Tacoma Botox doctors
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Lisa L. Sowder, MD
Seattle Plastic Surgeon
Suite 1650 901 Boren Avenue, Seattle |
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22 answers |
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William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle |
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11 answers |
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Sam Naficy, MD
Seattle Facial Plastic Surgeon
1110 112th Ave NE Suite 150, Bellevue |
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7 answers |
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Daniel Levy, MD
Bellevue Dermatologic Surgeon
4455 148th Ave NE, Bellevue |
3 answers | |
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Joseph Shvidler, MD
Tacoma Facial Plastic Surgeon
1708 Yakima Ave. Suite 112, Tacoma |
2 answers |
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."
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.
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.
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!
Some of the fine print in literature about Botox injections can be pretty scary. Hello, death? I'm wondering if anyone who has received Botox for cosmetic reasons has died, or has this only happened in people who've used larger, off-label doses of Botox?
I am unaware of Botox Cosmetic being the cause of death or even anything more serious that some untintended or asymmetrical weakness near the area of injection. The dose is really, really small and really, really targeted. Jillions and jillions of injections have been done and the safety margin of Botox is really, really, really high.
Dr. Prendiville mentions in his answer a case of a doctor injecting some form of botulinum toxin not meant for human use and getting himself and some friends some time on ventilators.
Remember, you get what you pay for in this field of medicine. I get offers from time to time for "Botox" really cheap from off shore distributors. Make sure your plastic surgeon does not succumb to such temptations for making a quick buck.
