BOTOX® Cosmetic FAQs

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Learn the answers to frequently asked questions about BOTOX® at our Orlando medical spa for facial rejuvenation.

Note: This information is not intended to be taken as medical advice; it is based on Dr. Kenrick Spence's many years of experience treating thousands of patients with BOTOX at his Orlando facial plastic surgery practice.

To take the first step to achieving smoother, BOTOX Cosmetic in Orlando, request a consultation online. Or, call Hillcrest Plastic Surgery at 407-999-2585, and our knowledgeable staff will be happy to help you.

Meet Dr. Spence

With extensive knowledge and skills, Dr. Kenrick Spence specializes in achieving a beautiful, healthy look you'll love!

BOTOX Cosmetic Questions Answered by Dr. Spence

At Hillcrest Plastic Surgery, we have patients in their 20's using BOTOX. These younger patients use these injectables for one of two reasons:

  • To treat early signs of facial aging, especially deep furrows between the brows.
  • To treat hyperhidrosis (excessive sweating), particularly in the armpits.

There is no wrong or right age to start using BOTOX. In general, for younger patients, I recommend BOTOX Cosmetic because of its precision. For more mature patients with significant forehead wrinkles and sun damage.

No, you will not have additional wrinkles. The accumulated effect of BOTOX over time will result in fewer wrinkles. If you only use BOTOX temporarily, you will not have more wrinkles when you stop.

With such an important event coming up, I recommend the use of BOTOX 14 days or more prior to the event, because it may take 7 to 10 days to achieve the most benefits. If you wait until just a few days before your wedding, you may not enjoy the full effects of your treatment. In addition, any minor asymmetry may become more noticeable. Find an experienced injector with whom you are comfortable and begin your treatments 3 to 4 months before, so you can achieve your ideal result by the time your wedding comes around.

The dosages of these injectables used at Hillcrest Plastic Surgery are very well-tolerated and well within recommended dosing ranges.

At our Orlando Med Spa, we are in constant pursuit of perfection, seeking to achieve a natural, youthful and refreshed look for our patients. We will adjust your BOTOX dosage to achieve the right facial expression for you.

We do not recommend lying down or massaging your face for at least 4 hours after your BOTOX treatment. Therefore, we perform these injections after chemical peels but not immediately before. However, the BOTOX injectors at Hillcrest Plastic Surgery will combine dermal fillers if desired.

One of the most common side effects from BOTOX administration is bruising. For that reason, we recommend that you stop all blood thinners at least 5 days before your treatment. Because many over-the-counter supplements have blood thinners in them, it important that you inform us of all the medications you are taking prior to your injection. Some common non-prescription blood thinners include vitamin E, fish oil, and garlic.

Certain stronger blood thinners require the advice of your primary care physician or cardiologist before stopping them such as Coumadin®, Plavix®, and aspirin.

There are two ophthalmologic preparations that are helpful: (1) 10 percent phenylephrine drops, and (2) Iopidine. Transient drooping of the eyelid is the most significant complication and occurs in less than 2 percent of all injections. This risk can be minimized by staying upright for four hours after your injection. If drooping eyelids do occur, they usually resolve in two weeks

The smallest needles are used, and patients report that it is much less painful than a local anesthetic. That sensation can be minimized with the use of ice or by taking two Tylenol prior to your injections.

The safety of BOTOX has not been proven during pregnancy. As a policy, we do not inject pregnant or nursing mothers with BOTOX Cosmetic at Hillcrest Plastic Surgery.

The effects of BOTOX Cosmetic are local and do not spread via the bloodstream.

Yes, antibodies to BOTOX Cosmetic can occur. This development tends to be more of a problem for patients receiving larger doses, such as those with neurological disorders.

Do not massage the area injected. Remain upright for 4 hours after your treatment.

Both composed of a purified form of the botulinum toxin, BOTOX temporarily relax the muscles that you use when you smile, laugh, and frown. Over time, these repeated facial expressions can cause what are known as dynamic wrinkles, such as crow's feet and forehead lines. By relaxing the muscles, BOTOX injections result in a smoother, younger-looking face.

Botox cosmetic has proven to be extremely useful in Dr. Spence's international keloid and scar treatment center. We most commonly use Botox for scar revisions around the eyes forehead and lips because the action of Botox relaxes the muscles. There is less tension on our scars after revising them, we often combined this with laser resurfacing for an excellent result Botox is typically injected two weeks prior to your scar revision and laser resurfacing and started two weeks after.

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