Temporarily Minimize the Appearance of Dynamic Wrinkles and More in Denver
The most common cosmetic dermatology treatment sought by both women and men throughout the United States is BOTOX®. Denver’s AboutSkin Dermatology team is highly experienced with the popular wrinkle-smoothing injectable. Not only did Dr. Joel Cohen write a 400-page textbook (the largest to date on this topic) on BOTOX® and related treatments (known as neuromodulators), but he is internationally known and respected for his publications, and he teaches and lectures throughout the world on this subject. Dr. Cohen actually studied and participated in clinical trials during his one-year fellowship with the husband and wife credited with discovering the cosmetic use of BOTOX® (dermatologist Alastair Carruthers and ophthalmologist Jean Carruthers).
*Individual results may vary
BOTOX® may be a household name, but it is still important to choose the right person to inject it. Choosing an experienced, Board-Certified Dermatologist is paramount for anyone who wants to get skin-smoothing results while maximizing safety. The physicians at AboutSkin are ALL Board-Certified Dermatologists and have experience, training, and know-how. Aesthetics are not a part-time “side-gig” for us—we are well-trained on these procedures, are tested on their nuances in residency and as part of our rigorous board certification, and perform these treatments every day in our offices.
What Does BOTOX® Treat?
Skin is a living organ that changes over time. As skin ages, some structures and structural support are lost through chronologic aging factors, as well as environmental exposures (like sun, smoke, and other pollutants). When people get into their 40s and beyond, loss of collagen, elastin, and hyaluronic acid makes the skin less resilient. By this time, facial muscles responsible for expression have pulled on the overlying skin so many times that it has caused lines to imprint in the skin.
Folds and creases gradually begin to appear, and these grow more prominent with each muscle contraction. Over time, the wrinkles become more and more reinforced and thus pronounced and then are often visible when the skin is at rest.
BOTOX® Cosmetic is designed to address these lines, known as “dynamic wrinkles”—since the word “dynamic” refers to something marked by constant activity. (This is in contrast to “static wrinkles,” which are not associated with movement and are visible at rest.) A single injection session of BOTOX® is enough to make the targeted muscles pulling on the skin less visible and less imprinted for months at a time.
Specifically, the USFDA has approved BOTOX® for the treatment of:
- glabellar lines (frown lines or “11s” between the eyebrows)
- lateral canthal lines (crow’s feet between the eyes and temple)
- horizontal forehead lines
- excessive underarm sweating
Routine applications by experienced physicians have also led to the development of many other safe and established uses that Dr. Cohen has written extensively on, including:
- lifting the eyebrows
- softening nasal “bunny lines”
- reducing chin dimpling
- smoothing lines around the lips and mouth
- softening platysmal bands in the neck
- minimizing excessive sweating in other areas (palms, soles, forehead/scalp)
What is BOTOX®?
Muscles contract when they receive a signal to do so via a specialized cell known as a neuron. BOTOX® blocks contractions in wrinkle-forming muscles by disrupting this typical flow of neuron-signaling. It has a similar effect on glands, such as those that produce sweat (especially in the underarm area). This is why BOTOX® is known as a “neuromodulator.”
The key ingredient in BOTOX® is a purified form of botulinum protein. Once injected into a targeted muscle, it works to suppress contractions for months at a time. Because neuromodulators are such effective blockers of muscle activity, injectors must be thoroughly trained in their proper handling, use, and regions of delivery.
While it is possible for a wide range of people to meet the minimum requirements to perform aesthetic treatments in some lax states in the United States, Board-Certified Dermatologists are uniquely qualified to administer BOTOX® and a full spectrum of aesthetic procedures. This is due to their rigorous medical school and residency education, their intense study of the skin, their understanding of skin’s relationship to other systems, and their extensive board exam testing on these procedures.
What is the BOTOX® Injection Process?
All patients who desire a BOTOX® cosmetic treatment will be seen by a Board-Certified Physician at AboutSkin Dermatology. This allows the patient to describe his or her desired aesthetic goals. It also gives the injector an opportunity to determine the suitability of the treatment, as well as other aesthetic procedures of interest, and explain what to expect. Many people have questions about the length of treatment, as well as cost. BOTOX® side effects and other rare potential post-treatment issues are also a common topic of these discussions with your injector.
The BOTOX® injection session itself does not last long. Administering the treatment is done with great care by positioning each tiny-needle injection with precision. That said, customized results still take only a matter of minutes. And because a treatment session with BOTOX® alone doesn’t take more than several minutes, people even dub it a “lunchtime procedure.”
Each tiny-needle stick feels like a slight pinch. Patients can expect the treated area to sometimes be slightly tender shortly after their session, with the possibility of bruising, redness, and swelling. These BOTOX® side effects and post-injection issues are typically very mild and temporary.
How Long Does BOTOX® Last?
Patients should see the results of their BOTOX® injections within three to four days, but they peak one to two weeks later. The smoother-looking skin can be expected to last for three to four months (but often some results are still visible for up to six months), with each individual patient experiencing unique results—depending on the prominence of their musculature, the dose used to treat them, and their aesthetic goals.
As the neuromodulator effects begin to wear off and muscle activity resumes, patients can schedule a new treatment session.
Are There More Options to Address Wrinkles?
BOTOX® Cosmetic is the most popular cosmetic treatment globally, but it is not the only neuromodulator. AboutSkin Dermatology also offers other type A botulinum brands—like Dysport®, Xeomin®, and Jeuveau™—for relaxing the muscles responsible for dynamic wrinkles. Actually, Dr. Cohen has performed many clinical trials on BOTOX®, as well as these others over the years—and some patients prefer to continue treatment with the product they received during these clinical trials at our office. You and your doctor can make that decision together.
While BOTOX® relaxes muscle that imprints wrinkles, women and men who want to address static wrinkles and loss of volume can choose dermal fillers. These injections are often combined with neuromodulators on the same day to address both issues: dynamic as well as static lines and wrinkles.