Botox (Botulinum toxin type A) 

Non-surgical Facelifts with Botox in Cleveland, Ohio

 Achieve beautiful results with Cleveland, Ohio Botox injections

           Botox™ is a neurotoxin, Botulinum toxin type A, that can be injected directly into muscles of facial expression to temporarily paralyze them. The effect lasts for 3 to 4 months. If injected with precision into the appropriate muscles, Botulinum toxin will reduce or eliminate wrinkles that are caused by muscle contraction. Botox ™ in Cleveland Ohio is FDA approved for injection between the eyebrows (into the corregator supercilii muscle); this will reduce the so-called “elevens” or vertical frown lines that form when someone scowls. Botox™ is commonly injected off-label into other sites, like the forehead and Crow’s feet.

            Dr. Goldman believes there is a difference between just injecting Cleveland Ohio Botox injections into the typical sites and using Botox™ to shape the face, especially the brows and eyes. Dr. Goldman uses his knowledge of facial plastic surgery and the anatomy of the facial muscles to achieve this goal. Dr. Goldman integrates the newest techniques promulgated at national Plastic Surgery meetings with his own personal experience. Dr. Goldman also  commonly uses Botox in Cleveland Ohio in combination with injectable fillers (like Restylane™ and Evolence™) and medical grade skin care (like Obagi™). With  Cleveland Ohio Botox injections and other non-surgical therapies, these can compliment surgical procedures like facelifts, browlifts, blepharoplasties, and laser resurfacing with the Fraxel Re:pair™ CO2 laser.

Once injected, Botox™ typically takes about 72 hours to take full effect and lasts, as mentioned 3-4 months. Some patients will experience a longer effect. This is a behavioral change: if someone has not used a muscle in 3-4 months, they may tend not to use it much for a few weeks after it has become functional again.

             What are the risks? In large series or studies, approximately 1% of patients developed droop of the upper eyelid from diffusion of Cleveland Ohio Botox injections into the muscle that elevates the lid. In Dr. Goldman’s practice, the incidence is well under 1%. In most patients, droop lasts 1-2 months (less than the cosmetic effect). This can be treated with eye drops. Patients who have a history of myasthenia gravis or some other neurodegenerative disorders are more at risk for eyelid droop, so these disorders are a relative contraindication to Cleveland, Ohio Botox injections.

Bruising is the most common side effect of Botox in Cleveland, Ohio and occurs rarely between the brows and a small percentage of the time, perhaps 5%, at other sites like Crow’s feet, forehead, or mouth. Any bruise takes 2-3 weeks to resolve. Generally these are small and easily covered with makeup, but occasionally are more noticeable. Most patients return to work the same day or the next day.

              How often are injections necessary? Patients may prefer to get Cleveland, Ohio Botox™ injections every 3-4 months, as soon as the temporary paralysis wears off or they may wait longer. It’s up to the patient’s preference.