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  • Today I thought we'd talk a little bit about Botox

  • It's a very popular treatment and commonly requested. We get a lot of questions about

  • these so I thought that we would just make this video to answer a couple of those

  • questions and educate people

  • so I'd say that in my practice typically people come to me asking for Botox for a

  • couple different reasons

  • Generallly it's for signs of facial aging

  • I mean there's really a variety of different things that Botox can treat

  • but really most people are using it for facial aging

  • I'd say specifically the most common indications or reasons for it are

  • people who want

  • improvements in the upper third of the face. This is classically

  • where Botox is typically used as opposed to fillers which are

  • classically used on the lower two thirds of the face. Now these are all tools really and

  • plastic surgeons can essentially tailor these tools for every individual face

  • but in general that's sort of a framework at least when I think about approaching

  • patients how I decide which agent is best

  • So what Botox is

  • overall is a neuromuscular agent

  • It's a very weakened form of Botulinum toxin

  • and what it does, it vary selectively weakens

  • specific muscles, and so in fact a number of years ago when Botox was first used

  • I think it was first used for ophthalmologic purposes really for people who had

  • one muscle that was deviating the eye in a direction that was a little bit asymmetric

  • than the others

  • so opthamlmologists would use that to first make the eyse look a bit more symmetric

  • and it worked very well

  • but a number of years ago a very smart doctor decided that

  • if you look at the way that skin wrinkles, typically a lot of times we see

  • wrinkling when people are are in motion. For example when you

  • raise the forehead or the brow and you have these furrows, or

  • when you frown and you have these vertical lines here

  • or when people smile and laugh they have they have some crow's feet lines

  • on the side. So he thought well maybe what we can do is we can use Botox to

  • selectively weaken those muscles

  • so that when people are having their normal facial motions, the overlying skin won't

  • really move as much and won't wrinkle. And, they tried it,

  • it was actually successful and a pretty incredible

  • cosmetic treatments was born. So i'd say nowadays in my practice

  • people typically come for Botox for anyone one of three specific areas

  • The number one most popular are that I see treated it really is these vertical lines

  • Some people call them the 11's they're really kinda when

  • furrow your brow and get these outlines in the middle here

  • and that's probably by far the number one most common area for treatment

  • The second area for treatment I see is for the crow's feet

  • These are the laugh lines that you see emanating from the side of the eye

  • When people laugh or smile you'll see some of these lines on the

  • sides there. And the number three area is really the forehead

  • which is where you have the horizontal lines that come across when people

  • raise their eyebrow

  • Sort of when you do things like this. Every face is different,

  • if you watch any of my videos you know that typically I emphasize that people

  • really need to have all their treatments individualized. Even something as simple

  • as Botox. I'll see patients for example where

  • one day they'll have very severe lines here but

  • nothing on the forehead,

  • another patient that really has crow's feet and forehead but nothing here

  • It really is very individualized so that assessment is really

  • part of the treatment. Botox shouldn't be thought as something that you just

  • kind of squirt in and it works. It's really not like that it's

  • actually a very specific

  • procedure and treatment that can be tailored specifically for the patient.

  • I think any one of these three areas works very well. Good candidates for the procedure

  • are patients who have taken a look and have specific areas just like we mentioned, any

  • one of those three areas

  • there are other uses for Botox actually too. Other good candidates for the procedure,

  • one that's less known and is actually more known with

  • the Asian patient population but not as much known in the

  • non-Asian population is using Botox

  • or neuromuscular agents to slim the jaw a little bit

  • If you feel down heere you'll notice there's actually a muscle here called a masseter muscle

  • It's the muscle that gives us the ability to chew,

  • but in some patients that muscle can actually be a little bit thick, or a

  • little bit large

  • and it kind of gives a large appearance to the jaw.

  • In Asian countries there is a very high premium

  • placed on facial aesthetics. People really care about the facial aesthetics to

  • a very high degree, and so a lot of these facial procedures are really pioneered in Asia

  • What they started doing a number of years ago and very successfully

  • is actually use a small degree of Botox here in these areas

  • to not specifically weaken the muscle because it wrinkles but really

  • to actually use enough to help this muscle

  • come down a little bit in size. Incredibly, it works very well

  • and can help some people for their jaw appeareance to really come down

  • in size a little bit.

  • I see this mostly among asian patients, actually

  • quite a few asian patients come to see me for that. We do the treatment, and it works very well.

  • I don't see as much among non-asian patients but my prediction is that

  • eventually as the procedure becomes more well-known,

  • you'll see more non-asian patients doing that as well. Things for patients to know,

  • about Botox. The effect is not immediate. It usually takes about two to four days

  • to see some effect and seven days to see full effect. That's what I usually tell my pateints

  • Side effects are very minimal. You can have a some

  • temporary swelling and bruising, occasionally

  • In my patients I would say honestly that it's pretty rare. Botox is very well tolerated

  • I'm pretty careful with injections too, so

  • bruising is very rare, but it can happen because you're doing a little

  • injection

  • just like when you get a vaccination there's always a small chance you can get a bruise.

  • But overall, it's really a very well tolerated treatment

  • and it works very well. It's super popular, it usually lasts about three to four months,

  • and that's about it.

Today I thought we'd talk a little bit about Botox

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B1 INT US botox asian treatment facial muscle people

Botox Frequently Asked Questions

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