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Botox Injections - Facial Rejuvenation
At East Valley Ophthalmology, Dr. Neal Nirenberg specializes in performing
state-of-the-art Botox injections. A Board
Certified Ophthalmologist (a medical doctor), Dr. Nirenberg has been administering
Botox since the FDA approved its cosmetic use in 2002. He would be delighted
to discuss your procedure with you in great detail. You'll be amazed to see
what Botox can
do to rejuvenate your appearance!
At the forefront of the ever-evolving field of non-surgical aesthetic enhancements,
Botox injections can shave years from your face in a procedure
that takes a matter of minutes. Plus, unlike cosmetic surgery, Botox is
safe and virtually non-invasive. Over a million people have been treated with
Botox Cosmetic since
its FDA approval in 2002 and Botox has been used in the field
of Ophthalmology since the 1980's.
With Botox, you can achieve impressive results without the
bruising, swelling and downtime of invasive cosmetic surgery. In our office,
Botox is
used to eliminate the wrinkles in the forehead, brow area and crow's
feet around the eyes. The results can usually be seen within 3-7 days and can
last up to 4 months or longer. Results
may vary according to your unique physiology.
What exactly is Botox Cosmetic?
Botox Cosmetic is a purified protein produced by the Clostridium
botulinum bacterium, type A. It is a non-surgical, physician-administered
treatment that can temporarily reduce moderate to severe frown lines between
the brows. During treatment, very low doses of Botox Cosmetic
are administered via a few tiny injections directly into the muscles that cause
those stubborn lines. When Botox Cosmetic is injected into the muscles
surrounding the brow area for instance, those muscles cannot "scrunch
up" for a period of time. They are paralyzed. Any wrinkles
in that area, often referred to as furrows or frown lines, temporarily go away.
The treatment is usually done in about 10 minutes and no recovery time is needed.
How does Botox Cosmetic work?
Those moderate to severe frown lines between your brows form over time as the result of muscle activity. Botox Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.
When will I see results from a Botox Cosmetic treatment?
Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.
How long does Botox Cosmetic last?
Results from treatment with Botox Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.  Back to top
Botox sounds like magic; is it?
Botox Cosmetic is not magic. It's medicine. Botox will not radically change your appearance or make you look 20 years younger. Because it's highly localized and administered intramuscularly, its effects are usually confined to the region of injection, and Botox does not remain in your body indefinitely.
However, if doing all you can to look your best is important to you, Botox may
be an excellent choice. If reducing those lines between your brows would make
you feel more attractive, Botox is here for you. Thousands
of appearance-conscious women and men are discovering the benefits of
Botox. And not just models and movie stars! Everyday people — teachers,
mothers and business people, Botox is now affordable and accessible to people from all walks of life.
Who should administer Botox Cosmetic?
Botox Cosmetic is administered by physicians and is available
only by prescription. The Food and Drug Administration (FDA) has issued statements
warning of the possible hazards of "Botox parties." A Botox injection
is a medical procedure that should be performed in a controlled medical
environment. According to the FDA, administering this treatment during
a cocktail party greatly diminishes the gravity of this medical procedure.
There is always a risk of adverse reactions or side effects after a Botox injection,
so patients need to be in a capable medical setting that is equipped to
handle an emergency situation. And, the ingestion of alcohol at or around
the time of injection could worsen any bruising at the injection site.
Why go to an ophthalmologist for your Botox treatments?
Botox was originally introduced to the world in the 1980's by ophthalmologists as a treatment for uncontrollable facial and eyelid spasms, as well as for eye muscle dysfunctions such as crossed eyes (strabismus). As a remarkable side benefit of these treatments, many patients noticed that the wrinkles around their eyes were diminished and began asking for further treatments specifically to achieve this effect.
More than any other medical specialty, eye surgeons are speciafically trained
to perform surgery on the delicate tissues surrounding the eye, which is exactly
where Botox Cosmetic treatments are given. Plus, Dr. Neal Nirenberg
is Board Certified, with extensive experience in plastic surgery involving the
eyes. You can be certain you are in highly skilled hands.
Is treatment with Botox Cosmetic painful?
Discomfort is usually minimal and brief. The entire procedure takes approximately
10 minutes. Many people return directly to work or normal activity following
Botox Cosmetic treatment.
Who should not use Botox Cosmetic?
Botox Cosmetic is approved for use in adult patients 18 to
65 years of age. However, Botox Cosmetic should not be used
if you are pregnant, or think you might be pregnant, or in the presence of
infection at the proposed injection site(s) or by any individuals with
known hypersensitivity (or allergies) to any ingredient in the formulation.
Patients with neurological disorders such as ALS, Myasthenia Gravis or Lambert-Eaton
syndrome may be at increased risk of serious side effects.
Tell Dr. Nirenberg if you have any diseases that affect your nerves and muscles.
These diseases may increase your chance of side effects with Botox Cosmetic
treatment. Also tell Dr. Nirenberg if you
are breastfeeding or
are planning to become pregnant soon.
Be sure that Dr. Nirenberg knows the names of all the medicines you are using,
including: antibiotics used to treat infections, such as gentamicin, tobramycin,
clindamycin, and lincomycin
medicines used to treat heart rhythm problems, such as quinidine and
medicines used to treat different conditions, such as myasthenia gravis or
Alzheimer's disease. As with all prescription medicines, you should also
notify Dr. Nirenberg if you are taking any over-the-counter medicines or herbal
products. This is not a complete list of medicines that can interact with Botox Cosmetic,
so be sure to discuss everything you are taking with Dr. Nirenberg. Back to top
Will I experience any side effects?
Possible side effects include headache, respiratory infection, flu syndrome,
temporary eyelid droop, and nausea. Less frequently occurring (<3%) adverse
reactions include pain in the face, erythema at the injection site, and muscle
weakness. These events are thought to be associated with the injection itself
rather than the Botox and occurred within the first week.
Will my facial expressions continue to look natural?
After treatment with Botox Cosmetic, you may look in the mirror
and see a marked improvement in the moderate to severe frown lines between
your brows. Although the results are visible, a treatment with Botox Cosmetic
will not radically change your facial appearance or make you look as if you
"had work done." The muscle activity that causes frown lines between the brows
is simply reduced, so you can still frown or look surprised without the wrinkles
and creases between your brows.
What will happen to the frown lines between my brows if I choose not to continue treatments?
Botox Cosmetic works by temporarily reducing the contractions
of the muscles that cause those persistent frown lines that have developed between
your brows over time. Within days, you may see an improvement that can last
up to 4 months. Results may vary. If you do not continue treatments, the frown
lines between your brows will gradually look like they did before treatment.
Is Botox Cosmetic affordable?
When considering your facial aesthetic options, Botox Cosmetic
is quite affordable. According to the American Society for Aesthetic Plastic
Surgery's 2003 survey, Botox Cosmetic is one of the least expensive
facial aesthetic procedures in the United States. Like other appearance-related
investments, such as hair coloring and cuts, teeth whitening and chemical peels,
the cost must be weighed relative to your expectations. Back to top
Do treatment results differ?
To get the best results, it's important to go to a medical doctor who is experienced
in administering Botox Cosmetic. Dr. Neal Nirenberg is a Board
Certified Ophthalmologist who has been administering Botox to
treat ophthalmologic disorders since the 1980's and has administered Botox Cosmetic
since its FDA approval for costmetic use in 2002.
Who makes Botox?
Botox is the result of years of careful research and testing by the Allergan Corporation. Allergan Botox product is the only one of its type. No other company manufacturers anything like it.
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