Botox™ Related Questions

Q: I went to a practice in which the nurse injected my lower eyelid and now I have a very big bruise. What should be done?

A: Ice packs for the first day, and then warm compresses starting the third day. Topical vitamin K, Auriderm or Illume eye cream, Arnica Montana, and the V-beam laser can help rid you of the bruise faster.

Q: I'm confused. My friend and I have Botox™ for the same areas of the face but her doctor uses much more Botox™, why?

A: There are many variables to consider. First of all, did the doctor use different numbers of units of Botox™ or a different solution of Botox™ that require less or more solution? Is your friend's anatomy different and they have a larger muscle mass in this region? Does your friend have more muscle groups recruited from nearby areas to make the frown? There may be a valid reason why your friend may need more Botox™ than you.

Q: Can Thermage be done after Botox™?

A: Yes, if there is a day in between the treatments, or if Thermage is done immediately before Botox™ (not vice-versa) there should be no interactions.

Q: I have had Botox™ injections done for my crow's feet for twelve years. Is there any data to say this is dangerous?

A: There is no evidence reported that long-term treatment with Botox™ is dangerous. Many of my patients continue to see me for the last 18 years, at least twice a year, and some even three to four times, without noticing any issues concerning side effects or safety.

Q: My mother has glaucoma and I want her to have Botox™ for her "11" but she's concerned because of the glaucoma. Is this a valid concern?

A: It probably is not a realistic concern. Have your mother check with her ophthalmologist but there isn't an interaction between Botox™ and eye pressures.

Q: My friend loves her dermatologist for the way he does her Botox™. She and I just need the "11" treated on the forehead (I was told it was called the glabella). I finally went to see him and had the Botox™. I love the result but I'm upset that he charged me $700 and she only pays $500. Was I overcharged?

A: Many doctors charge per unit of Botox™, not the facial area, because many people have different muscle mass and require different units of Botox™ which changes the cost of the procedure to the doctor by a considerable amount. Both of these amounts you've quoted are reasonable for the glabellar area of the forehead.