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It’s the same you………just fresher!

In this day and age of defining “beauty”, we all know that true beauty comes from within.
A few wrinkles, a few lines – they have been well earned and yes, they are a part of our own
individual story.
We all get that.
But………..would seeing less of them…….make YOU feel better when you look in the mirror?
That’s what this is all about – how you feel.
If you want to see less of those lines - Botox may be the answer.
Let’s check it out………..

before and after botox

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So………what IS it?

Botox is a neurotoxin created by the bacterium Clostridium Botulinum. It is used to reduce the strength of targeted muscle tissues.

Botulinum toxin has a long, successful history of therapeutic use – over 30 years! In 1989 it was FDA approved for the treatment of strabismus (a condition in which the eyes to not properly align with each other when looking at something) and blepharospasm (eyelid twitching). The next year, 1990, it received FDA approval for cervical dystonia (a painful condition where the neck muscles contract involuntarily causing the head to twist or turn to one side). 2002 the FDA approved Botox for moderate to severe wrinkling in the glabellar area (also known as “Mom Brow”/“Dad Brow” – the area between the eyebrows which creases when the eyebrows are brought together). In 2011 the FDA approved Botox for first line treatment for chronic migraines.

There are seven distinct and separate neurotoxins produced by Clostridium Botulinum and they are designated as Types A-G. Type A is commercially available as 5 different products: Botox, Botox Cosmetic, Dysport®, Xeomin® and Jeuvea®.

before and after botox

So how does Botox work?

First of all, let’s review how that wrinkle got there in the first place! Most lines on the face are caused by the repetitive creasing and folding of the skin by underlying muscles. As time marches on, the muscles of facial expression become hyperdynamic as a result of habit. We wake up one day and wonder – how did that get there? Happens to all of us! Well, Botox works by binding to the nerve which innervates the muscle that made that happen – end result? the muscle relaxes and the skin “recovers” - smooths out. When Botox is injected, it takes approximately 1 ½ -2 hours for it to bind to the nerve and 2-10 days to fully exert its effect. Retreatment is typically in 3-6 months. Over time, the cumulative effect of regular use of Botox obtains best results and oftentimes patients will note their treatment seems to “last longer”.

before and after botox

Sounds great but what happens when it wears off?

When the effect of Botox wears off, strength gradually returns to the muscle (along with the wrinkles caused by that muscle’s movement - boo) but – and here’s the great part – the wrinkles are not any worse than they were to begin with!

before and after botox

Let’s bust those myths about Botox……

false myth

Let’s tackle those last three first………..Botulinum toxin’s 30+ year history of successful therapeutic use speaks for itself. Botox is used in very small doses to smooth wrinkles. Mom Brow? Maybe 20 units. Crow’s feet? Perhaps 4-16 units as a starting dose – just for example. The lethal dose of Botox in humans is 2,500 - 3,000 units!

You don’t lose sensation. You don’t have numbness. You may have a slight transient “heavy” feeling but it is temporary and resolves quickly.

Botox does not pull the skin taut. It only effects the underlying muscles and relaxes them which in turn relaxes the skin.

So, what are the side effects – what’s the downside?

As with any treatment, there are always possible side effects or complications. Possible side effects of Botox may include bruising (plan your treatment >2 weeks from any important event to be on the safe side), occasional forehead heaviness, transient headache, temporary discomfort, redness, minor swelling of injected area, watery eye. These are all are temporary and resolve quickly.

Possible complications of Botox include brow ptosis (drooping of the eyebrow), eyelid ptosis. Rare complications include lazy eye and lip ptosis.

I’m pregnant and would like to get my eyes done – can I?

It’s better to wait until after your bundle of joy arrives and you are no longer breastfeeding. There has been little research on Botox and expectant/nursing moms so better to play it safe.

Any other contraindications?

Yes a few. Botox is contraindicated for those with a hypersensitivity to Albumin 9 Human Blood Product. Also, those with neurological disorders such as ALS (Lou Gehrig’s Disease), myasthenia gravis or Lambert-Eaton Syndrome.

before and after botox

What areas can I get treated at your office?


Dr. Debra Balogh-Crombie, certified by the American Academy of Facial Esthetics, provides Botox treatment for:

  • Forehead lines
  • Glabellar area (“Mom Brow”)
  • Crow’s feet
  • Radial lip lines (smoker’s lines, water bottle lines)

Dr. Balogh-Crombie’s philosophy of conservative, effective treatment supports the AAFE’s position of minimizing resistance potential towards Botox. Finding the lowest effective dose to deliver the ideal results her patients desire, waiting two weeks post-treatment for follow-up and retreating no sooner than three months is the protocol she herself follows for her own treatment.

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Give us a call and our team will be happy to set up a consultation appointment to review your treatment options


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