Posts Tagged ‘Botox’


Thursday, May 3rd, 2018

Today more than 37 million American’s are affected by migraines; 2 to 3 million of those suffer from chronic migraine pain.  While a well-executed facelift can make a person look and feel younger, did you know that the same surgery can help reduce migraines? According to Dr. Adam Hamawy, a double board-certified plastic surgeon in Princeton, New Jersey, “One of the secondary benefits of having a surgical browlift is if you have chronic migraines, it may get rid of them as well.”

Dr. Hamawy explains that one of the nerves which triggers severe migraines travels through the forehead by way of the corrugator muscle.  “This is the muscle that helps you frown and causes the 11 lines we treat with Botox,” he shares.  Note:  the FDA approved Botox to treat migraines in 2010.  “When you relax the corrugator with Botox or release surgically in a Browlift, this relieves the pressure on the trigger nerve ( the supraorbital nerve in this case) and reduces or eliminates those bad migraines.”   Yet, the benefits of Botox typically wear off in three months and, in most cases, the headaches return. (more…)


Thursday, June 15th, 2017

Over the last few years’ facial fillers have grown in popularity. This is primarily because they are safer and less invasive than traditional plastic surgery. Even if you are a facial filler virgin, you probably know a few seasoned veterans.  Here are several things you might not know about dermal fillers.

More People Get Filled Than You Think: Fillers are the second most popular cosmetic procedure, with only botulinum toxin procedures like Botox, Dysport, and Xeomin, surpassing them in popularity.  According to the American Society for Aesthetic Plastic Surgery, in 2016, more than 2.5 million filler procedures were performed.

All Fillers Fill, But Some Also Build: There are two main types of fillers: hyaluronic acid (like Belotero, Restylane, Juvederm) and collagen-producing biostimulators (like Radiesse and Bellafill). Hyaluronic acid (HA) is a sugar molecule which is normally found in our skin and bodies; as we age, it begins to dissipate. Fillers can be used for everything from replacing lost volume to smoothing over dynamic lines and tightening the jawline.

All Fillers Are Not Created Equally: FDA-approved HA fillers differ in color, cohesivity, and viscosity. There is no one injectable that is the best. It should be all about what is the best for the patient. One filler which works well in the eyes might not be the best for use in the lips or cheeks; so it is important to find a doctor who is facile with several injectables, so she can choose the appropriate filler with properties which best suit the intended area. (more…)


Tuesday, January 3rd, 2017

When most people think of Botox the first thing that usually comes to mind is wrinkle reduction. Indeed, Botox is the world’s most popular treatment for eradicating wrinkles and fine lines, has been specifically FDA-approved for treating frown lines between the eyebrows (glabellar lines) and lines around the eyes (crow’s feet). Botox can also be used to treat a variety of issues, both cosmetic and non-cosmetic. Dr. John Zannis, a New Bern, North Carolina board certified plastic surgeon, shares his list of off-label uses for Botox.  *Please note that several of these have not been approved by the FDA.

ACNE  Botox can curb oil production, reducing breakouts. “To totally treat acne, you’d need to use doses of Botox so large they’d prevent you from constricting your facial muscles,” says Dr. Zannis. “But tiny amounts of Botox injected very superficially help reduce oil production, and you can still have facial expressions.” Though he’d recommend it for almost any patient struggling with acne, Zannis would likely advise trying another dermatologist-prescribed treatment, like spironolactone or birth control pills, first. And though it can technically be used to quell oil production anywhere on the face, he cautions against using it all over because of potential effects on muscular activity (a.k.a. frozen face). The most effective and common area for using Botox to curb oil production, he says, is the forehead.

GUMMY SMILE  A “gummy” smile, one that’s characterized by a smile that shows too much of the gums, usually results from “excessive lip elevation” (when the upper lip rises too far above the upper teeth when smiling). Injecting Botox into the upper lip weakens the upper lip’s retractor muscles so that it won’t raise as high and your smile will seem better-balanced. It can be done in about five minutes and typically lasts for four to six months. Costs range from $200-$300.  Dr. Zannis says, “This technique is not for the novice Botox injector. Too much, and your lip won’t raise enough, too little and you will need more, or if injected asymmetrically, you might have a funny asymmetrical smile.”

INCONTINENCE  Overactive bladder problems affect up to 20% of women over 40. For severe cases, where medications do not provide complete relief, Botox injections into the bladder wall may provide relief lasting up to 6 months. (more…)