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How Botox Has Improved Over the Years

In 2022, we’ll observe the 20th anniversary of Botox earning its first FDA approval to temporarily enhance moderate to severe facial expression lines. It was the first product of its kind to receive additional cosmetic indications in 2013 and 2017, making it the first and only neurotoxin approved by the agency to improve moderate to… Read More

What is Botox, where should it be injected and do I need it?

Botox is a neuromodulator which de-innervates, or disables, the ability of the muscles to contract. Typically Botox is injected with a very small needle into the forehead muscles and into the muscles between the eyebrows. Botox is also often injected into the crows feet area adjacent to the lateral side of the eyes. When Botox… Read More

Why does my eyebrow droop after Botox?

The dreaded brow droop is often confused with eyelid droop after Botox. When Botox was first introduced the eyelid droop was the most feared. Eyelid droop usually resulted from blocking the elevator muscle when the injection was placed very close to the eyebrow and the product migrated down into the upper eyelid elevator. What I… Read More

Why don’t I see a big improvement when I have Botox injected into my crows feet?

Patients often ask me why they still don’t see a huge difference after they’ve had Botox injected in their crows feet. The development of creases within the crows feet area is not the result of a single muscle contraction of the orbicularis oculi because this muscle doesn’t control all of the creases associated with crows… Read More

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