Lincoln Botox doctors

David Finkle, MD David Finkle, MD
Omaha Plastic Surgeon
4911 South 118 Street, Omaha
12 answers
Ann Lott, MD Ann Lott, MD
Lincoln Dermatologist
2900 South 70th Street Suite 450, Lincoln
3 answers
Mitchell J. Henry, MD Mitchell J. Henry, MD
Lincoln Plastic Surgeon
2222 S. 16th Street Suite 300, Lincoln
Mathieu L. Hinze, MD Mathieu L. Hinze, MD
Lincoln Plastic Surgeon
1730 South 70th Street Suite 210, Lincoln
Margaret Kontras Sutton, M.D. Margaret Kontras Sutton, M.D.
Lincoln Dermatologist
Lincoln

Recent Answers

Botox Side Effects

I read that Botox has some side effects like droopy eyelids. Is Botox safe?  Any tips for making sure my Botox (first time!) has no bad side effects?

A: Botox is safe

Botox is very safe with minimal side effects.  Botox only lasts 3 months, so if you did get a droopy eyelid it would subside when the Botox wears off.  An experienced Botox injector would be able to adjust the dosage and technique to prevent a droopy eyelid from occuring again.  Make sure you have a board certified physician perform or supervise your Botox injections.

David Finkle, MD
Omaha Plastic Surgeon
Post Botox Eye Injection Side Effects and Healing, And General Botox Questions.

What is prevalence of crystalline/metallergic type of materials oozing out of botox inj sites 4.5 months post botox causing inflam, swelling/hardening of tissues of both upper and lower eye lids;slowing lymphatic pathways/swelling both the upper/ lower eyelids. There are many significant dangers of getting this treatment done outside of a surgeons office, do you know why these treatments are allowed outside of a plastic surgeon's office? How often do you refer post surgical and botox MLD work?

If folks are getting inj on their face to relax the muscles to calm down the wrinkling aren't the injections affecting the muscle circulation directly,incl venous/lymphatic flow and won't BOTOX affect surrounding tissue from cms to inches around the injection site/s? Y are we not suggesting patients get MLD work on their face to prevent and heal wrinkling? Our vanity & quick fix is going to be a detraction.Are BOTOX positive affects a guarantee of never wrinkling again?

A: Botox side effects

Botox does not cause the side effects that you have mentioned.  My guess is that you did not have "real" Botox injected.  Make sure you go to a board certified physician to obtain your Botox.  Receiving injections from pharmacies and "mall spas" are not a good idea and could lead to the type of problems you are experiencing.

David Finkle, MD
Omaha Plastic Surgeon
Confused About Units of Botox Received Previously Vs. New Recommendation, Am I Missing Something?

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?

A: Botox dose ranging study

The Carruthers (the Docs who brought the cosmetic use of Botox to us) have done several dose ranging studies that were reported at our national dermatology meetings. The average dose for females was 25units in the glabella area.The low dose they used was 20. It may be that there was some misunderstanding of the dose you recieved in Texas. I my many years of injecting Botox I haven't had any patient with define gabellar lines get by with only 10 units.

Ann Lott, MD
Lincoln Dermatologist
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