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Botox®
After years of squinting, laughing, frowning, smoking, and worrying, the skin around the eyes and on the forehead will often develop deep lines and wrinkles called "expression lines." A frequent concern is that they often make you look older, tired, or stressed. Until recently, these advanced furrows have been difficult to treat. Now, by utilizing this FDA approved muscle-relaxing agent, expression lines can be significantly reduced.
From Our Letters...
Dear Dr.,
I am an overall happy person, but when I look in the mirror I see two very large vertical wrinkles/lines above my nose. It makes me look angry. I am too young for this grumpy look. What can help?
"Grumpy" - Elmhurst
Dear Grumpy,
Botox is the key to relaxing that muscle temporarily. It will give you a smoother, "happier" appearance. It will last about 3 months and is FDA approved for just your concer.
- Pre-treatment Botox Instructions
- Avoid alcohol for 48 hours prior to treatment
- Avoid aspirin containing products for
1-2 weeks before treatment
- Avoid NSAID’s for 3 days before treatment
- Contraindications to treatment:
- Neuromuscular disease
- Allergy to human albumin
- Pregnancy
- Breast-feeding
- Infection at infection site
| Frown Lines Between Brows |
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After
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Before
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After
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Post-treatment Instructions
- Remain up-right for 4 hours after treatment
- Contract treated muscles for 30-60 seconds every twenty minutes for 4 hours after treatment.
- Avoid aspirin, NSAID’s, alcohol and vitamin E for 24 hours after treatment.
- Do not rub massage or itch the treated area.
Clinical Action
- Onset of action is within 2-4 days
- Initial injection for photo aging will last for 3 months
- Repeat injections will often last longer than 3 months
Botox Longevity
- Forehead appears to last longer than other areas on the face
- Pre-orbital Botox tends to wear off faster than other regions of the face
- Palms & axilla will remain sweat free for approximately 6 months
Most Common Side Effects Following Therapy of Facial Hydrodynamic Rhytides
- Upper eyelid ptosis (drooping)
- Diplopia (double vision)
- Eye Brow ptosis (drooping)
- Echymasis (Bruising)
- Alteration of facial expression
- Unnaturally arched eye-brows
- Change in motion of cheek with smile
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Dr. Vipal Arora, MD, SC / Dr. Nirmala Arora, MD
Advocate Good Samaritan Hospital, Tower One, 3825 S. Highland, Suite 5J, Downers Grove, IL 60515
Dr. Vipal Arora : 630.968.1100
| Dr. Nirmala Arora : 630-769-1122
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