Botox is a neurotoxin and we use it to stop muscle function or prevent muscle
function for about three to six months
so most people use Botox primarily for the wrinkles above their nose in between
the eyebrows or the wrinkles along the outer portion of the eye, what we call the
crow's feet. At UC Irvine Health the plastic surgeons here that are
performing Botox injections are either in the process of being certified by the
American Board of Plastic Surgery or certified by the American Board of Plastic Surgery.
You don't know who's injecting you in a medi spa
you don't know what their training has been, you don't know how many patients
they have actually injected, and you don't want to go to somebody who won't
be able to help treat any problems if they do arise.
So a patient would come in, fill out what we call an encounter form or history
and physical examination form and then be taken back to a procedure room in order to
meet the physician. The physician would come in sit down with the patient
go over the history physical form
make sure that the appropriate medications are listed
make sure there's no allergies and then explain a little bit about the procedure
and more importantly, sit down and find out what the patient wants. What area is
the patient concerned about? Is it the frown lines?
Is it the crow's feet area? Is it around the mouth? All of those we would sit down
and determine what is the most appropriate option for the patient.
We would apply some numbing medicine, let's say if the patient wants the
injections on the forehead, to the forehead area and perhaps also around
the corner of the eye. The needle is a small needle that we utilize and the
injections would usually start in the middle of the forehead, in-between the
eyebrows, and then move usually out towards the corners of the face or
lateral aspects of the face
injecting periodically as we do that and we would then create a second layer of
injections up towards the hairline to help block some of the upper portions of
the two big frontalis muscles on your forehead.
Botox can cause the eyelid to droop for a period of time
so in order to avoid that we would stay on the side of where the bone is and not
towards the outside of where the eyelet is. Once it's done
we tend to put ice back on those areas and let the patient relax for a few
minutes. Then the patient is free to leave the office and go back to work or
what other functions they like to do.