Botox® Cosmetic
Overview
Botox® Cosmetic is an exciting facial rejuvenation treatment that corrects or softens minor wrinkles. Given in an injection, it weakens and disables muscles of the face that create facial lines. Botox is the most common cosmetic procedure performed in the United States today. Other similar medications such as Dysport and Xeomin have also become available and are very similar in effect and in longevity.
At Summit Health, our plastic surgeons administer Botox injections. While other types of physicians offer Botox, only a plastic surgeon has intimate knowledge of the anatomy of the face, based on years of surgical treatment and close experience with surgery on this intricate anatomic area. As a result, we first determine which muscle is causing the wrinkle, by asking you to make certain facial expressions so that we can evaluate the shape and orientation of the muscle. This allows us to plan the best locations for the Botox Cosmetic injection sites. This attention to detail assures you an excellent and natural-looking result.
Because Botox is the most well-known anti-aging product, many patients believe that it can be used to treat all signs of aging, but this is not true. Botox is only effective on those wrinkles that are caused by muscle activity. It is primarily used on the frown lines (“11” lines between the eyebrows) and crow’s feet. We have found that in off-label use, Botox is also effective on forehead creases, lip “smoker’s” lines, slight eyebrow sagging, lines across the bridge of the nose (“bunny lines”), and to lift the corners of the mouth.

“Dr. Momeni is a fabulous doctor. I was a little nervous choosing to try Botox to smooth out some frown lines on my forehead. He is very patient explaining and listening…. At the end, it was a great job and would totally recommend Dr. Momeni.”

Helen was absolutely amazing. The level of care she provided was unparalleled and the time she took to address my concerns and answer all of my questions thoroughly and completely made me feel like I was the only patient she had. I was never rushed and left the office feeling completely confident that I had received the best post-op care possible.
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Botox is not effective for wrinkles that are caused by gravity or volume loss. Those types of lines, wrinkles, and skin folds are best treated with dermal fillers such as Restylane, Radiesse, Sculptra, Juvederm, and Juvederm Voluma. Surgical procedures such as fat grafting, face lift, and neck lift can also address gravity-related aging lines.
Fine lines and wrinkles on the surface of the skin from weathering and sun damage are best treated by skin resurfacing procedures, such as chemical peels, laser skin resurfacing, and dermabrasion.
The effects of Botox injections take a few days to set in, and they last around 4 months, so it is a maintenance treatment that is usually repeated 2-3 times per year. Patients who have had a face lift, brow lift, or eyelid lift can often protect their investment in plastic surgery by having Botox injections when the signs of aging begin to return. This practice delays the need for revision surgery and keeps the skin looking young for longer years after surgery.
Although Botox consists of the toxin protein related to the bacteria that causes botulism, it is safe when used in small doses. Botox is made in a laboratory and is not derived from animals or humans. In fact, it has been used for decades to treat many medical conditions such as muscle spasms, even in children. It is now also used to treat migraine headaches and hyperhidrosis (excessive sweating). True complications from Botox are very uncommon. Typical side effects are possible, such as small bruising from the injection needle or drooping of the eyelid if the Botox is pushed into the eyelid muscles. By nature, however, Botox side effects are temporary.
We participate in the Botox Cosmetic Allē program and encourage our patients to take advantage of the program for discounts and points.

“I see Dr. Momeni regularly for Botox and fillers. I have also seen him for hand surgery and to have some moles/cysts removed. He is, without a doubt, the best plastic surgeon and one of the best doctors I have ever seen. He takes his time to answer all of my questions, he never makes me feel like I am rushed, and he never pressures me to receive treatment I am not interested in receiving. In the past, I had received Botox from other doctors, and they were not nearly as good as Dr. Momeni. I look rested and rejuvenated and like a fresher, younger version of myself, while still looking natural. Dr. Momeni’s staff are also wonderful - very nice, very caring, and never making me feel rushed. I highly recommend Dr. Momeni.”