Medical use of BOTOX® began in the field of ophthalmology when it was approved for use in strabismus (crossed eyes) in 1979. Later, it was approved for treatment of blepharospasm (involuntary muscle twitching of muscles around the eyes) and it was noted that these patients appeared to have significant decrease of voluntary wrinkling of the skin in the forehead region after treatment with BOTOX®. These observations eventually led to the usage of BOTOX® for cosmetic reasons.

What is BOTOX® Cosmetic?

BOTOX® is a purified protein that is commonly used to reduce, smooth, or eliminate wrinkles that result from muscle activity in the faces of people 18-65 years of age. It is injected under the skin into areas surrounding the eyes and forehead, to smooth crow's feet, frown lines between the eyes and worry lines in the forehead. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles causing the wrinkles. The injections block nerve impulses, weakening muscles to relax wrinkles and give the skin a rejuvenated look.

What is involved in treatment?

The location of the injections is determined by your ability to move certain muscles in your brow and peri-ocular area. The location, size and use of the muscles vary markedly among individuals. The area will be numbed with a cold pack or anesthetic cream prior to the injection. Discomfort is usually minimal. The entire procedure takes between 10-30 minutes depending on the number of injections. There is no downtime after the procedure.

What can I expect after the procedure?

Most patients begin to see results within a few days, with continued improvement for up to a month. Results can last up to 4 months and may vary. If you discontinue treatment, the lines will gradually look like they did before treatment.

Although results are visible, treatment with BOTOX® will not radically change your facial appearance or make you look as if you "had work done". The muscle activity that causes dynamic wrinkles is simply reduced, thereby still allowing facial expressions.

BOTOX® Cosmetic For Men

BOTOX® Cosmetic is certainly not just for women. Women may talk about their looks more often, but men are concerned about their appearance as well. A man who has pronounced lines between his brows may be perceived as angry or stressed - and he doesn't want to look that way. That's why it is not surprising that men are also choosing BOTOX® cosmetic.

Who is a candidate?

Not all patients are candidates. Patients who have local infections, hypersensitivity to the drug, neurologic disorders (ALS, myasthenia gravis, or Lambert-Eaton syndrome) or who are pregnant or nursing are not candidates. Side effects are uncommon, but may include temporary eyelid droop, nausea, headache, flu syndrome, respiratory infection, localized pain/tenderness, infection, and redness or bruising at the injection site. Serious heart problems and serious allergic symptoms are reported rarely.

Why consider BOTOX®?

In 2005, almost 3.3 million procedures were performed with FDA approved BOTOX® Cosmetic. The American Society for Aesthetic Plastic Surgery ranked BOTOX® Cosmetic as the most popular physician-administered aesthetic procedure in the United States for the fourth year in a row (surgical and nonsurgical combined).

Call today to arrange a free consultation to see if BOTOX® is right for you.

For more information, visit

Pleasant Valley Ophthalmology    11825 Hinson Road, Suite 103    Little Rock, AR 72212-3404
Office  501-223-3937    Fax  501-223-8656    disclaimer

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