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Botox-A Wrinkle

Botox-A Wrinkle in Time Saves Nine

Wrinkles are common.  They are formed whenever we frown, we gather tissue between our eyebrows into a fold. For many of us, this causes a chronic furrow producing a frustrated and angry look on our face. This can be alienating to others, and upsetting to ourselves. Now, you can make these frown lines disappear without surgery and without scars, by a simple treatment of Botox Cosmetic right here in Evansville. Botox Cosmetic, the trade name of Botulinum Toxin Type A, originally was used for the treatment of strabismus (lazy eye) and blepharospasm (uncontolled eye blinking). Now it is being used by plastic surgeons, eye surgeons, nurses, general doctors and even dentists to achieve a younger, more relaxed appearance. It accomplishes this by blocking the nerve impulses to muscles which then results in a form of temporary muscle paresis (weakness) or  paralysis (absence of contraction).  Dr. Malitz has extensive experience with Botox.  In fact he has been using Botox for over 25 years!.  He has a special technique whereby he injects an extremely small dosage of Botox directly into the muscle. Some doctors inject the botox in the skin and the medicine needs to diffuse into the muscle and has a limited duration of action.  With a properly placed administration, the action of that specific muscle is then stopped, ridding the area of problem frown lines or twitches. This is an entirely different approach to treating the aging face. Collagen and fat injections work by filling in a wrinkle. We also have experience with the CO2 laser for wrinkles.  Fillers are not as effective as Botox in improving the frown wrinkles between the eyebrows. By physiologically weakening the muscles, these wrinkles are softened naturally. The treatment takes only a few minutes to administer, and takes effect over the next two or three days. Botox is most effective for the frown lines between the eyebrows, but can also be used to lessen the horizontal wrinkles in the central portion of the forehead and crows feet or “laugh lines” next to the eyes.

It is not effective for wrinkles in the middle and lower portion of the face, (the naso-labial groove). Over the next three to five months the Botox will gradually lose its potency, eventually restoring the muscle to its original condition. When frown lines begin to appear again, readministering the Botox at our Evansville or Henderson office is all that is needed to maintain the desired result. Botox is safe and effective. There are no serious side effects associated with the use of Botox with the doses that are employed. Side effects can be caused if the Botox migrates from the injection sites. For this reason, it is wise to avoid massaging the area for 12 hours after the injection. Possible side effects include a small droop of the eyebrow or upper eyelid. Fortunately, if this occurs, it is temporary but may last 2-3 weeks. Botox is administered in the office by an injection directly into the muscles causing the wrinkles. Our doctors use a topical anesthetic gel on your facial skin to help keep discomfort to a minimum. You can immediately resume full activities. Maintenance is simple, and best of of all is done without the threat of any scarring.

Botox is administered by injection for frown lines, glabellar lines, frown line treatment.  In fact Botox is the best treatment for frown lines.  Some advocate for frown line filler but as a primary step for forehead wrinkles, fine lines on forehead botox is a great solution.  If Botox does not achieve the desired result,  filler for frown lines between eyes can be used.  In our experience botox for forehead lines,  frown lines, frown lines on the forehead, for a medial brow lift, lines between eyes, botox injections for forehead wrinkles.   Some people call the glabellar lines the  “11 lines” because it looks like two vertical lines.  Botox can be used in many locations and for many purposes both on label and off label.   We find success with injecting botox in the forehead muscles or frontalis muscle.  Botox is very expensive and we only use the bottle according to the manufacturer labeling for one patient.   Many offices mix up the botox and use from patient to patient and store it in the refrigerator.  We mix it fresh for just you and you are welcome to watch us!  This leads to a slighter higher cost per unit but a better outcome as we are not trying to water it down to use for multiple patients!   The botox cost per unit is $10-12.  Clearly this is the best treatment for deep frown lines and for forehead lines.  Even lip lines respond well to botox and drooping of the corner of the mouth and bunny lines on the bridge of the nose respond as well.  We have already discussed the primary use is for wrinkles between eyebrows.   Some inexperienced injectors inject in the skin or below the orbicularis oculi muscle or frontalis or corrugator or procerus muscles.  The injections have the best result when they are placed in the muscle as they have their action directly on the neuromuscular junction for frown wrinkles between eyebrows.   There are areas on face and even the neck that we can use botox.  The platysma bands respond nicely.   Some with frown wrinkles can appear mad or even mean.  I had a waiter that was virtually mandated by his boss to have botox to remove the scowl from his face!  We are your botox near me location for botox shots,  for wrinkles (rhytids) but there are other uses and other sites.  Allergan botox has been a home run product with a long term success record.   Sometimes patients worry about botox side effects.  Although all medications have side effects, botox is quite safe in experienced hands.  Although anyone can be trained in the use of botox, experience counts and knowing the anatomy, muscles of facial expression and depth is critical in a successful long term result.
Questions often arise regarding “botox cost”.  Botox is sometimes covered by insurance for medical (migraines, spasm) purposes, but botox cosmetic cost is never covered.  The
botox injection costs around $500 – 600 for 50 units and can be repeated every 4-6 months as necessary.   There are extended uses for  muscle spasms in neck.

