Botox™ - Related FAQ's

Q: I have bad wrinkles in my upper lip. My lipstick never looks normal, it kind of runs into these lines. What would help minimize this trouble of mine?

A: Often a combination of very few units of Botox to smoothen the contraction of the muscles that purse the lips and make the vertical furrows followed by laser resurfacing or portrait plasma resurfacing. The lines will never go away completely as the muscle activity will make the skin crease. The Botox is only to help soften the contractility of the muscle activity. This itself, has risks of making someone not be able to sing, speak, whistle or eat correctly. Botox of the upper lip can also cause a droop which makes it difficult to brush one's teeth and smile. If the result is asymmetric, then the appearance could be confused with having had a stroke!

Q: I saw a photo of myself recently and I look very sad. I realized that compared to pictures of when I was 20, my eyebrows at 65 are nearly touching my eyelid. They are very flat and there is no arch any longer. Should I have a brow lift?

A: Brow lifts can make a big difference, but there are some risks including permanent numbness of the forward part of the scalp. In addition there can be considerable down-time of swelling around the forehead and the eyelids can get swollen shut. If you discuss the risks and advantages with your plastic surgeon and also discuss endoscopic brow lift but decide you don't want surgery, then you can have a combination of Ultherapy, ultrasonic forehead tightening/lifting and Botox lift. This treatment won't give you as much of a lift as a surgical brow lift, but without surgery it is amazing how much lift some people can obtain. Unfortunately not all people derive the same benefit.

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