for three to four months, depending on the area treated. You may choose to schedule additional appointments to maintain your results.
Some patients choose to combine botulinum toxin injections with other injectable treatments, including Juvederm, Voluma, Radiesse, Restylane, and Artefill. While BOTOX paralyzes muscles that cause dynamic wrinkles, it cannot address static wrinkles or lost volume as other injectables can. Patients who wish to fill in sunken areas of the cheeks or under the eyes, fill deep nasolabial folds, or plump the lips may consider these other options, which may be performed at the same time.
BOTOX for Men
Botox Cosmetic for men can subtly smooth moderate to severe lines around your eyes, between your brows, and on your forehead. This can make you look younger and the best part is, no one needs to know… you’ll still look like you. Botox for men (“Brotox”) is injected by our facial plastic surgeons in a way that maintains your masculinity. Soften your lines, not your edge.
Botox® to the deep lines around his eyes and on his forehead to soften them.
What Can BOTOX Treat
- The most common use of this treatment is temporarily relaxing facial muscles that cause wrinkles. The following are common treatment areas, with the typical number of units required:
- Frown lines that develop between the eyebrows (10-35 units)
- Crow’s feet, which fan out from the outer corners of the eyes (10-50 units)
- Forehead furrows, or the horizontal lines that form when the eyebrows are raised (10-35 units)
- Skin bands of the neck (10-30 units)
- “Bunny lines,” or horizontal lines at the bridge of the nose (4-8 units)
- Upper lip (4-8 units)
- Chin to reduce dimpling/pitting of the chin (10 units)
Botulinum toxin injections have also been used to treat a wide range of conditions, including lazy eye, which is caused by an imbalance in the muscles the position the eye; hyperhidrosis, or excessive sweating; chronic migraines; and contracted muscles.
How BOTOX Works
Botulinum toxin may be injected in very, very small amounts and prevents signals from nerve cells from reaching muscles. This leaves muscles without instruction to contract, leaving them temporarily paralyzed and unable to contract into frown lines and other wrinkles.
For muscles to contract, nerves release a neurotransmitter at the junction where nerve endings meet muscle cells. Botulinum toxin prevents the release of this neurotransmitter.
BOTOX Side Effects
It is unlikely that any significant side effects would occur, but some people develop slight temporary bruising at the injection site, as with other injectable treatments. Any swelling or redness at the injection site is typically minor and resolves on its own within a few days. Patients may develop a headache or flu-like syndrome.
This procedure is considered very safe, although rare side effects include mild nausea and transient numbness. Very rare risks include difficulty speaking or swallowing if the toxin spreads.
Who would be an ideal candidate for BOTOX
Ideal candidates for this procedure are men and women of all ages who want to address dynamic wrinkles such as frown lines or crow’s feet and have realistic expectations. There is no ideal age for this procedure, although younger patients may see an additional benefit as injections may help delay the formation of lines rather than just treating existing lines.
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.
BOTOX in Naples, FL
Dr. Maloney talks about BOTOX® Cosmetic Quality Assurance. (WINK TV Naples Fort Myers Marco Island)
Dr. Maloney discussed the use of BOTOX® Cosmetic in treating excessive sweating. (Fox 4 Naples Fort Myers Marco Island)
Botox For Men “Brotox”
A Naples Daily News BOTOX® Cosmetic article featuring Dr. Richard Maloney
Injectable and Facial Filler FAQs
Related Procedures: BellaFill, JUVÉDERM®, Juvederm Volbella® XC, Juvederm Vollure™, Juvederm Voluma™ XC, Kybella Treatment, Perlane, Radiesse®, Restylane