Walnut Creek Botox doctors

M. Christine Lee, MD M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon
1479 Ygnacio Valley Rd. Suite 209 , Walnut Creek
14 answers
Jerome Potozkin, MD Jerome Potozkin, MD
Walnut Creek Dermatologic Surgeon
600 San Ramon Valley Blvd Suite 102, Danville
7 answers
David Mabrie, MD David Mabrie, MD
Bay Area Facial Plastic Surgeon
166 Geary Street Suite 1502, San Francisco
6 answers
Joseph Mele, MD Joseph Mele, MD
Walnut Creek Plastic Surgeon
130 La Casa Via Building 2, Suite 206, Walnut Creek
5 answers
Michael R. Macdonald, MD Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
500 Sutter St Ste 430, San Francisco
2 answers

Recent Answers

Does Botox Have to Be Diluted Before Injecting?

Does Botox Have to Be Diluted Before Injecting?

A: Botox Dilution

Botox is shipped as a powder. Sterile saline is added to the bottle, with the amount of volume added determining the dilution. There is an acceptable range, and there are benefits and drawbacks to each endpoint.

With higher concentrations it may be a little harder to control the dose, but there is less diffusion. Lower concentrations make it easy to measure dosages; however, the more dilute botox spreads farther. This is bad when nearby muscles are inadvertantly paralysed, but can be good for treating larger areas like the central or upper forehead.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
Under Eye Still Puffy 9 Months After Botox

hi! i had botox injected for the first time on the crows feet area 9 months ago. the next day i had a puffy bag section under my left eye that i have never had before in my life (i am 40) i've never had bags under my eyes, and only had a few fine lines before getting the botox. it's 9 months later and that little puffy bag is still there. will it ever go away? did the botox permanently paralyze that muscle and it is not able to get rid of the fluid under that eye now? help!!

A: Puffy after Botox?

Are you certain you had Botox? Botox and Dysport are delivered in a small amount of water. The swelling from the injection resolves in a few days. Both cause temporary paralysis of the muscles, and it is this that decreases the folding of the skin. While the glabellar frown lines can often be eliminated, laugh lines are reduced about 50% for most people. The cheek muscles will still pull the skin upward towards the eye causing some persistent wrinkling in the crow's feet area.

Fillers like Restylane and Juvederm are also used around the eyes. They do not stop motion, but do fill lines.  If over injected these can cause bags or lumps that can last for months. 

Injectables like Botox and Restylane seem very simple to use, and they require very little equipment and overhead. As a result, their use has spread far beyond the doctor's office. The best injectors are not often the cheapest, and unfortunately, after there are problems, people are more likely to check credentials. 

I would recommend following up with your injector. What you are describing does not seem possible with a single Botox injection, but you cannot be properly evaluated via the Internet. For your safety, find a qualified professional in your area, and make certain you do not have some other unrelated problem developing.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
Botox for Sweating - Can Anyone Get Botox for Sweating?

I know all about Botox for wrinkles, but not for underarm sweating. I’m constantly running late in the morning and always forget to put on deodorant, cause the phone’s ringing and my blackberry is blowing up...then I leave and end up smelly by lunchtime! Is Botox for hyperhidrosis for anyone or just people who sweat too much?  Can I get it even if I haven't been diagnosed with hyperhidrosis?

A: Botox for hyperhidrosis or sweating

Botox is a wonderful treatment for sweating of the armpits.  The amount of money you save from dry cleaning and wear and tear on your clothes will pay for the cost of the Botox.  Someone with excessive hyperhidrosis (sweating) may need 200 or more units (total for both armpits) of Botox to give them 6-9 months of being sweat free.  Someone with less active sweating may be able to get by with 50-100 units.

M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon
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