Botox™ - Related FAQ's
Q: How are wrinkles such as crow's feet around the eyes treated best?A: The best treatment for crow's feet is Botox™ injections because it relaxes the muscle that contracts and causes the skin to crease. External devices that resurface the skin don't address this muscular source of the problem so the skin looks good temporarily but the lines come back soon after the muscle continues to contract. Fillers can cause lumps in this very thin skin and bruises are more common here. Laser resurfacing and chemical peels can help to some extent and may be the only thing that can be done on the lower eyelids skin where Botox™ injections are limited.
Q: Can Botox™ injections be used for the lines underneath the lower eyelid?
A: The lower eyelids skin can crease from big smiles and this component of the lines can't be treated because it would cause a stroke-like appearance. Some patients, though, have some fine lines of the lower eyelids that are close to the eyelash margin and those can be treated with a very small number of units (around 1 - 2) unless they have chronic swelling (bags of fluid) which can get worse after the Botox™ injections to the lower eyelids.
Q: Will I bruise if I have Botox™ injected?
A: It is very unusual for my patients to get bruising from Botox™ or Dysport™ injections, but any time there is a needle that penetrates the skin, a bruise may occur. You should avoid aspirin and nonsteroidal anti-inflammatory agents before having the treatment as these make you bleed more. Makeup often can hide the bruise, warm compresses starting a few days after may help quicken the resolution of the bruise, but so can V-beam laser, Arnica by msouth and Auriderm Vitamin K cream.
Q: What does botulinum toxin A mean?
A: There are seven serotypes of botulinum toxin. Botox™ and Dysport are type A. Myobloc was of serotype B but has not met physician satisfaction.
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