Bethesda Botox doctors

Chris Thiagarajah, MD Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
110 Irving St NW Suite 1A-01 301-277-4844, Washington
35 answers
Roger J. Oldham, MD Roger J. Oldham, MD
Bethesda Plastic Surgeon
10215 Fernwood Rd. Ste 412, Bethesda
4 answers
Eric Chang, MD Eric Chang, MD
Baltimore Plastic Surgeon
8860 Columbia 100 Parkway Suite 206, Columbia
1 answer
Nia Banks, MD, PhD Nia Banks, MD, PhD
Washington DC Plastic Surgeon
8116 Good Luck Road Suite 215, Lanham
Marwan R. Khalifeh, MD Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
5454 Wisconsin Ave Suite 1710, Chevy Chase

Recent Answers

Permanent Paralysis w/ Long-Term Botox Use?

If botox is being used on a regular basis to paralyze the facial muscles, will it eventually cause permanent facial paralysis?

A: Effects of Botox are not permanent

While it would very unusual for the muscle paralysis from Botox to be permanent, many patients have found that repeated, frequent Botox injections can give them a much longer favorable result that they are looking for.  While the effects of Botox usually last approximately three months in most cases, when injections are given in shorter intervals, after several injections, the effects can sometimes eventually last much longer. 

Roger J. Oldham, MD
Bethesda Plastic Surgeon
Why is my Forehead Region Still So Mobile After Botox Injection Post 9 Days?

I had my first injection of Botox 9 days ago. Unfortunately I do not remember how many units were injected. He also did a few more injections along the top of my eyebrow, but none for crow's feet. I'm 52 but the glabellar lines are really my only lines at this point. Anyhow, at 9 days I think the lines may possibly appear a little flatter, but with my forehead completely relaxed they are definitely still there, and if I frown or squint my brow folds up just like it always has. Is this normal?

A: botox and movement

There are multiple reasons why this could have occurred.

1. Some of the lines that you have in the forehead are very deep. Remember, the botox can soften the lines but if someone has a very deep line, it wont completely efface it.  

2. It sounds like you didn't have any botox on your forehead and thus should be able to move your forehead up and down. The botox in the glabellar area reduces the ability to bring your brows together (like when one is thinking deeply)..so in summary..totally normal

3. If you did have botox in your forehead and you can still raise your forehead then it could be because you didn't have enough..I have rarely seen a case where enough botox was used and a patient still can raise their forehead. Lots of times patients will say.."treat the forehead but only put a few units there". I tell them I can try but if you put too few units in an area it won't work well or will tend to wear off early. Its like saying "Get rid of the crime in Las Vegas but I only want you to use one police officer". Just doesn't work that way.

Without the units and the locations of your treatment it is difficult to say what exactly happened. If you aren't satisfied you should return and probably get more botox. One of the most common phenomenon that I see with botox is where patients in an effort to cut costs will reduce the amount of botox that they need and then be disatisfied with the results and it is due to the fact that not enough botox was used. Also, Rarely the botox just doesn't work on some people (<1%). Hope that helps.

 

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
Botox for Crow's Feet: Avoiding a Frozen Look

My dilemma: I like wrinkles around the eyes. They show warmth and happiness. The problem is that now I have LOTs of wrinkles that are way too long and deep for my age (30). I now look haggard rather than happy. Is it possible for botox to soften and decrease the wrinkling, but still to leave some wrinkles? Would that simply mean injecting fewer units? I would hate to have my eye area frozen!!

A: Botox for crows feet will not eliminate all the wrinkles

I have never seen Botox produce a "frozen " look when injected into the crow's feet.  It is very difficult or impossible to eliminate all of the wrinkles around the eyelids, but if you have Botox injected and aren't happy with the result, you won't have long to wait for the Botox to disappear.  In three months, it will return to the pre-injection appearance.

Roger J. Oldham, MD
Bethesda Plastic Surgeon
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