Saint Paul Botox doctors

Richard H. Tholen, MD, FACS Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4825 Olson Memorial Highway (Hwy 55) Suite 200, Minneapolis
20 answers
Joseph Campanelli, MD Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
2080 Woodwinds Drive Suite 220, Woodbury
18 answers
Charles Crutchfield, MD Charles Crutchfield, MD
Minneapolis Dermatologic Surgeon
1185 Town Centre Drive Suite 101, Eagan
5 answers
Christopher Tolan, M.D. Christopher Tolan, M.D.
Saint Paul Facial Plastic Surgeon
2080 Woodwinds Drive Suite 220, Woodbury
2 answers
Heather Rocheford, MD Heather Rocheford, MD
Saint Paul Plastic Surgeon
2101 Woodwinds Dr Suite 400, Woodbury

Recent Answers

Bruising After Botox, Is this Normal?

I had Botox injected saturday afternoon. Sunday morning I woke up with a red dot in the middle of my forehead and a few by my hair line. I have read that brusing is normal sometimes. The first time I had this done I had nothing. Its Monday night now and the dot has not gotten any better. is this just a broken blood vessel and how long w/it last? Besides that the botox so far looks good.

A: Bruising is normal after Botox but can be minimized

The vascular bed within the skin is random.  The more pokes you do, the more of a chance you have of hitting a small blood vessel and causing a bruise. Experienced physicians can become very skilled at minimizing any bruising with Botox injections.  As they say, the most important thing about any Botox treatment is not necessarily the price, but the physician doing the treatment.   There is a new program to designate physicians with solid experience injecting Botox. Look for the "Expert Injector" Certification in a physician when selecting a Botox treatment.

Charles Crutchfield, MD
Minneapolis Dermatologic Surgeon
Will Botox Work to Create a More Symmetrical Face Along the Jawline?

hi. I'm 28 & plan on doing rhinoplasty/chin implant soon. one side of my face is more heart shape (i like) & the other is more square shaped. I'm about 5'5 and 115 lbs but I have a chubby face so when I smile it becomes round and odd. I'm not sure if it's the fat that's making my face look uneven or what. I also have deep tear lines & want to have some dermal fillers for that. is there a specific order this should be done as to not interfere with the next procedure? idk where to start.

A: Botox can contour the jawline

I routinely use Botox/Dysport  to soften wide jaw lines.  It works remarkably  well and takes 4 treatments, spaced out every 3 months. It diminishes  the size of the masseter muscles (the large muscles in the cheeks for chewing) but it has no effect n chewing!  It turns out great and looks very nice.

Dr. Crutchfield

Charles Crutchfield, MD
Minneapolis Dermatologic Surgeon
Did Botox and 6 Months Later when I Frown with Brows Pointing Down There is a Ridge- Why?

Got botox 6 months ago and liked it EXCEPT when I would raise my brows there was a subtle bump above where my frown would be and when I would frown with my brows pointing down- there would be this dragon-like ridge! Any experience w/ this? I went to dr yesterday and he commented on what an odd face and treated it. Today, it looks better but if I want more results, should I wait a week or another month to see him? The muscles btwn my brows aren't as subdued as the sides so still there...

A: Botox should be mostly worn off by 6 months--"ridge" or "bump" is caused by return of muscular contraction.

You obviously had changes in your frown and forehead crease lines from your injections 6 months ago, and there may still be some muscle fibers that are partially paralyzed while others have returned to full activity. This can cause subtle (and sometimes not so subtle) abnormalities in expression.

Retreatment with additional Botox, Dysport, or Xeomin (all botulinumn toxins manufactured by different companies) can reduce or eliminate those unusual contractions. You had treatment yesterday and are already beginning to see improvements, but final effects will not be evident until 1-2 weeks has passed. Some injectors (doctors, or nurses working under a doctor's supervision) may be willing to take more of your money and add more Botox, but that would be inappropriate, IMHO, until the full effects of your initial injection have been seen.

Over-soon re-injection of Botox is one way to inadvertently cause eyelid droop or other "oops" results, so most experienced injectors would wisely advise you to wait a minimum of 2 or more weeks before considering any sort of additional injection (free touch-up or otherwise). You would be wise to listen!

 

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
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