Evanston Doctors

I'm 29 and Might Need Botox, How Can I Tell if the 11's Are From Fat or Wrinkles?

I'm 29 years old and have deep vertical lines between eyebrows. I went to a dermatologist not long ago, and pointed it out. She said some overweight people accumulate fat above the eyebrows, and that maybe if I lost weight the lines would diminish. She doesn't offer fillers, so maybe that's why she said that. But my lines are deep "11s". They are embarrassing, and I'm still nursing my son once a day so Botox seems scary. Would Juvederm help? I hear it's safe as it's naturally in our skin.

Your 11's, can be caused by contraction of the muscles between your eyebrows (glabellar muscles) or from shrinkage of tissues. Botox or Dysport can be used at first to see if the wrinkles improve. If the wrinkles do not improve, then a filler can be used. I would wait until you are done nursing before undergoing any treatment.

Adam J. Cohen, MD

Chicago Oculoplastic Surgeon

Can You Exercise After Botox or Will It Decrease the Results?

Can You Exercise After Botox  or Will It Decrease the Results

There is no evidence that the effects of Botox or Dysport are reduced if a patient exercises on the same day of treatment.

I never restrict patient activities after their injections, since no effect on their results will occur.

Adam J. Cohen, MD

Chicago Oculoplastic Surgeon

Safe to Get Botox Around the Eyes 8 Weeks After Vitrectomy?

I am 8 weeks out from vitrectomy for detached retina. I would like to get botox injections around my eyes for "crows feet." Would it be safe to do so at this time?

There is no reason why you cannot have Botox injections eight weeks after retinal surgery. When properly used, Botox only affects the muscles around the eye and does not interfere with the function of the eye.

Adam J. Cohen, MD

Chicago Oculoplastic Surgeon