Manchester Botox doctors

James Bartels, MD James Bartels, MD
Manchester Facial Plastic Surgeon
30 Canton Street Suite 2, Manchester
13 answers
Jeremy Waldman, MD Jeremy Waldman, MD
Manchester Plastic Surgeon
17 Riverside Street Suite 105 , Nashua
1 answer
Mark B. Constantian, MD Mark B. Constantian, MD
Nashua Plastic Surgeon
19 Tyler St #302-304, Nashua
Peter T. Pacik, MD Peter T. Pacik, MD
Manchester Plastic Surgeon
57 Bay Street, Manchester
Wayne Stadelmann, MD Wayne Stadelmann, MD
Manchester Plastic Surgeon
248 Pleasant Street Suite 201, Pillsbury Medical Office Building, Concord

Recent Answers

I Have Uneven Eyebrows, Will Botox Fix This? (photo)

I have uneven eyebrows, although when I smile, they even out. (Why is that??) I had to have stitches above my right eyebrow when I was younger and ever since, I have had nerve pain and numbness in that area. You can see the indent and scar tissue above/to the edge of my eyebrow. I'm wondering if this is why my eyebrows are uneven or is it my left eyebrow that is too low? What could I get done to fix this? Thankyou.

A: Botox for Uneven Eyebrows

Yours is an interesting problem, and thanks for including the photos.  I'll bet you get some different opinions from the experts on this forum, and there likely is not one single correct answer.

Numbness and nerve pain indicates that you probably sustained an injury to the supraorbital sensory nerve on that side.  You may also have some minor facial motor nerve damage,or the scarring may be releasing the downward pull of the orbicularis muscle on your right side, making the lateral brow higher.  Botox injected into the lateral brow area on the opposite (left) side will give a slight elevation and likely will get the height more symmetric at rest.  In addition, the scar on the right, which appears to be depressed in the photo, might be able to be made less conspicuous by injection of a hyaluronic filler, such as Restylane or Juvederm.

There is also slight asymmetry of your upper eyelids, making your right eye look a little smaller when you smile.  This is not amenable to correction with Botox, but there are other options (which are beyond the scope of this discussion).

James Bartels, MD
Manchester Facial Plastic Surgeon
Is It Ok to Receive Botox Injections Around Eyes While Lying Down?

Is It Ok to Receive Botox Injections Around Eyes While Lying Down?

A: Position During Botox Injections

It probably does not really make a difference what position you are in during injections - it is a matter of your comfort and that of your injector.

Much more important is to be sure of the credentials and experience of the person injecting you!  For best results, use someone from the cosmetic "Core Specialties":  Facial Plastic or General Plastic Surgery, Dermatology, or Oculoplastic Surgery.

James Bartels, MD
Manchester Facial Plastic Surgeon
Can I Have a Full/half Facial 11 Days After Botox?

I had Botox injected for the first time, into my forehead and between my eyebrows, on the 9th June. I'm due to have a facial on the 20th June. Can i a)Still have a full facial. b)Have the facial on the areas that aren't treated,eg, cheeks, nose, neck and chin. c) Not to have a facial at all.

A: Facial after Botox - OK after 24 Hours!

Botox is taken up by the target muscle nerve endings very quickly and it certainly should be no problem to have a facial after 11 days.  With certain fillers, such as Radiesse, I recommend waiting two weeks before having a facial or even dental work so that the results don't get altered by the manipulation.

James Bartels, MD
Manchester Facial Plastic Surgeon
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