Jan
Most people who desire smooth skin and a more youthful appearance will consider Botox as a potential solution. Approved by the FDA, Botox is a quick, safe, and effective treatment that diminishes facial wrinkling and reduces the appearance of fine lines. It is a popular procedure for treating creasing on the forehead between the brows and is also effective for eliminating fine lines around the eyes. For certain patients Botox can also relax bunny lines, correct a gummy smile, improve downturned lip lines, and soften neck lines.
Before the first procedure, it is normal to be a bit apprehensive, perhaps even anxious, but there is no need to be concerned. Botox injection is a very safe and simple process. Knowing what to expect can ease your mind. Dr. Krathen is happy to answer any additional questions you may have.
For two weeks prior to your appointment, you should avoid anti-inflammatory drugs like aspirin, naproxen and ibuprofen as well as supplements such as ginko biloba, fish oil, and vitamin E. These can thin the blood and increase the likelihood of bruising at the injection site. The risk of bruising is minimal, but these drugs can increase the chance of it occurring. Avoid drinking alcohol for the 24 hours before treatment for the same reason.
Eye and forehead wrinkles are caused by the muscles below the skin. When these muscles fold over time due to use, the skin also folds, creating wrinkles. Botox relaxes the underlying muscles and smooth facial skin is the result.
After you arrive, our staff will help you settle in and make you comfortable. Any questions you may have will be answered at this time. Dr. Krathen will explain each step of the procedure to you. He will then make several small injections into the treatment area. Although you may be concerned that the injections will cause pain, most report feeling only a gentle pinch.
Post-treatment care focuses on preventing the Botox from moving from the injection sites. Do not schedule facials or body massages (the pressure from the facial pillow when lying in the stomach is best avoided). Avoid massaging the treated area for three hours after treatment. Do not lie down for four hours following the procedure to prevent the Botox from migrating. Similarly, do not exercise vigorously for at least six hours afterward. Exertion so soon after the injection can increase blood flow and cause the Botox to travel away from the treatment area and/or increase bleeding risk.
The full effect of the Botox will be visible about 14 days post injection. You can expect the effects to last from three to four months. Once the results subside, you can schedule another appointment, or you can schedule appointments at regular intervals at Essentially Dermatology in advance.
Dr. Michael Krathen is a board-certified dermatologist with over a decade of medical training and experience. He studied biology and Spanish, graduating summa cum laude from the University of Pennsylvania, where he also completed medical school. His training included a medical internship at the Beth-Israel Deaconess Medical Center in Boston and a dermatology residency at the combined Boston University/Tufts Residency Program.
Author of various medical journal articles, Dr. Krathen taught at Stanford University School of Medicine and the VA Hospital in Jamaica Plain.