There are a lot of different rumors out there about what you can expect from BOTOX®, Dysport®, or other botulinum toxin A injections; rumors about harmful side effects, who is qualified to perform the injections, and long recovery periods. The truth is, BOTOX injections have an amazing track record for safety and require little to no down time. The results last from 4 to 6 months before you may feel the need to freshen your appearance. Receiving BOTOX relaxes your facial muscles to remove crows feet, lines in your forehead, and that angry pinch at the eyebrow that robs you of a more youthful, relaxed, and friendly appearance. There is no substitute for having a leading authority in cosmetic surgery personally perform your service.
Where is surgery commonly performed?
BOTOX injections are an office-based service. You may see estheticians and unqualified individuals like medical assistants offering injections illegally in spas and salons under the justification that they have a “medical director.” There are no states that permit this arrangement. Unless a doctor is present and performs the service, this type of situation is the illegal practice of medicine. Don’t let an unqualified individual perform your BOTOX or Dysport service.
Only a licensed medical doctor or a nurse under the direct supervision of a licensed medical doctor can inject BOTOX. The exact details of the required qualifications vary by State so it’s important to research the individual you wish to perform the injection to ensure he or she is qualified. However, just because your doctor or nurse is minimally qualified to perform the injection does not necessarily indicate he or she is the ideal choice for the procedure. As with many other medical procedures, the best results require a certain level of qualification, skill and experience; these concerns are perhaps even more important when considering modifications to your physical appearance.
What is the typical recovery course and physical restrictions?
BOTOX injections may cause a little bruising from the treatment and you may notice redness in your skin for an hour or two. Many people find that they can return to work immediately after treatment. Others find that they like to apply a little ice to the injection points before facing work again.
Although you can return to your usual routine following treatment and may feel physically ready to take on the world, Dr. Steinsapir strongly advises you refrain from exercising and engaging in strenuous physical activity for at least 24 hours.
What are some common complications after a cosmetic botulinum toxin treatment and how are they addressed?
Many prospective patients worry about side effects or potential dangers of Botox® injections. In the case of BOTOX® and Dysport®, the FDA issued a “Black Box Warning” in 2009 because there was concern regarding a rare but potentially fatal complication when they are used to treat very small children with cerebral palsy. The dose used for these medical treatments can be 10 or more times higher that what is used for cosmetic purposes. More information regarding these issues can be found here.
“Dose is very important in the safety of all drugs, not just BOTOX® and Dysport®” says Dr. Steinsapir a leading authority, teacher, and much sought after BOTOX® injector. Even the safety of aspirin, which is present in almost every American household, is dependent on dose: two aspirins helps your headache feel better, but 20 aspirins are poisonous..
Many unwanted results like the BOTOX forehead freeze, droopy eyebrows, the appearance of the eyes being smaller, and the “bat-face” caused by muscle recruitment in areas of the face that have not been treated, are the result of physicians injecting BOTOX incorrectly. Carefully researching your chosen physicians credentials and experience can greatly reduce the risk of one of these side effects.
An innovative alternative
Dr. Steinsapir has invented Microdroplet™ BOTOX® to address the need to retain authentic facial expression and natural eyebrow placement. Unlike standard BOTOX® procedures, Microdroplet™ BOTOX® creates brow lift without forehead paralysis. If you have had BOTOX® treatments in the past but were not satisfied, Microdroplet™ BOTOX® may give you the results you need by working with greater precision with your facial muscles. The care and interest Dr. Steinsapir has shown in inventing this treatment demonstrates his dedication to achieving a beautiful, more youthful appearance without impeding the ability to express emotion.
Using standard injection methods, there is no way to selectively treat the muscles that pull the eyebrows down. Instead these methods tend to freeze the forehead. Perhaps you have experienced these types of results yourself or have seen them in your favorite actresses: The forehead can’t move and the eyebrows drop like stones. What looks good is a gently lifted eyebrow, no crows feet lines or brow pinch, and a forehead with reduced lines that is still able to move. Imagine a BOTOX® treatment that allows you to have natural expressions!
About Dr. Steinsapir
Dr. Steinsapir trained alongside the inventor of BOTOX and has performed thousands of BOTOX treatments in Los Angeles since 1988 and recently patented his Microdroplet BOTOX technique. He is a board certified eye surgeon and fellowship trained in oculoplastic surgery and cosmetic surgery in Southern California where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in BOTOX, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.





