Botox injections to treat facial wrinkles

This drug needs to be used with caution. First of all, I ensure that there are medical contraindications, and we check if patients avoided taking any aspirin or non-steroidal anti-inflammatory drug (NSAID) during the week before the procedure, as these may lead to the appearance of bruises. Then, I examine the look of the patient’s gaze and proceed with the injections.

This usually doesn’t involve anesthesia, but some more sensitive patients may apply some analgesic cream one hour before the injections. Occasionally, we can use nitrous oxide, an anesthetic gas, to help patients relax.

After the injections, it is important not to massage the forehead or the eye wrinkles, as this might lead to displacing the product, which has been placed precisely to block the action of specific muscles.

I schedule a follow-up appointment with the patient 15 days later to assess the need for any touch-ups.

Botox injections should typically be performed once or twice a year. Over time, the muscle gets thinner and weaker, allowing for longer intervals between sessions.

1. Forehead wrinkles
2. Glabellar lines Glabellar lines ( lines between the eyes)
3. Crow’s feet (wrinkles around the eyes)
4. Bunny Lines (wrinkles on the side of the nose)
5. Lifting the tip of the nose
6. Perioral wrinkles (mitigation)
7. Chin sagging (correction)
8. Neck and cleavage wrinkles
9. Nefertiti Lift (skin sagging on the neck and contour of the chin).

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Forehead wrinkles

Botox, the ultimate tool to treat facial wrinkles … for men and women!

With these injections, I can diminish the appearance of wrinkles in various areas you wish to rejuvenate. We use Botox for :

• The forehead wrinkles and frown lines (lion’s wrinkles)
• Crow’s feet wrinkles
• The overall look of the eyes

Between 3 to 8 days after the injections, the results are visible and natural.

Frown lines

The frown line, also known as the “lion’s wrinkle,” is one of the most well-known wrinkles, and for good reason: it dulls the appearance and, along with the glabellar lines, gives a stressed, angry, and tense look.

It’s important not to confuse the horizontal frown line with the vertical glabellar lines for which you also visit our clinic. These appear over time and are caused by natural facial expressions.

To smooth the aspect of the wrinkles, Botox is indicated to put at rest the muscles responsible for this “frowning” expression.

Following the injections, the wrinkle groove will heal, so that at the end of the treatment’s duration, the wrinkle is less deep than before.

Crow’s feet lines

30 year old woman

Crow’s feet wrinkles are also known as “laugh lines” and are considered charming, especially on male faces. They appear when we smile, but they are also an aging sign that is less accepted in women.

As an expression line, it tends to become more and more visible over time and definitively mark the skin. After some time, they become visible even at rest.

To reduce this folded aspect of your expression, we can perform botulinum injections that will relax the eye muscles.

For a natural outcome, the intensity of the treatment can be adjusted.

The goal is to achieve the typical number of wrinkles for a specific age: none to one at 25 years old, two at 35 years old, and two or three at forty.

The aim is also to prevent the worsening of the wrinkle’s mark on the skin at rest, avoiding the skin from breaking with every smile.

Crow’s feet wrinkles

40 year old woman

The eye wrinkles, that appear progressively, quickly become obvious signs of aging. Also known as crow’s feet lines, they appear while aging.

As the skin ages, collagen fibers deteriorate, and the muscle contraction that encircles the eyelids and closes the eye causes a break in the skin.

Initially, this wrinkle only appears when we make an expression, making it a dynamic wrinkle. As time goes on, these wrinkles become visible even at rest, which we refer to as static wrinkles.

Do not use aspirin nor NSAID during the week before and after the procedure.

During the first 4 hours following the procedure, it’s recommended to avoid :

• any rubbing, pressure or massage on the treated area so that product won’t circulate outside the specified area
• entering a sauna
• wearing a helmet or have a blow-dry
• leaning forward

If the product gets to the upper eyelid, it may cause heaviness. An antidote is available in such cases and can be prescribed immediately.