BOTOX has revolutionized how plastic surgeons and their patients keep patients looking young for longer without the need for surgery. BOTOX is most commonly used to remove wrinkles of the forehead, between the brows, the crow’s feet lines around the eye, and to slow down the aging process but preventing the break-down of facial collagen. Botox was FDA approved in 2002 to treat the wrinkles in between the eyebrows that patients fondly refer to as either the “11s” or the angry lines. Prior to 2002, however, Botox has been used in more “legitimate” medicine to treat muscles spasms. To this day, botox is actually used more in medicine than in cosmetic treatments.
LOOK YOUNGER LONGER!
HOW DOES BOTOX TAKE AWAY WRINKLES?
BOTOX is a neuromodulator which temporarily prevents affected muscles from contracting. The forehead lines, glabellar 11’s and the crow’s feet lines are all caused by hyperactive muscle action in the face of loose skin that results from loss of facial volume and the breakdown of tissue collagen. By temporarily preventing these muscles from contracting, the muscle is unable to cause the crease; and the crease will if it is not too ingrained, soften and then disappear. Dr. Chang and our expert nurse injectors are ranked in the top 1% of all medical offices in the country by Allergan, the manufacturer of Botox.
What's Your Primary Concern?
The forehead wrinkles are horizontal lines visible across the forehead and caused by the frontalis muscle. The muscle runs from the scalp to the eyebrows and helps with facial expressions such as to express inquisitiveness or surprise. As you get older, they also help you open your eyes as your upper eyelid skin gets heavier. Treating these lines is one of the most popular options for botox.
HOW BOTOX IN THE FOREHEAD SLOWS DOWN AGING:
Treating the forehead will not only reduce the lines of the forehead but because the muscles will not be able to contract, the skin collagen does not break down as fast. This will ultimately keep the skin from stretching or sagging with time, thereby preserving your brows where they are supposed to be.
If you already have low brown, then relaxing the forehead muscles (which normally elevate the brows) will cause the brows to fall; giving you the feeling and expression that your brows are heavy.
Angry 11s Between the Brows
The vertical wrinkle between your brows have been given many names. These include the 11s or the “angry” lines. These muscles are called the glabellar muscles (the corrugator muscle and the procerrus muscle) run between the eyebrows to bring them down and toward the nose; and helps with facial expressions such as to express concern, worry, anger, or concentration… none of which are good. Treating these lines gives a strong impression of youth. Nobody wants to look concerned or angry.
HOW BOTOX IN THE GLABELLA SLOWS DOWN AGING:
Treating the 11’s will not only reduce the lines of the forehead, but because the muscles will not be able to contract, the brows will stay in a higher position over time. Not only are higher brows more youthful, but they take the pressure off of the upper eyelids.
The crows feet lines are the wrinkles that extend to the side of the eye when you smile or squint. They are caused by a circular muscle around the the entire eye called the orbicularis. Therefore, treating this muscle will only prevent the part of the muscle that is treated from contracting… that is a good thing. As we get older, we begin to lose tissue volume in the temples. This allows the deflated tissue to sag; the orbicularis muscle becomes hyperactive because it has to work harder to move the skin that is no longer tight. A nice addition to this procedure is to add a cosmetic filler like Juvederm or Voluma to the temples.
A limitation to the treatment is BOTOX will not treat all the lines consistently. In particular, the lower lines on the cheek are not usually treated. These are caused more so by the cheek elevating when you smile as opposed to the muscle action of the orbicularis muscle
HOW BOTOX SLOWS DOWN AGING:
Treating the crow’s feet lines will not only reduce the visible wrinkles around the eye, but it will slow down the apparent aging in the area. Because the muscle is no longer able to contract the skin, the collagen does not break down as fast. The lower eyelid skin does not stretch or sag as fast over time.
Some inexperience practitioners will get too close to the upper eyelid which has a different muscle that raises the upper eyelid. The BOTOX will stop the upper eyelid muscle from working which normally raises the upper eyelid. The result is and eyelid droop. Eyelid droop can be partially treated with iodipine drops.
The bunny lines are wrinkles over the bridge of the nose as you wrinkle your nose or smile. They are caused by the nasalis muscle located over the bridge.
The lateral brow lift is included here because it is one of the most popular treatments that we perform using BOTOX, even though it is not a wrinkle treatment.
The procedure is performed by treating the upper part of the circular orbicularis muscle (see crow’s feet). Contraction of this circular eye muscle near the eyebrow causes the brow to come down. Treatment of this muscle will therefore raise the lateral brow. Similarly, treatment of the glabellar muscle (see the 11’s) which normally causes the medial brow to come down will raise the medial brow.