When searching for botox cosmetic near me we truly hope you will consider our 25 years experience and attention to detail and sterile technique and fresh botox mixed and used only for you when you are due for your next treatment.

Some wonder how botox works.  The medication is a neurotoxin and blocks the transmission of impulses at the neuromuscular junction.  By reducing or eliminating the contractions, the creases or wrinkles diminish immediately and with time.  Most patients agree that the botox injection price is fair especially those that get botox injections for chronic migraines.  People often confuse botox and fillers.  They both are used for cosmetic purposes but act in a totally different manner.   Fillers are like jelly and take up space effectively filling in a crack or crease.   Botox gets at the root cause which is the dynamic contraction of muscles.  Many botox injectors will do the procedure as a loss leader in the hopes of upselling the patient for a cosmetic procedure like breast augmentation.  You will not get that upsell at the eye doctor’s office!

Some practitioners randomly use botox all over face, neurologists use botox injections for leg spasticity, we have found that botox helps migraines.

We use up to 50 botox units for cosmetic treatments, and around 100 units for medical treatments for migraines.

People ask what’s in botox injections.   The medication is reconstituted with sterile saline (salt) solution.  Botox is medicine and as such must be dispensed by a pharmacy or a doctor’s, dentist, advanced practitioner like a NP or PA.

You have many choices of where to get botox injections in Evansville.   Since pricing is virtually identical, the most important consideration is safety and effectiveness.   Side effects like ptosis, bruising, asymmetry, angry eyebrows, or dry eyes can be minimized or avoided with care and attention to detail.  We hope you will do your homework and go with an MD with experience when it comes to your botox face!  Although a botox allergy is possible in 25 years we have not seen this issue.

The best site for viewing botox results pictures is here.

Botox treatments are generally cosmetic injections.  There are some that call themselves a botox doctor, but a nurse, a dentist or virtually
We generally focus on several botox treatment areas

  • Glabella – botox between eyes / eyebrows
  • Forhead
  • Crows Feet
  • Lateral third of eyebrow (in females) to enhance the arch
  • Upper lip
  • Chin (for peau de orange)
  • Corners of the mouth (for drooping of corners of mouth)

We find that these are the best places for botox on face to get good botox results.
Although our normal price is $595 occasionally we have botox specials.  Some people do botox parties or have botox treatments at home.  This is a medical procedure that should be done in a clean environment with attention to detail and sterile technique and with appropriate informed consent.

There are medical indications for botox including blepharopsasm, hemifacial spasm, meigs, myokymia, spastic entropian, lagophthalmos.  There are botox clinics near me, but the best place for botox near me for the best botox results for botox eyes, face injections, botox in head, botox for lip lines at the appropriate botox dosage for the forehead is the Ohio Valley Eye Institute with offices in Evansville, Henderson and Terre Haute.

You may have seen a botox ad that offers botox at $5/unit.  Don’t forget to ask if it is watered down or stale or used on multiple patients.  We ONLY use your bottle for YOU! This way  botox injections are safe.

Although there multiple options may patients that have been to many doctors state that the best botox doctor near me is Dr. David Malitz.

botox lip injections are really done above the lip in the ridges not in the lip but some people think it is done in the lip.   This helps prevent lipstick from migrating in the crevices especially in smokers.   There is limited role for botox under eyes.  We sometimes use if for blepharospasm.  We have had exceptional results with botox and headaches.  We are constantly discovering what is botox for.   Botox is certainly not a filler, there are allergan injectables that act as fillers.  For under eye wrinkles botox can help especially with a prominent orbicularis muscle over the lower tarsal plate.

Above you saw botox pictures and we know a picture is worth a thousand words especially when evaluating glabellar lines, neck botox, botox effects, botox effect on eyes, botox face before and after, upper lip, botox muscle injections, botox for eyelids.  Naturally a picture does not help in evaluating botox for headaches or botox treatment for migraines.  Done properly botox injections are safe.  When you find a botox specialist and you are happy with the results, you will want to remain with him rather than searching for the next botox groupon deal!  You may be left with forehead wrinkles despite the cost.  An unusual location is botox around mouth.

There is only one botox brand.   Some use other substances and promote botox.  We only use botox (R).   It can also be used for underarm, palm, forhead, feet hyperhidrosis (excess sweating).  Although I have done the palms, it is quite painful and it is better done with sedation in our surgery center.  Botox for forehead lines requires no sedation but ice or anesthetic cream or vibration can help minimize the discomfort.  Done properly botox treatment is quick with minimal discomfort.
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