Deborah Schappell, MD | Coastal Dermatology | Westport, MA

Frown lines can misconvey anger and change the way people perceive you. We can help with this. Botox can also be used for Crows feet and gives eyes a wider appearance for more youthful and beautiful looking eyes (see below). Botox can change this as well. Botox, well done, should look natural.

Neuromodulators (Botox ) are prescription medicines that are injected into muscles and are used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines), forehead, around eyes (crow's feet), and mouth. Injection of these medicines into small muscles temporarily paralyzes those muscles, thereby improving the appearance of wrinkles. This is temporary, and re-injection is generally necessary within 3 to 6 months (especially with repeated treatments) to maintain benefit.

Pre-Injection Recommendations
Avoid anti-inflammatory medications, especially aspirin and ibuprofen, before treatment.

How Botox is Injected
BOTOX® is delivered by a non-surgical injection and does not require a hospital setting. It is virtually painless, and there is no recovery time.

Why Botox Works
Botox injections weaken the muscles that cause the wrinkles, but do not normally interfere with facial expressions. Weakening the muscles that cause the wrinkles to form results in a dramatic improvement in appearance that can be seen in as few as seven days.

Benefits of Botox
BOTOX® has no downtime as opposed to other wrinkle reducing methods. Also, following treatment there is no pain or discomfort.



What To Expect After Botox Injections

What To Expect After Botox Injections

Mild Discomfort
There may be, at most, mild discomfort when the injection is administered. The only pain or discomfort is a slight pinprick sensation from the small needle injecting the BOTOX®. Some slight bruising may appear in the few days after the treatment. This can be easily covered with makeup. It is possible to return to work immediately after your treatment.

Post Injection Instructions
Treat any mild discomfort with Tylenol, and expect temporary swelling. Do not massage the treated areas because it may move the Botox around and create a different effect. It is generally recommended to remain upright for four hours after injections and avoid aerobic activity for a few hours.

How Long Botox Lasts
The muscles that were weakened by a neurotoxin injection eventually regain their strength and the wrinkles may reappear. On average, the treatment lasts for three to four months, but it may last for up to six months.

The Botox effects will begin to fade and facial features will gradually return to their former state. Maintenance treatments are necessary to keep the effect for long periods of time.

You may resume normal activities immediately. Vigorous exercise or lying flat may be restricted for a few hours following treatment. Many patients undergo Botox treatment during their lunch break and return to work after treatment.

Learn If You're A Candidate for Botox

Candidates for BOTOX® injections are:

  • Eighteen and older
  • Interested in improving the appearance of their face
  • Seeking relief from wrinkles and brow furrows
  • Looking to achieve a more rested, relaxed appearance

Other Applications for BOTOX Injections

Excessive sweating can be alleviated with BOTOX® injections directly into the underarm skin or skin on the palms of the hands and soles of the foot. Sweat glands of the skin are responsible for perspiration and the excessive perspiration that some people have. BOTOX® blocks the release of the chemical responsible for stimulating the sweat glands. A single treatment session can provide months of relief, and experts believe that injections can be repeated indefinitely once or twice a year to maintain dryness.