Botox Injections
Natalie, April, and Seda (RNs) are our aesthetic nurse injectors. They were trained by Dr. Grigoryants to perform facial injections. Many women and men in Los Angeles and out of town come to them for injections. Our nurses perform the following injections:
–Botox injections for wrinkles in the forehead and around the eyes. They also use Jeuveau and Dysport for the patients who prefer these neurotoxins.
– Facial Filler and Lip Injections
– Cheek, jawline, and chin contouring using fillers.
What is Botox?
Botox is the most popular neurotoxins in Los Angeles. It is an FDA approved neurotoxin used to weaken the muscles under the skin of the face and neck. This results in the smoothing of the facial wrinkles. Other similar FDA approved neurotoxins used in Los Angeles are Dysport and Jeuveau. When these injectable medications administered repeatedly over a long period of time, they help prevent the development and deepening of forehead and periocular wrinkles. These neurotoxins do not cause skin numbness as they work on paralyzing the muscle. These are some of the best neurotoxins available in Los Angeles.
Are these injections painful?
Most patients tolerate Botox, Dysport, and Jeuveau injections well. We also offer topical anesthetic cream and ice packs to help decrease the discomfort. After the injections, there is usually no discomfort. Most people can return to work the same day.
The following areas are commonly treated with Botox, Dysport, and Jeuveau:
- frown lines between the eyebrows
- forehead creases
- wrinkles on the outer sides of the eyes, “crow’s feet”
- Neck bands ( platysmal bands)
- Chin to decrease dimpling
- These products can also be used to change the shape and position of eyebrows.
- Armpits to decrease sweating
Can Botox, Dysport, and Jeuveau be used to decrease perspiration?
Botox, Dysport, and Jeuveau injection specialists for treatment of excessive sweating. These neurotoxins are injected in the armpit to decrease perspiration. Typically 40-50 units is used for each armpit. The result last 4-9 months in most patients.
How soon will I see the results and how long will they last?
You will start noticing smoothing of the wrinkles after 3-7 days. The results last on the average of about 4 months. After 3 or 4 sessions of Botox, Dysport, and Jeuveau treatment, the muscles will atrophy, which will allow less pronounced wrinkles on animation.
During your consultation at our Glendale office, we will carefully evaluate your facial skin quality, position of the eyebrows, as well as activity of facial muscles. Based on your goals and your anatomy, we will recommend a treatment plan.
Do you offer specials on Botox, Jeuveau, and Dysport?
We have various specials throughout the year. Please contact us to find out more.
Can Botox treatment be combined with other injections?
Many Los Angeles patients presenting for Botox injections also undergo treatment with fillers. Botox will address mimetic wrinkles of the forehead and around the eyes and fillers will help diminish the appearance of the smile or marionette lines or enhance the lips, cheeks, chin, or jawline.
What is the difference between Botox and dermal fillers?
Botox and similar nerotoxins are used to treat wrinkles caused by the muscles of facial expression ( e.g. muscles of the forehead and around the eyes). These neurotoxins weaken/paralyze those muscles and thus decrease the appearance of the wrinkles. Dermal fillers, are used to fill facial grooves ( e.g. smile lines or marionette lines) as well as increase the volume of the chin, cheek areas, jawline, or lips.
How many units Botox is usually injected?
The amount of Botox and other neurotoxin needed depends on the facial area to be injected and the strength of the muscle in that area. In general, 10-30 units of Botox or Jeuveau is used for forehead, 10-25 for frown lines, 5-15 units for each crow’s feet area, 10-20 units for neck backs. Most patients who present for treatment of forehead lines, frown lines, and crow’s fee areas need a total of around 45 units . Three units of Dysport are equivalent to one unit of Botox or Jeuveau.
At what age should I start doing Botox?
For most patients, we recommend waiting till 21 years of age before considering Botox treatments. The need for Botox injections is determined individually for each patient. Those patients who have strong facial muscles resulting in significant wrinkling on animation would benefit from Botox injections earlier to prevent permanent wrinkles in the future. This is especially true for patients with strong mimetic muscles and thin skin.
Does Botox cause skin numbness?
No. Botox and other neurotoxins work to weaken the facial muscles. They do not cause skin numbness. Mild numbness or tenderness may occur right after the injection due to swelling, which usually resolves within days after the injection.
Can Botox be injected on the same day as a Morpheus treatment?
