Bruising should not be an issue – but it may be. Botox® treatments are done using a very tiny needle with typically little if any swelling or bruising as a side effect. But taking Motrin, Advil, Alleve, ibuprofen or aspirin beforehand – even 6 or 7 days beforehand – will increase your chances for having significant swelling or bruising! It’s hard to remember to avoid having these in your system, especially so many days before your scheduled treatment. So it’s so much easier to remember this: taking Tylenol® before or after your Botox® session will not ever cause any of these problems. Stick with Tylenol® and you won’t have to decide between rescheduling your treatment or hiding for a couple of days!
All that glitters is not Botox®! Physicians have many possible places they can order Botox® from but the only legitimate and reliable source is directly from the manufacturer itself, Allergan Corporation. Having faith and trust in your doctor means also trusting his choice of sources and suppliers for things like gauze pads, sterile equipment, and syringes as well. Botox® comes “freeze-dried” and must be reconstituted properly for maximum efficacy and duration once injected. It can be “over diluted”, which might be one reason it is less expensive at a particular office. It can also become “stale” if it is not all used within a short period of time. A doctor who does a lot of Botox® work is much more likely to be using fresh Botox® on a daily basis.
Trust me – You want an Expert. An analysis of a person’s unique facial anatomy, asymmetries, subtleties of muscle movement, eyebrow position, thickness of the skin – these are all critical in the decision-making process of knowing where to inject, where not to inject, how much, etc. This is all to minimize your risk for problems and maximize your chances for a natural, beautiful result. Consider that #2 above and the level of expertise is what you are really paying for when you get a Botox® treatment by a board certified cosmetic physician. If it were a pack of gum, it wouldn’t matter where you got it, so shopping for the best price makes sense. But for your face, your health and your well-being?
Botox® does not instantly work. It erases wrinkles and smooths away the lines slowly, often beginning within a couple of days but sometimes not reaching its full effect for a couple of weeks. Don’t expect to see a result the same day or even the next day. And your family and friends might not notice the gradual reversing of time on your face for a week or two either. This is actually a benefit of the way Botox® works – a slowly evolving improvement that makes it much less obvious that you had any sort of treatment. But from a timing point of view – the Bar Mitzvah, the wedding, the reunion, the graduation party – don’t wait until a day or two before! Better plan: get your Botox® about 2 weeks before the big event. You should be well covered for the upcoming party and probably even the next one as your Botox® results will likely last for a good 3 – 6 months.
Botox® does not “paralyze” the face and turn you into an expressionless zombie. Botox® is a cosmetic tool. Like any tool, it can be implemented improperly – either not enough or too much. Think about breast implants: proper size, done well – very beautiful. Too big – bizarre and strange. When too much Botox® is used, it could be due to a combination of bad judgment and patient request – this is not unlike the factors often involved in the gigantic Hollywood breast implant situations. This might result in a face that does have limited expression and looks bizarre or strange. When Botox® is properly used, we see face that looks “nice” and we might not even suspect that a treatment with Botox® was even involved. But Botox® can be underused too – if only one spot is treated, it might look like that is exactly what was done – you got rid of your wrinkles “right there”. An area of the face left untreated might look even worse than it did before simply because of the contrast. Botox® works best when it is used in several key locations to create an overall improved look rather than to simply get rid of this or that line. The result should be that you have that generally more relaxed, less stressed, more pleasant, more awake, more interested, just got back from vacation, been sleeping really well, look healthy, look younger, look happier, more approachable, less angry, more friendly, got the world by the tail, more satisfied, things are going well – kind of look!
Dr. Lyle Back is originally from New York City, receiving his medical and surgical training at Rutgers Medical School, Cooper Hospital – University Medical Center, and Ohio State. He is Board Certified in General Surgery (ABS) and Plastic Surgery (ABPS). He is a Fellow of the American College of Surgeons (ACS), the American Academy of Cosmetic Surgery (AACS), and a longstanding member of the premier American Society of Plastic Surgeons (ASPS). He served as a Professor of Plastic Surgery at Temple University and St. Christopher’s Hospital for Children and performed reconstructive surgery with “Operation Smile” in Vietnam. He specializes in the full range of the most modern and state of the art facial cosmetic surgery procedures and non-surgical cosmetic enhancement techniques available today.
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