Botox

Facial wrinkles generally fall into one of two categories: dynamic or static. Dynamic wrinkles are caused by the action of facial muscles and appear as forehead creases, brow furrows and wrinkles at the corners of the eyes (commonly referred to as "crow's feet".) If left untreated, dynamic wrinkles may become static wrinkles, which are more permanent and are present even when the facial muscles are at rest.

Sun exposure, smoking, underlying skin conditions, poor nutrition, gravity or genetic factors can speed up the development of static wrinkles. Botox can be used to prevent the formation or progression of both dynamic and static wrinkles. Botox inactivates the muscles that produce wrinkles, thereby causing lines to disappear or diminish dramatically.

A Botox treatment is quick, typically 10 - 15 minutes in Dr. Horowitz's office. The effects of the injection are complete within 4 to 8 days, and the results usually last three to six months. When the effects begin to fade, you may return for follow-up treatment. Many patients report that after several treatments, the effect of Botox appears to last longer.

Although extremely rare, the most common complication reported with Botox is a headache or flu-like symptoms, or slight, temporary drooping of the eyelid or eyebrow. Dr. Horowitz’s technique ensures that this complication is highly unlikely. Because Botox is used in extremely small amounts and does not spread throughout the body, you can return to full activity immediately.

Due to its successful results on many happy clients over the course of the past two decades, the popularity of Botox treatments continues to increase. It is an ideal treatment for those who do not want surgery nor have the time for more complicated procedures.

Patients who are pregnant, breastfeeding or who have a neurological disease are among those who should not use Botox.

Frequently Asked Questions about Botox in Baltimore

What is Botox?

Botox is a purified protein that has the ability to relax the muscle into which it is injected. This effect may be partial or complete, depending on the amount of Botox used and on the relative strength of the muscle into which it is injected. The relaxation produced by Botox is temporary (usually 3-6 months), as the treated muscle will gradually “wake up” over time.

How is Botox used?

Botox is injected into muscles in the forehead and around the eyes that cause wrinkles when you frown, squint, laugh or smile. The injections block the transmission of nerve impulses to the affected muscles, so the muscles relax and the skin looks smoother.

Does it hurt?

Most patients experience minimal discomfort, comparable to the sting of an insect bite. The treatment takes about 10 minutes. You should not bend over or rub the treated areas for 6 hours after an injection to keep the Botox from spreading to other muscles. The shots do not cause numbness.

How long does Botox last?

Typically, it takes 1-2 days for Botox to start to take effect, with full effect sometimes taking up to one week. The results last for 3 to 6 months. To maintain your new look, you will need to repeat treatments every 3 to 6 months.

What are the benefits?

Fewer wrinkle lines will appear between your brows ("frown lines") and in other areas where you have the injections. Deep creases may still be visible, but will appear more relaxed. The process of wrinkling stops as long as the Botox is working.

What are the risks?

Possible risks include:

• Stinging or redness around injection sites is common but usually lasts only minutes.
• Slight bruising at the injection site happens occasionally but lasts only 2 to 3 days and is easily covered by makeup.
• Temporary drooping of eyelids or eyebrows is possible but unlikely.
• Headaches have been reported but are uncommon.
• Having treatment with an experienced Botox may help to decrease risk.

What areas are typically treated with Botox?

Although the most common areas treated with Botox are the area between the eyebrows, the forehead and the crow’s feet, there are several emerging indications for Botox. The lower eyelids, upper lip and neck are now being recognized as areas that can be improved with Botox administration.

Who is a candidate for Botox?

Any person who wishes to slow the aging process around the eyes and forehead region with minimal down time is an appropriate candidate for Botox injections. Botox is not recommended for women who are pregnant or are nursing.

What other cosmetic treatments may be combined with Botox?

One of the greatest combination treatments involves the simultaneous use of Botox and facial fillers like Juvederm or Radiesse. With this combo treatment, a "liquid face lift" may be achieved by using Botox in the brow and forehead region, and facial fillers around the mouth, lips, and smile lines. Deeply “etched” lines that persist despite Botox treatment may be improved further with the addition of a filler.

What is the cost?

The cost of Botox depends on the amount used. Depending on the area treated, prices range from $240-$300 per area. Larger and stronger muscles may require more Botox to produce adequate relaxation. At your complimentary consultation Dr Horowitz will review your specific needs and the treatment price.

What is the recovery like?

One of the advantages of Botox treatments is that, in general, no recovery time is needed. The procedure may be administered during a lunch break. You will be instructed not to rub the treated area for a couple of hours after the treatment. It is also a good idea to try to 'exercise' the treated muscles for the first few hours following the treatment, to allow the Botox to distribute evenly across the muscle.