Michael O'Gorman, MD

Hi Ninjaattacks, thank you for posting your question. Your forehead line is suitable for a botulinum toxin treatment. This line would be expected to eliminate completely. Having said that, it is best for the dosage to be kept to a minimum - the forehead frontalis muscle is a lifting muscle, and over-treating with too high a dosage can lead to heaviness of the brows. Ask your practitioner to treat this conservatively.

Hi Angela ss, thank you for posting your photo and question. It is true that Botox can be used to create a slimmer facial profile. This is primarily by treating the masseter muscles which can be overdeveloped in some patients leading to a wider jaw and overall rounder face. Injecting the masseter muscles leads to a slimming effect on these muscles thereby slimming the jawline. Treating the neck's platysmal muscles along the jawline can also enhance the definition of the jawline (nefertiti lift). It is difficult to assess your photograph as it is not full facial and there are no oblique views. From the photo you have posted, it would appear that you already have a nice v shape but it is difficult to assess completely without viewing the full face proportions. As a guide, when injecting the masseters, I mostly work in the 25-30 units per side. I hope this helps.

Hi Crestsmile, thank you for your question. It is important to let your doctor know of any medications you are taking prior to receiving a Botox treatment. Blood thinners such as aspirin, warfarin, anti-inflammatories, garlic, fish oil, and ginko biloba should be avoided for a few days prior to your treatment to minimise the risk for bruising. Alcohol is best avoided for 24 hours prior to your treatment. There are some medications that may interact with Botox which include some antibiotics (including aminoglycosides such as gentamicin, polymyxin), Alzheimer's disease medications, myasthenia gravis medications and quinidine.
The medications you mention, metformin and high blood pressure medications, would not pose a problem.

Thank you Peaceful9125 for your question. The side effect you are referring to, being blockage of a blood vessel with dermal filler, leading to disturbance of the blood flow distal to the blockage and resulting in tissue necrosis is very rare. This is unlikely to occur in experienced hands and can be resolved with filler dissolving injections if the side effect is diagnosed immediately which should be the case. The reason this can occur is that dermal fillers have a gel consistency and so if the needle inadvertently penetrates a blood vessel, the blood flow in that blood vessel can be blocked. This cannot occur with Botox. Botox is in a liquid form and does not have the ability to block a blood vessel or disrupt blood flow. Botox cannot cause blindness or a stroke. I hope this helps to alleviate your concern.

Hi apple08, thank you for posting this question. There are a few possible treatments that can be considered in the non-surgical rhinoplasty category. This includes botulinum toxin to reduce the pull down on the nasal tip or to reduce nostril flare, thread lifting to lift the tip or stimulate collagen production along the nose, or dermal filler.
Most people are referring to dermal filler when they are looking at non-surgical rhinoplasty. If done by an experienced practitioner, results can be excellent, and risks minimised. I would consider the most important factor in choosing to undergo this procedure is that you ensure you are in the hands of an experienced practitioner. The cost for this procedure is variable between clinics and practitioners but my own charge for this is $1000 AUD. This cost includes reviews and any touch up if required as the filler settles in over the first few weeks.