Simi Valley Botox doctors

Andrew Kaufman, MD Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
267 W Hillcrest Dr, Thousand Oaks
12 answers
Tjerk F. Bury, MD Tjerk F. Bury, MD
Simi Valley Plastic Surgeon
351 Rolling Oaks Dr. Ste. 203, Thousand Oaks
Christopher Costanzo, MD Christopher Costanzo, MD
Thousand Oaks Plastic Surgeon
2190 Lynn Rd Suite 380, Thousand Oaks
Michael Fealy, MD Michael Fealy, MD
Simi Valley Plastic Surgeon
2750 N. Sycamore Drive Suite 200, Simi Valley
William J. Fisher, MD William J. Fisher, MD
Simi Valley Plastic Surgeon
1250 La Venta Dr Ste 202, Westlake Village

Recent Answers

Does Botox Deaden Perception?

I read this article from USA Today about Botox deadening perception of others emotions. It says that because one can't mimic facial expressions when one has Botox, you may not be able to pick up on someone else's emotions. How concerned should patients be about this newly discovered side affect?

http://yourlife.usatoday.com/health/medical/story/2011/04/Botox-may-deaden-perception-study-says-/46378296/1

A: Does Botox Deaden Perception?

When properly performed Botox softens dynamic wrinkles. These are wrinkles caused by motion (i.e. dynamic). A person should still be able to smile, frown, cry, etc. In other words, when done properly and naturally Botox will not prevent somebody from showing or perceiving emotion. This is the real world situation. Of course, if someone were to use enough Botox to stop all muscle activity on the forehead, between the eyebrows, and in the crows feet area then it might blunt the appearance of that person's emotion. But this is not the result that one should strive for when treating with Botox.

We have some examples of natural-appearing Botox treamtents on our RealSelf page and more on our website.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
Botox at 29 As a Preventative Measure?

I just had a consult with a dermatologist because I am starting to develop some discoloration, fine lines around my eyes and crows feet when I smile. He suggested that I have a peel and a microderm and then come in for botox for my crows feet. He said that botox gets a bad hype and that it won't paralyze my face... and it will actually help my crows feet from getting deeper in the future. And he said he will just use very minimal. Any advice? I attached a pic of my eyes when I am smiling...

A: Botox for Crow's Feet... Preventative?

First of all, if the lines bother you then I think Botox would be a good alternative. It will help to soften these fine lines and help them from becoming worse. If they don't bother you enough now to do something about it, then hold off for now. In addition start using a good sunscreen that you like to use and other sun-protective measures (like hats and seeking shade). Those things are the best options to prevent other wrinkles from developing in the future.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
How Many Units to Botox Crow's Feet?

I have had Botox for a few years and love it. I have changed my location. I have a new person doing Botox, my problem is I have always maintained 22-24 units that has been perfect and on one occasion 28 units. Which was great as well. My problem is this, my new person that is doing Botox has guessed 39 units I was shocked, I told her no.

A: Botox Dosage for Crow's Feet

Amount of Botox necessary to treat an area is somewhat variable, but 39 units for this area seemsrather high. I think most providers would use 20-24 units for both sides total, maybe 28 units rarely. But to start off by suggesting 39 units.... that seems a little out of line. I charge based on the area(s) that I'm treating and not based on the number of units that I use. I think if this doctor is recommending almost twice as much Botox as what you've used before with good results I would consider finding another doctor.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
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