Botox (onabotulinumtoxin A) has been used by dermatologic surgeons since the early 1990’s, and has been used in our practice since 1997. Botox is the gold standard for FDA approved purified substances that temporarily block muscular nerve signals. The other two products, Dysport and Xeomin have been used for a much shorter period of time. Botox is the most common non-surgical cosmetic procedure performed in the United States. Injecting small amounts into specific facial muscles, diminishes facial muscle activity resulting in diminished, and even resolution of unwanted facial lines. Botox is also used to treat excessive sweating (Hyperhidrosis) of the underarms, palms, and soles.

It is a safe procedure that can be performed in 5 to 10 minutes with minimal down time, allowing people to return back to their daily routines after leaving the office. Botox is most often used to reduce lines in between the eyebrows (frown lines, also know as the “11 lines”), forehead lines, “bunny lines” on the nose, and lines under and around the eyes (crow’s feet). Dr. Loucas also finds Botox to be very effective to help reduce lip lines, neck bands/lines, chin wrinkles, and can help elevate your eyebrows and help turn up a down-turned mouth.

The effect of one Botox treatment will often last up to 4 months. A misconception that many patients have is that they will have to return every four months to maintain their results. In Dr. Loucas’ opinion “the appeal of Botox is that after several treatment sessions at 4 to 5 month intervals, the improvement seen is often sustained for many months even without regular treatments. This is because it takes the treated muscle many months to return to its original strength.

Dr. Loucas adds, “Botox is a very popular procedure for several reasons. Firstly, it treats problematic facial lines that are difficult to treat with other therapies, such as fillers. In other words, there aren’t many other options to treat these lines. Secondly, it is a safe treatment, that doesn’t have many significant side effects, and down time.