Marcel F. Daniels, MD

Patients desiring facial rejuvenation are bombarded by a confusing variety of choices. Botox is usually effective in improving lines and wrinkles caused by muscle contraction, especially frown lines and crows feet. Botox can also be used for forehead wrinkles but once the forehead muscles are relaxed the eyebrows occasionally come down one or two millmeters and patient's complain that their eyes look smaller. Botox for lip lines is not as effective because of the potential for interfering with lip movement. Fillers can help with lip lines but often are relatively short lived due to constant muscle use. Fillers are more effective in treating nasolabial fold lines and marionette lines.

A lot of facial lines can be improved/eliminated by facial resurfacing so you may want to explore the latest generation of fractionated CO2 lasers which offer several advantages over older resurfacing techniques. Hope this helps!