It is best to undergo Botox injections one week before or one week after Moprheus treatments.
What are the Botox side effects?
Botox injections are well tolerated and side effects are temporary. Some of the side effects of Botox and other neurotoxins include:
- swelling- in the area of injection may occur and usually resolves within 2 days
- bruising is rare and takes several days to resolve. Avoid taking blood-thinning medications, supplements, or consuming alcohol 1 week prior to treatment.
- headache rarely occurs after Botox injections. In some patients, Botox can treat or prevent headaches.
- eyelid or facial drooping – occurs rarely and resolves on its own. Certain eye drops can treat the temporary eye droop.
- allergic reaction (very rare)
What is the difference between Botox and Jeuveau?
Both Botox and Jeauveau are effective at treating facial wrinkles. Jeauveau tends to kick in 1-2 days earlier than Botox but has a similar duration to Botox.
How long does the procedure take?
Injection of Botox or other neurotoxins takes about 5 minutes to perform. Some patients prefer to have a numbing cream applied prior to the injections, which will add another 10-20 minutes.
When can I start exercising after Botox injections?
We recommend patients resume exercises 24 hours after Botox treatment in the facial area and 3 days after receiving injections in the armpits (for sweating).
Do the effects of Botox wear off faster if I exercise?
The effect of exercise on Botox duration has not been studied yet. However, some of our patients have pointed out that their Botox results did not last as long when they exercised. Other patients have not noticed any difference in Botox effects duration when do and do not exercise.
Can Botox be injected to slim the jawline or for teeth grinding?
Many patients in Los Angeles complain of the hypertrophic or overacting masseter muscle. Botox injections in the masseter muscle are performed to weaken the muscle. Over time, the muscle size decreases allowing to narrow the back aspect of the jaw. Also, weakening of the masseter muscle may help treat teeth grinding, temporomandibular joint dysfunction (TMD), and ear or tooth pain related to teeth grinding or TMJ dysfunction.
Is there such a thing as permanent Botox injection?
As of today, all neurotoxins in the United States are temporary. It is likely that in the near future there will be a neurotoxin which may produce longer lasting results (up to 6 months).
Can Botox cause serious / dangerous side effects?
No definitive serious adverse events related to the distant spread of toxin effect have been reported for cosmetic facial injections of Botox at the recommended doses, armpit injections for sweating (100 units), or for treatment of migraines (155 units).
The risk of developing serious side effects due to the distant spread of the toxin is higher in children treated for spasticity and adults who have an underlying condition that would predispose them to these symptoms (such as peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders including myasthenia gravis or Lambert-Eaton syndrome). These side effects include swallowing and breathing difficulties which can be life-threatening and there have been reports of death. These side effects can develop hours to weeks after injection.
Click the link for more information on FDA Black Box Warning
When can I come for injections?
Our nurses perform injections daily Monday through Saturday. To schedule, call our office at 818 396-5551 or email us at vgplasticsurg@gmail.com
CASE EXAMPLES PERFORMED BY OUR NURSE INJECTORS NATALIE AND APRIL :
Botox injections were performed on this patient to treat forehead wrinkles. Such Botox treatments are also preventative as regular injections prevent the lines from becoming permanent. This Botox injection was performed by nurse Natalie.
This patient underwent Botox injections for vertical frown lines (11’s ) between the brows, horizontal forehead wrinkles, and wrinkles around the eyes (crow’s feet ). This treatment also produced a brow lift. This patient’s Botox injection was performed by nurse April.
Young female with strong corrugator muscles which cause vertical frown lines. The muscles were injected with Botox which weakened the muscle and prevented vertical frown lines. This patient’s Botox injection was performed by nurse April.
The same patient also had forehead injections with Botox to treat forehead wrinkles. Performed by nurse April.
Botox was injected in the chin to minimize chin dimpling occurring on animation. This Botox injection was performed by nurse Natalie.
This patient underwent Botox injection to weaken the muscle causing vertical frown lines (11’s). Injection performed by nurse April
A smoother forehead was achieved using Botox injections to treat frown lines. This patient was treated by nurse April.
This patient’s upper face was treated with Botox injection. A total of 45 units of Botox were used. After treatment, the patient’s forehead is smoother and her brows lifted and improved in shape. This treatment was performed by nurse April.
After botox injection, the patient was not able to frown and produce vertical lines resulting in a smoother forehead. This patient’s injections were performed by nurse Seda.