Experts Answer Your 6 Botox Questions

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Botox is a many-storied thing, with pop culture lending its fair share of (mis)representations. And as preventative injections are performed on women younger and younger, it’s important to ask: Do we really know what we’re doing?
That’s why we turned to two leading doctors in New York and Los Angeles to answer all our Botox questions. Dr. Dennis Gross is the creator of an eponymous line of skincare products with his own practice on the Upper East Side. Dr. Simon Ourian is a Beverly Hills-based plastic surgeon whose celeb clients include… well, he can’t tell us. But we promise they’re good.

People talk a big game about preventative Botox. At what age should we really start?“There is no set age; everyone’s skin is different. Genetic makeup, lifetime sun exposure, skin care regimen — they’re all factors in determining the first appearance of lines on the forehead, eyes, mouth, etc.” – Dr. Simon Ourian “When you’re younger, you may have lines and wrinkles only when you move for face… but as we age, continued movements can cause these to become permanent fixtures. Using Botox early can prevent those lines from becoming ingrained. It’s all stopping that wear and tear to prevent this progression of aging.” – Dr. Dennis Gross

What’s the difference between Botox and fillers? “Dynamic wrinkles occur when we use our facial muscles to smile or frown… and can be treated using Botox to block the nerve impulses that cause activity and, therefore, lines. Static wrinkles are those that can be seen when the face is at rest — Nasolabial folds, or laugh lines, are a good example. These are treated with dermal fillers, not Botox, as fillers literally fill in the depleted area and plump out the skin. It’s not uncommon for a combination of Botox and fillers to be used during one treatment session.” – Dr. Simon Ourian

And if we do decide to get Botox, how should one find a provider? “Ask a friend or family member. The best way is to find a provider whose results you’ve seen firsthand. Then make sure a medical doctor — not a registered nurse or technician — examines and consults you. The use of prescriptive injections is the practice of medicine. Also make sure the Botox you’re being injected with is the authentic product manufactured by Allergan AGN -1.69%Authentic Botox vials have an Allergan hologram, lot number and expiration date.” – Dr. Simon Ourian

What’s a normal amount to pay per treatment? “Cost is determined by the amount injected and the number of areas treated… It can range from $400 to $1,200 [per treatment].” – Dr. Dennis Gross

What can we expected before and during a treatment? “First, get a consultation. Then, it’s best to stay away from aspirin products like Aleve or Advil [for a few days prior], as they can increase the risk of bruising at the injection site. During the appointment, you’ll receive small shots into the region of the wrinkle. Patients experience minimal pain, and it lasts roughly 10 minutes. You may have a small bump on the skin after which should do down after 20 minutes. You can apply makeup directly after to cover any bruising, but don’t lie down for three hours afterwards and wait 24 hours to hit the gym.” – Dr. Dennis Gross

How frequently do we need to come back? When your Botox wears off, usually in four to six months, your skin will be back where you started with lines and wrinkles in the same place. To maintain its benefits, you’ll need to come back several times per year.
Article by
New York Dermatologist