Doris Day, MD

Botox can be used to help re-balance facial expression and reduce twitches in people who have Bell's and other palsy's. It is an advanced injection technique and requires an excellent understanding of facial anatomy and very precise placement of the drug for best effects. I think it's one of the most wonderful effects of Botox that go beyond pure aesthetics. 

I'm guessing that you've also been using a retinoid or having other rejuvenation treatments because the fact that you're not hearing the "crunch" sound means that either the doctor changed the needles they were using and these are of a better quality, that they're changing the needles as they go along with the injections since it's a dull needle that can make that sound, or that your skin is healthier due to rejuvenation treatments and the needle is passing through healthier collagen as it goes through the skin to the muscle. All of these are good outcomes and you may notice that you have less pain and bruising from the treatments as well.

Botox in the masseters can be very helpful for reducing the strength and size of this muscle which can soften the jawline and achieve a beautful contour in that area. Typically 5 units is a small dose for this area but more can be added, usually 20 to up to 50 units per side depending on how large the muscle is and how much of an effect you're looking for. 

The Light Sheer Duet Diode laser can treat very large areas quickly, no gel or mess, and with very little discomfort even in olive skin tones. It's important to shave the area prior to treatment and to not have a suntan in the area being treated. It usually takes 5-7 treatments for optimal results and occasional maintenance visits for any stubborn areas.

The light sheer duet is a diode laser that has a very large spot size and does not use gel. It is fast and virtually painless, not messy or sticky and great for larger surface areas like legs and back. It takes about 5-8 treatments, only works on dark hair. You should shave the area to be treated so the hair is present but short. Treatments should be done at 1 month intervals. You should not have a suntan when doing the treatments. They should be done by or under the supervision of a dermatologist.