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  As part of Johns Hopkins Medical Institutions, the Cosmetic Center physicians pursue varied academic interests and research.
  In the evening seminar series open to the public, our physicians give informal, interactive presentations. Come and meet our specialists in a relaxed setting and learn about the latest innovations in cosmetic dermatology, cosmetic surgery and laser procedures.
   

 

Botox® Facial Rejuvenation 


Treatment for:  Frown Lines and Forehead Wrinkles, Excess Sweating

Physicians:
 Dr. Kazin150W Dr. Kazin
Director of Cosmetic Dermatology and Laser Surgery
   
 Dr. Byrne Small

Dr. Byrne
Asst. Professor - Director of Facial Plastic and Reconstructive Surgery

   
 Dr. Shermak Small Dr. Shermak
Assistant Professor of Plastic Surgery
Related Procedures:
Restylane
Intense Pulsed Light
Rhytidectomy 
Smoothbeam Laser
Blepharoplasty

Procedure Quick List

Frown Lines

When we frown for any reason, we gather the tissue between our eyebrows into a fold. In some of us, this causes a chronic furrow. This produces an angry look on our face. This can be distracting to others and a look we do not want to convey.

Now you can eliminate these frown lines without surgery and without scars, by treatments with Botox®.

What is Botox®

Botox® is the trade name of Botulinum Toxin Type A, a purified toxin produced by the bacterium Clostridium botulinum. In large amounts, this toxin blocks the nerve impulses to muscles, causing a form of paralysis called botulism.

By using extremely small doses of Botox®, injected directly into a specific muscle, only the action of that muscle will be paralyzed. Therefore, the problem that muscle causes, like a frown line, or in other cases, a twitch or spasm, will be stopped.

Where is Botox® injected?

The frown line between the eyebrows is caused by the action of a muscle called the corrugator. You can feel this as a thickening just below the inside of your eyebrows, when you purposefully make yourself frown.

Injecting Botox® directly into this corrugator muscle stops your ability to draw your eyebrows together when you frown. Once the muscle is paralyzed, it cannot contract and the frown line gradually fades away.

Will it last?

The actual treatment takes only a few minutes and the Botox® takes effect in three to four days. Gradually, over three to five months, the Botox® effect will fade, and the muscle action will return. When the frown line starts to reappear, a simple repeat treatment is all that is necessary to maintain the desired result.

Can Botox® be used for other wrinkles? Other problems?

Botox® is also effective in the treatment of crow’s feet and forehead wrinkles. Botox® is also used for excess sweating (underarms, palms), migraines, tremors and other conditions.

How has Botox® been tested?

Botox® has been used since 1980 for the treatment of strabismus (lazy eye) and blepharospasm (uncontrolled eye blinking). The use of Botox® for forehead wrinkles was pioneered in 1989 by Dr. Jean Carruthers of Vancouver. A major study of this technique was completed in 1995, and a review published in the Journal of the American Academy of Dermatology.

Side Effects?

The side effects of Botox® are related to the local injection of the solution. There will be some discomfort from the needle entering the skin and a small chance of a bruise at the site of the injection. You will need to remain upright for a few hours following the procedure. Approximately 1% of patients will develop a slight lowering or drooping of one eyelid (also known as ptosis). This is temporary. Other reported side effects include headache and upper respiratory infection. There are no reports of damage to the eye with injections to the eyelid. There have been no permanent side effects from the use of Botox®.

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