Botox Q & A

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Michael A. Persky, MD
Michael A. Persky, MD

Side effects - Botox gave me a crooked smile. What should I do?

Hi Suzanne, I would return to the physician who treated you.  After examining your peri-oral muscles and their movement, it would be possible to determine whether a small additional Botox would "even out" your smile. ... more

S. Pasquale Maggi, MDS. Pasquale Maggi, MD

Will Botox and Restylane make my face look much older once it wears off?

Dear Nikki, Be assured you are not alone in your concern. In my practice I am often asked this by many first-time patients who are interested in trying Botox, and or, Fillers (such as Restylane).   First of all, neither... more

S. Pasquale Maggi, MDS. Pasquale Maggi, MD

How much does Botox cost?

Dear Briget, My current charge is about 10 dollars per unit.  In the majority of cases the areas I am asked to treat are:  the "fown" area between the eyebrows (glabella), the "crows feet', and the mid forehead creases... more

Richard P. Rand, MD
Richard P. Rand, MD

What are the benefits of Botox?

Botox is well known to reduce wrinkles that are related to overactive muscles. It also may be useful in treating migraine headaches as has been extensively studied by doctors at the Cleveland Clinic. more

Sachit Shah
Sachit Shah

Can botox cause acne?

In over thousands of botox treatments I have never seen Botox related acne. I know there is some documentation about it and i have always wondered if the skin was cleaned properly pre treatment?   Hope that helps. more

Richard P. Rand, MD
Richard P. Rand, MD

Can Botox treat hyperhidrosis?

Hyperhydrosis can be treated by Botox but it takes much more than for facial wrinkles and added up over years, you are looking at a very expensive proposition. Endoscopic surgery in the chest can cut sympathetic nerves and help with the palm... more

Kamran Jafri, MDKamran Jafri, MD

What is the difference between a Botox brow lift and Thermage for the eyes?

Hello Bobbi, As basic overview here are the differences: Botox : is an injection that works by paralyzing the muscles that pull the brow down. As a result the muscles which lift the brow are unopposed and the brow lifts up. By controlling... more

Evan Sorokin, M.D.Evan Sorokin, M.D.

Is Botox poisonous?

The hippocratic oath that doctors swear by states, "do no harm!" So, why are we injecting poisonous Botox into people on a daily basis?! The simple answer is that while yes, Botox is indeed a poison, at the tiny dosage that is injected for... more

Gregory A. Buford, MD
Gregory A. Buford, MD

Botox for Neck Pain?

As far as I know, BOTOX is not currently being used for neck pain.  However, if your pain is associated with localized spasm of the muscle, it is not unreasonable to think that BOTOX might effectively relax this spasm thus reducing your pain... more

Michael A. Persky, MD
Michael A. Persky, MD

Can I still get Botox after a stroke?

Hi Boogie, I would speak with your neurologist before having anything done.  Most likely it would be fine to have Botox in your face 4 years after a stroke that you have recovered from, but still get clearence from your ... more

Kamran Jafri, MDKamran Jafri, MD

Do new wrinkles require dermal fillers or just Botox?

Based on your age and description of the culprit wrinkles,  Botox should provide you with very satisfying results.  It is very important that the injections are at least one centimeter above your brow line so that you maintain natural... more

Brett S. Kotlus M.D., M.S. Brett S. Kotlus M.D., M.S.

Botox Resistance - why doesn't Botox work for me?

It is possible to develop a resistance to Botox, but this is extremely uncommon. Other reasons for failure of treatment can be related to injection technique or inadequate number of units. The dilution technique is not relevant, but the total... more

Michael A. Persky, MD
Michael A. Persky, MD

What can I do to reduce swelling from Botox injections?

When Botox gets into the orbicularis oculi muscle, it makes it difficult to open the upper eyelid.  This usually occurs when Botox is injected too close to the eyelid, or if too concentrated of a dose is used.  Unfortunately the effect... more

Michael A. Persky, MD
Michael A. Persky, MD

How long do Botox toxins stay in your body?

Sorry to hear that you had a bad experience with Botox. If your facial muscles that were injected 10 months ago are moving again then it is likely that the Botox is out of your system. In some patients who have had Botox consistently for more... more

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