Bellevue Botox doctors

Richard P. Rand, MD, FACS Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
1135 116th Ave. NE Suite 630, Bellevue
79 answers
Lisa L. Sowder, MD Lisa L. Sowder, MD
Seattle Plastic Surgeon
Suite 1650 901 Boren Avenue, Seattle
22 answers
Philip Young, MD Philip Young, MD
Bellevue Facial Plastic Surgeon
1810 116th Ave. NE Suite 102, Bellevue
22 answers
Scott Sattler, MD Scott Sattler, MD
Bellevue Plastic Surgeon
2364 Fairview Ave East, Seattle
20 answers
Henri P. Gaboriau, MD Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon
22840 NE 8th St. #103, Sammamish
19 answers
William Portuese, MD William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle
11 answers
Shahram Salemy, MD Shahram Salemy, MD
Seattle Plastic Surgeon
901 Boren Avenue Suite #1650, Seattle
11 answers
Sam Naficy, MD Sam Naficy, MD
Seattle Facial Plastic Surgeon
1110 112th Ave NE Suite 150, Bellevue
7 answers
Samson Lee, MD Samson Lee, MD
Seattle Facial Plastic Surgeon
1135 116th Avenue N.E. Suite 500, Bellevue
6 answers
Thomas A Lamperti, MD Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon
1101 Madison Street Suite 700, Seattle
4 answers
Daniel Levy, MD Daniel Levy, MD
Bellevue Dermatologic Surgeon
4455 148th Ave NE, Bellevue
3 answers

Recent Answers

Botox Has Worsened Already Paralyzed Frontalis Eyebrow Muscle, Can Anything Be Done?

Previous paralysis of one eyebrow 8 mo.after coronal brow lift, when doctor injected Botox above inner eyebrow.Site bled, was sore with lump,needle mark for 3 mo.before laser.Now 1 year after surgery, brow only moves at outer edge,no movement where Botox was.Tried rubbing Botox area,makes red spot,but less sore. Was Botox in"sack"under needle mark? Eyebrows1"difference,looks horrible-like stroke victim.Wish I never had ANYTHING done! Advising 2yr.wait is horrid.VERY discouraged!Any hope-Advice?

A: No real treatment for truly paralyzed nerve

If a nerve branch is truly paralyzed, there is no intervention that can accelerate the potential nerve healing. Sometimes the nerve will heal and regenerate. Other times it will not. Its possible that is why your surgeon wants you to wait a couple of years.

A second opinion is definitely a good idea. Photos with and without raising eyebrow would also be helpful.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
Is the Orbicularis Oculi Muscle Ever Frozen with Botox Injections?

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."

A: Obicularis occuli

The obicularis occuli acts as a sphincter for the eye.  It is a ring like muscle that squeezes the eye shut.  There are other sphincter muscles such as the mouth sphincter (obicularis oris) and the anal sphincter (under appreciated until it doesn't work properly).  

Botox to the crows feet weakens the obicularis occuli and it is never injected to totally wipe it out.  A very, very nice improvement to the crows feet can be made with careful injection that allows for smiling with the eyes but without the really, really corrugated appearance that leaves permanent creases. 

With the scowl muscles between the eyes, I try to wipe them out with a good dose of Botox because no one needs to scowl unless you are a mother of teenagers, a blues singer or a character actor. 

Oh, and one more tidbit,  Botox is sometimes used in the anal sphincter for spasm of that muscle or sometimes for anal tears.  I know, TMI.

Lisa L. Sowder, MD
Seattle Plastic Surgeon
How Long Does Botox Take to Work?

I am 24. My frown lines are very deep especially for my age. I had botox twice. I am not able to frown, however, I have not seen a difference in my frown lines. My dermatologist did not want to give me more than 20 units. Do I just need more Botox or another treatment? I have had the lines Since I was 22.

A: Botox for glabellar frown lines

The muscles that made the frown lines are now out of commission but it will take months for the lines to smooth out.  You could consider filler to this area to tide you over until the skin smooth out. 

Also, keep up with the Botox.  If you had a frown habit, it will return when the Botox effect wears off.  Also, it has been my experience that each subsequent injection lasts longer and often requires less Botox.  Good luck!

Lisa L. Sowder, MD
Seattle Plastic Surgeon
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