Joplin Botox doctors

	Keith A. LaFerriere, MD Springfield Facial Plastic Surgeon 1965 S. Fremont, Ste. 120, Springfield		1 answer
	Christian Prada, MD Saint Louis Plastic Surgeon 17300 North Outer 40 Road Suite 300, Chesterfield		1 answer
	William H. Huffaker, MD Saint Louis Plastic Surgeon 17300 N Outer Forty Road Suite 300, Chesterfield
	Davis L. Bronson, MD Joplin Plastic Surgeon 1532 W 32nd Street Suite 202, Joplin

Recent Answers

Can I Have my Eyebrow Rasied by Botox? (photo) I am a caucasian male, age 47 with fair skin. I would like to have the eyebrow raised by Botox, (see photo) is this possible, ?, where would the injection be, would it give me a surprised look (I don't want that outcome). How many units ?. And how much of a lift could I realistically achieve ?

A: Botox to raise the eyebrow

I agree that botox can be used to raise the eyebrow. In general the botox should be placed in the forehead above a line drawn across the middle of the forehead. I dont usually inject it lateral to the iris (colored part of the eye). By doing this you knock out the function of the eyebrow elevator, which causes wrinkles to the forehead, but preserve enough function laterally to still raise the lateral eyebrow. Some inject into the brow to decrease function of the obicularis muscle of the eye (the muscle that allows you to shut your eyes and pulls your eyebrows down). This is a little bit more risky, but in good hands likely works well to help raise the lateral brow even further.

Christian Prada, MD

Saint Louis Plastic Surgeon

What's the Maximum Amount for 11s? I am trying to get rid of my 11s between my eyebrows. So far I have recieved 50 botox units. 20, then 15 and 15. all a week apart. Things have softened but still have quite a bit of movement. Dr. just keeps telling me that I have strong muscles and havent met my theshold yet. At what point do I just give up? how much is too much?

A: Treatment for the "11's" when Botox fails to eliminate

If your concern is persistence of the 11's with or without movement, then Botox isn't the entire answer. These frown lines are the result of long standing activity of the frown muscles and will need to be "filled" with hyaluronic acid fillers like Restylane or Juvederm, or permanently softened by placing your own tissue under the frown lines to fill the depression. This latter procedure can be performed under local anesthesia and is an excellent, more permanent alternative to injectable fillers.

Keith A. LaFerriere, MD

Springfield Facial Plastic Surgeon