Troell Cosmetic Surgery & Facial Plastic Clinic

Practice Information
5375 S Fort Apache Rd, #101, Las Vegas, Nevada
This practice is not currently accepting consultations on RealSelf.

About the Practice

Medical Director: Robert J. Troell, MD, FACS
22 Answered Questions

Doctors & Other Staff Members

Robert J. Troell, MD, FACS - Account Suspended
Board Certified Facial Plastic Surgeon
4.7
Amy Stanley
Practice Manager
Stephanie Bell
Registered Nurse
Robert Troell
Business Owner

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22 Answers

Botox
Q Can my sleeping position cause glabellar lines? Will Botox help?
A Good day! Thank you for your question. Botox and other FDA approved neuromodulators improve the wrinkles that you see when you animate your face, i.e. scowl , raise your brow, squint. Fine lines and wrinkles that you see when your face is in repose can be mildly improved by injecting Botox; however, often the best treatment for lines like "sleep lines" are skin resurfacing procedures, such as CO2 laser and radiofrequency microneedling. At my practice we use the top rated, per a survey on RealSelf, skin resurfacing technologies--DEKA for CO2 laser resurfacing, the Venus Viva and the Vivace for radiofrequency. Patients typically see excellent results after one treatment. Hope this helps address your concerns.
Answered by Dr. TroellJanuary 18, 2021
Botox
Q Can you breastfeed after receiving Botox?
A Good day! Thank you for your question. There are no scientific studies that have been conducted to verify the safety of Botox on breastfeeding mothers and their babies. While Botox and other FDA approved neurotoxins work locally and not systemically, it is highly recommended that you wait until you are finished breastfeeding before receiving treatment given the lack of research. If you have received Botox prior to getting pregnant and are planning to breastfeed, there should be no cause for concern as Botox is metabolized by the body, on average, within 3 months.
Answered by Dr. TroellJanuary 18, 2021
Botox
Q Can Botox help uneven eyebrows?
A

Good Day. Thank you for your question.

Simple answer: Yes

There is often a muscle contraction asymmetry of the forehead. Injection of the Botox/Dysport in discrete sites can produce an symmetric outcome in select patients.

Some patients need either filler injections or surgical therapy to produce optimal brow position, shape and contour.

Brow lifting using neuromodulators (Dysport/Botox) can be achieved. Lateral brow lifting can be attained by injecting the eye sphincter (orbicularis oculi). The superior aspect of the crows feet is injected, without injecting the forehead elevator muscle (frontal), which results in an elevation of the lateral brow.

To produce a peek brow elevation, one can inject the forehead on either side of the peek. If the brow peek is not transformed to the superior position desired, one can inject 2-5 units Botox to the inferior aspect of the peek brow hair. 

Best of luck. 

Answered by Dr. TroellSeptember 4, 2017
Botox
Q I've heard that Botox will soon be available in a ready to use liquid. Can you tell me what the benefit of that would be?
A

Good Day. Thank you for your question.

Simple answer: no need for an injection.

The goal would be to avoid needle injections. The transcutaneous absorption of the Botox/Dysport is the main concern for obtaining consistency.

The future is closer than you think.

Answered by Dr. TroellSeptember 4, 2017
Botox
Q Had Botox Aug 2nd one month ago 40 units just found out I am pregnant will this hurt my baby?
A

Good Day. Thank you for your question and concerns.

The risk of neurmodulators (Botox/Dysport) injected into facial muscles is extremely safe. The vast majority of the medication states in the facial muscle with a minuscule amount entering the blood stream. The risk to a fetus is negligible.

Due to liability concerns, researchers including manufacturers do not perform clinical studies in pregnant and lactating women. The amount of data is low. However, Botox/Dysport is the most common cosmetic procedures performed in the United States, if their was even a remote association, it seems someone would have found that out by now.

I think you can relax and enjoy the rest of your pregnancy. Congratulations on your pregnancy. Bringing a new life in the world is perhaps our most important of life endeavors.


Answered by Dr. TroellSeptember 4, 2017

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