
Facelift Botox injection result is the most appreciated in cosmetic medicine. BOTOX dosing and injection points should be based on assessing the patient’s anatomy, goals, preferences, and the physician’s own professional experience with prior treatments. Gender, cultural, and ethnic standards of attractiveness may significantly influence the patient’s preference. Each patient’s treatment should be individualized for the best results. Cosmetic BOTOX in the mid and lower face and neck has increased drastically over the past few years. Indeed, there is now a greater appreciation that BOTOX-A is one part of overall facial rejuvenation therapy, in which all aspects of aging are addressed in the same individual. Finally, new esthetic indications emerge, including the treatment for scars, the horizontal upper lip line, musculus risorius excessive gingival display (‘‘gummy smile’’), and masseter reduction to improve facial shape. BOTOX is also beneficial with other aesthetic modalities, such as dermal fillers, laser, skin resurfacing, and surgery. Several more general applications push BTX-A toward an ‘‘art,’’ rather than a clinical procedure.
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It is critically important to understand what features around the eyes are of the most concern to the patient before making treatment. Patients can complain of “looking tired” when concerned about losing skin tone, excessive eyelid skin, eyebrow ptosis, dark circles under the eyes, hollowness in the tear trough area, bulging orbital fat pads, or deep lateral canthal rhytides. The best candidates for around-the-eyes BTX injections are those with mild to moderately deep lateral canthal rhytides (smile lines) or crow’s feet wrinkles and those who develop a “roll” as they smile. Botox should be used with caution in patients with dry eyes, weak muscle function, and patients whose eyes do not close well due to earlier nerve palsy, thyroid eye disease, or previous surgery.
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Botox injections is the most effective tool in cosmetic medicine and should be used first and most often. BOTOX dosing and injection points should be based on assessing the patient’s anatomy, goals, preferences, and the physician’s own professional experience with prior treatments. Gender, cultural, and ethnic standards of attractiveness may significantly influence the patient’s preference. Each patient’s treatment should be individualized for the best results. Cosmetic BOTOX in the mid and lower face and neck has increased drastically over the past few years. Indeed, there is now a greater appreciation that BOTOX-A is one part of overall facial rejuvenation therapy, in which all aspects of aging are addressed in the same individual. Finally, new esthetic indications emerge, including the treatment for scars, the horizontal upper lip line, musculus risorius excessive gingival display (‘‘gummy smile’’), and masseter reduction to improve facial shape. BOTOX is also beneficial with other aesthetic modalities, such as dermal fillers, laser, skin resurfacing, and surgery. Several more general applications push BTX-A toward an ‘‘art,’’ rather than a clinical procedure.
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Face and neck BOTOX injections have been used to treat facial wrinkles in the last 20 years and have become one of the most popular cosmetic procedures. BOTOX is a powerful and flexible tool in the aesthetic physician’s armamentarium. Progress in aesthetic medicine has supplied contemporary insights into practices that maximize its use. A range of product- and patient-specific factors influence the treatment plan, and genuinely optimized outcomes are possible only when the treating physician has the requisite knowledge, experience, and vision to use BOTOX as part of a unique solution for each patient’s specific needs.
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