Botox™ - Related FAQ's
Q: What will happen if my doctor only treats the vertical lines between my eyebrows without treating the rest of my forehead? Will I look weird?A: This is a commonly done treatment. The advantage of treating the glabellar region of the lower forehead (between the eyebrows, the “11”) is that not only do the lines improve but the forehead gets a little lift too. If there is a slight sagging to your upper eyelids, they can be raised up to some degree along with the eyebrow lift that occurs. This happens because the glabellar group of muscles are depressor muscles of the forehead. They bring down the eyebrows and when they get relaxed by Botox or Dysport, Xeomin or the newer botulinum toxins, the unopposed elevators of the forehead can pull up on the eyebrows.
Q: I have a wedding to attend in a week, can I have botox for my crows feet now?
A: If you get a bruise, the bruise could take two weeks to go away. There might be a higher chance of you to get a bruise if you had any blood thinners recently, such as aspirin, ibuprofen (Advil, Motrin), Alleve, alcohol, ginger, ginko, garlic, ginseng, fish oil supplements, etc.
Q: I have really bad wrinkles on my upper lip, some on my lower. The lipstick bleeds into them. My doctor said that laser won’t help enough, what else can be done?
A: Botox can be used off-label, sparingly, to soften the contraction of the muscle underneath the skin-colored lip. If this is continued for several cycles of botox, the lines may improve slightly. This is often done, prior to laser resurfacing so the new skin heals on a smoother base. There can be unwanted consequences of having this off-label procedure such as asymmetry, difficulty smiling, brushing teeth, pronouncing certain letters, using a straw, whistling, drinking, eating, etc. These would be temporary but the doctor should be careful to give very tiny units, one or two maximum per site injected and usually it is only two sites per lip. Again this is an off-label procedure so discuss it with your doctor fully.
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