Buffalo Botox doctors
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Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon
6453 Morrison Street Suite 201, Niagara Falls |
97 answers | |
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Todd B. Koch, MD
Buffalo Plastic Surgeon
6315 Sheridan Dr, Williamsville |
5 answers | |
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Andrew P. Giacobbe, MD
Buffalo Plastic Surgeon
7 Hopkins Road, Williamsville |
5 answers | |
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William F. DeLuca Jr, MD
Albany Plastic Surgeon
711 Troy Schenectady Rd Suite 123, Latham |
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3 answers |
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Joseph Neiman, MD
Buffalo Dermatologist
1140 Youngs Rd, Buffalo |
Recent Answers
I read the paragraph below on an Oprah.com article, and was wondering if this muscle is commonly or ever frozen by botox injections? "When someone smiles out of genuine delight, a facial muscle called the orbicularis oculi involuntarily contracts, crinkling the skin around the eyes. Most of us are incapable of deliberately moving this muscle, which means that when a person fakes a smile, her orbicularis oculi likely won't budge."
In particular when used in aesthetic medicine, BOTOX® is mainly used to relax muscles, seldom to freeze them.
Almost all of my patients want a natural, wholesome, relaxed appearance. This can usually be achieved by simple treatment with moderate doses of BOTOX®.
In subsequent treatment sessions the dose of BOTOX® can be adjusted up or down [as the patient wishes] to adjust the degree of relaxation of the orbicularis or other muscles of facial expression. For example, in the spring and summer when patients are squinting more in the bright sunshine, some prefer to have an increased dose of BOTOX®, then drop back a bit to a lower dose in the autumn.
Some patients have remarked that they feel that they can express themselves more accurately after they have had treatment with BOTOX®, because after BOTOX® they are not making unwanted or excessive facial expressions.
I'm a 45 year old woman considering botox for platysmal bands but very concerned about swallowing/breathing difficulties reported. However unlikely. I have googled any number of key words, but not been able to find what kind of dosage level the people had who had trouble? And would it be a sensible strategy to have the dosage in two batches - say 20 units one week with another20 the next? To establish that placement of the 1st ok and neither dosage of itself big enough to paralyse esophagus?
Platysmal bands respond well to BOTOX®.
As Dr. Altman has pointed out, it is important to have this work done for you by a physician who is experienced, and who has a good understanding of the anatomy of the neck.
I have found it very useful to ask my patients to contract their neck muscles in such a way that the vertical bands stand out. Then I hold the bands away from the neck while carefully injecting them with BOTOX®. By holding the bands away from the neck, I can make sure that the BOTOX® stays in the platysmal muscles within the bands AND I can make sure that the BOTOX® does not get into the deeper tissues of the neck, where it would get wasted and/or cause unwanted muscle relaxation.
In some individuals, relaxation of the platysmal muscles immediately below the posterior half of the jawline can allow the skin to drape more nicely as it crosses the jawline, sometimes referred to as the "Nefertiti Lift".