Providence Botox doctors

Yoash R. Enzer, MD Yoash R. Enzer, MD
Providence Oculoplastic Surgeon
120 Dudley St. Suite # 104, Providence
12 answers
Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
8 answers
Marla Angermeier, M.D. Marla Angermeier, M.D.
Providence Dermatologist
Providence
Lee Edstrom, MD Lee Edstrom, MD
Providence Plastic Surgeon
2 Dudley St Suite 460, Providence
Ellen H. Frankel, MD Ellen H. Frankel, MD
Providence Dermatologist
Cranston

Recent Answers

Is Swelling And Lumpiness 1 Day After Botox In Chin Normal?

I had Botox injections in my chin yesterday to smooth out the muscle (by a board certified cosmetic surgeon). Today, the muscle that was injected is swollen and lumpy - very elevated compared to the surrounding area. It is spongy to the touch and flattens out if I stretch the skin. It doesn't hurt at all. Is this a common side effect? Is it likely to resolve soon/completely? I've been taking ibuprofin and applying ice to the area to reduce swelling.

A: Chin lumps and swelling after Botox

Botox is not expected to cause swelling and/or lumpiness.  I would advise you to call the doctor who did your treatment, and ask to be evaluated.  If you were my patient I would ask you to come in that day.  Probably I would find nothing serious, but it would reassure you I cared and was looking out for your interests.

Yoash Enzer, MD

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon
Is It Possible to Get Breast Milk Tested for Trace Amounts of Botox?

I got Botox 3 days ago for the first time. I was actually getting an IPL and the dermatologist suggested Botox for my frown wrinkle.. I told him I was breastfeeding my 14 month old 1-2 times per day but that I wasn't making much milk - only 4 ounces. He said that as long as I didn't breastfeed for 2-3 hours that it wasn't a concern. I now regrget my decision after researching online. Can I get my milk tested to find out whether I should stop breastfeeding? :( I feel sick inside about this..

A: Botox in pregnant or breast-feeding moms

It is one thing to inadvertently inject Botox/Dysport/Xeomin into a woman who is pregnant or breast-feeding.  The manufacturers of these drugs suggest avoidance, and the medical literature is unclear of the risks.  However, it is quite another matter to inject these neuromodulators into a woman, fully aware that she is pregnant or breast-feeding, and on top of that dismiss any concerns.  I am absolutely horrified a colleague would knowingly do this.  I would feel morally obligated to discuss this with him/her for the sake of protecting the community and his other patients.  If he/she refused to stop I would make the Department of Health aware of this practice, for certainly it is not the community standard.

That being said, your baby will probably be safe.  Discuss this with your pediatrician, and if there is any concern stop breast-feeding.

Yoash R. Enzer, MD

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon
Is Juverderm and Botox Safe for Patients with Lupus

I am 36 and considering Botox and juverderm, I need to know if this is safe for me....I am not taking any meds for lupus.....I have a mild case.....can I get some advice...I need to make the right decision...thanks Ggg

A: Botox and Juvederm for patients with Lupus

Dear Ggg, You ask a very good question, and one that I have dealt with on many occasions.  This has never been studied with any degree of reliability.  When we call the manufacturers of these products to ask the same question they say there is no data available to give a recommendation.


The concern is that placing any foreign substance in your body could rev up your immune system, and suddenly your Lupus (or any other autoimmune condition) could become worse.  So the answer is: it is a risk that can not be ignored, and should be thoroughly discussed with your physician.  I do emphasize physician, as someone like you should only be treated by an MD/DO, and not a nurse or other ancillary provider.  You might want to discuss this with your Rheumatologist too.  Although you may not get a yes/no answer, at least you will have all the information necessary to make an informed decision.

Good luck,

Yoash R. Enzer, MD

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon
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