Boulder Botox doctors

Shawn Allen, MD Shawn Allen, MD
Boulder Dermatologist
4840 Riverbend Rd Suite 100, Boulder
23 answers
Isabel Zhu, MD, PhD Isabel Zhu, MD, PhD
Boulder Dermatologist
12207 Pecos St. 500, Westminster
9 answers
Paul C. Zwiebel, MD Paul C. Zwiebel, MD
Denver Plastic Surgeon
2050 East County Line Road, Highlands Ranch
Claude H. Burrow, MD Claude H. Burrow, MD
Boulder Plastic Surgeon
2800 Folson St Suite B, Boulder
T. Casey Gallagher, MD T. Casey Gallagher, MD
Boulder Dermatologist
1140 W. South Boulder Rd. Suite 202, Lafayette

Recent Answers

Rapid Heartbeat, Anxiety and Tightness in Chest After Botox Injection, Is this Normal?

I have had two sessions of botox....one in the forehead region and the other for excessive sweating in the armpits. Both sessions resulted in rapid heartbeat, anxiety, a tightness in the chest area when breathing. It was not severe enough to warrant medical attention and it lasted about 18 hours post injections. I'm very nervous to try again. Is this a severe reaction or more of a common reaction? Would using a smaller dose be wise? Thank you.... Tracey

A: Anxiety from Botox

Although, as other doctors have commented , anxiety may explain what you describe it is also possible that if you had a local injection of anesthesia that contained epinephrine or the doctor mixed the Botox with this for the armpit injections then this would not be unexpected to have what we call the epi effect, sort of an adrenaline rush. So first check out what the doctor used to mix your botox. Then if it was saline, I would discuss your symptoms you had with your doctor to decide how to proceed with future injections if needed.

Shawn Allen, MD
Boulder Dermatologist
Should Botox Be Administered While You Are Lying Down or Sitting Upright?

I've had 2 different doctors administer Botox. One indicates it is not acceptable to give the injections to a patient that is lying down. The other indicates it is okay to inject in a prone patient. Does it matter?

A: Botox injections

For all injections I like my patients to be in a seated position as this is what appears naturally during day to day interactions and will give to the best landmarks for your injection.  For fillers lying down would be problematic.  For Botox or Dysport less problematic but still preferable to have the patient sitting upright .

Shawn Allen, MD
Boulder Dermatologist
Cataracts Surgery and Botox

I have a scheduled cataracts surgery in 2 weeks , but I alsohave a class reunion in 4 weeks and I want botox to smooth my lines before then . Can I get botox injections a week before cataracts injection? Is there any contraindication?

A: Botox before cataracts

There should be no contraindication.  I would just run this by your opthalmologist .  As for the onset of action. Dysport and likely Botox should start working much sooner than the 2 weeks mentioned. For my patients Dysport works in 48 hours in 90% or more of them so you should be in good shape for your reunion if done at least 1 week prior.  As always it is a great idea to  have a skilled board certified dermatologist, facial plastic surgeon , oculoplastic surgeon or plastic surgeon perform any and all cosmetic injections since they are highly experienced with the underlying anatomy

Shawn Allen, MD
Boulder Dermatologist
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