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Botox injections: What to expect

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.