The result from this treatment leave the brow slightly higher at the corners helping to brighten up the eye itself. It leaves the patient feeling more awake and helps to prevent the need for upper eye lid surgery for some time.
Miracle Of Botox
WHAT OTHER COOL THINGS CAN BOTOX DO?
REDUCE TMJ PAIN
REDUCE SMOKER'S LINES
NECK LIFT CONTOURING
TURN UP LIP CORNERS
PERFECT CHIN DIMPLING
REMOVE FOREHEAD LINES
MITIGATE MIGRAINE HEADACHES
UPPER LIP CREASE IMPROVEMENT
SLIM DOWN THE JAW
Botox: Step 1 of 4 Nonsurgical Solutions
Botox treats only one of Dr. Chang’s 4 Pillars of Facial Aging.
When you combine Botox with other anti-aging solutions like facial fillers, skin tightening, and laser treatments, then you are much closer to cracking the secret of the mystical fountain of youth. Learn about how these other pillars of facial aging can help you stay looking younger for longer.
WHAT TO EXPECT
4 PIILLARS OF FACIAL AGING
If you have never had botox before, your evaluation and consultation will review the 4 pillars of aging. These include the loss of facial volume, the loss and break-down of tissue collagen, the resulting hyperactivity of the muscles of facial expression, and the surface skin changes that change the radiance of your skin. These are reviewed in a different page.
YOUR ANTI-AGING PLAN
Based on how these changes may have affected you, we will develop a treatment plan. It is very possible that BOTOX is the only item on the treatment plan.
YOUR BOTOX TREATMENT PLAN
Based first on your concerns, and then on your physical evaluation, a treatment plan is created just for BOTOX. This includes deciding whether you would benefit from treatment of your forehead, 11’s, crow’s feet, or bunny lines. Each area will generally require about 20 units of botox for optimal results.
WHAT TO EXPECT
YOUR FIRST BOTOX INJECTION
Your treatment will be done by one of our cosmetic nurses who have been personally trained by Dr. Chang. Their training requires a full year internship. At the end of the internship, they would have had more experience than 90 percent of non-plastic surgeons and 70% of plastic surgeons. They are trained in surgery to see the real muscles in action that they will at some point address.
Each area is treated with a 30 gauge needle. This is the smallest needle available provided for your comfort. Topical numbing is generally not provided as it is not particularly effective. You may, however, request it if you want. Each area will have 2-4 injections per side. In general, there is no significant bruising.
WHAT TO EXPECT
AFTER YOUR FIRST TREATMENT
The reduced muscle activity starts 3-4 days after receiving your injections. from that point, it will take another 2 weeks to see maximum benefit. Although we will often hear anecdotal stories of Botox lasting 6 or more months. The manufacturer reports an average of about 3-4 months. The strategy is to be re-treated in 3 months in order to avoid having the muscle get worked up and strong again.
Your smooth, younger-looking skin will remain for approximately three to four months before the muscles slowly being to move again. Maintenance injections every three to four months will preserve your smoother, more youthful look.
How to Make Botox
Patients that pre-book their next appointment decrease our administrative and marketing expenditures. Pre-booking also ensures that your anti-aging efforts are optimized and decrease the time of your next visit. We want to pass these savings on to YOU!
WRITE A REVIEW
We are confident that you will happy with your treatment. After receiving a Botox treatment from us, help us spread the word about your treatment by writing a review on Google to help not only other potential patients learn more about your treatment but help them learn more about Dr. Chang and the team at Aesthetica. In return, receive a credit toward your next service. We thank you!
REFER A FRIEND
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TOP RATED PLASTIC SURGEON
IN NORTHERN VIRGINIA
Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results.
Visit his office in Leesburg, Virginia in Loudoun County or fill out the contact form below for more information on how we can help you with your plastic surgery plans.
PLASTIC SURGERY FACILITY
Our state-of-the-art medical facility provides a safe and convenient cosmetic oasis where world class technology and equipment is coupled with a caring, compassionate staff. You will be welcomed into a chic, inviting reception area and greeted by our friendly patient coordinator. Your treatment will be performed in one of our cutting edge suites, and then you will be escorted to our soothing, restorative recovery rooms. Concierge service and boutique amenities await at every stage of your journey.
CONTACT OUR OFFICE:
Our office can provide you will helpful information, schedule a free consultation, and walk you through the process of having the procedure covered by your insurance.