Detroit Botox doctors
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Khaled El-Hoshy, MD
Detroit Dermatologic Surgeon
14555 Levan Rd. Suite 410, Livonia |
34 answers | |
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Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
44650 Delco Blvd, Sterling Heights |
12 answers | |
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Evan Black, MD
Detroit Oculoplastic Surgeon
29201 Telegraph Rd Suite 324, Southfield |
1 answer | |
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Giancarlo Zuliani, MD
Detroit Facial Plastic Surgeon
1135 West University Drive Suite 440, Rochester |
1 answer | |
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William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms |
Recent Answers
Is the Dilution of Botox Different for the Lower Face Than the Upper Face?
Botox comes as a dry "residue" in a sterile vial. In order to inject this medication into the appropriate muscles, one must reconstitute it with sterile saline solution. What really matters is the actual number of units being administered and the skill/experience of the person injecting the substance. We generally use a lower dosage around the mouth and lower eyelids than in the forehead and frown lines.
4/11 in Texas I got "10 units Botox in 1 syringe, 7 for forehead/glabella, 3 for frown lines at $25 a unit=$250, dilution ratio 4:1. Saw results I was pleased with (didn't know what to expect for 1st time but definitely improved) for 5 months. 10/2011 MD -recommends 20-25 units for forehead/glabella and 20 (total) for both frown lines so 40-45 total 'units'. Cost around $575. See everywhere that current recommendation is the norm. Confused by what what given in TX. What am I missing?
The proof is in the pudding: if u got results & are happy with them, u have received the corect amount. Usually the total dose for the "11 ' frown lines is 12-25 units, depending on the particular patient. However , I do have a couple of patients that receive only 6 units total. Any higher doses, for them, lead to abnormal looks! In ur case, maybe u misunderstood the number of units used. Bottom line: you are happy with the results,[ & the total price is very reasonable].
I just received my first Botox injections yesterday. They are from a very reputable plastic surgeon, so he knows what he's doing - but it seems that there is almost an EXTRA new wrinkle above my brow. It's as if the skin is weighing down on it and causing a new wrinkle. Not only that (and I know it can take up to a week to see full results), but I don't see even the most MINOR improvement whatsoever in my glabellar lines. I paid almost $600 for this, so I'm pretty upset. Any recommendations?
After spending a fair amount on your treatment I can see how you would be anxious to see instant results. However I tell my patients to wait at least a week before coming back in for any touch up injections. I have my patients do some facial expression exercises to ensure the treatment gets into the targetted muscle evenly and also have them refrain from cardiovascular exercise for 1 day after the treatment so the it is not carried away from the sites we previously targetted.
