- Botox® Cosmetic is the gold standard for softening expression lines.
- It works by relaxing muscles to inhibit their strong pulling on the skin that causes lines to form.
- It has FDA approval for treatment of frown lines and crow’s feet, and is used off label to soften everything from bunny lines on the nose, to lip lines, to vertical neck bands.
- A hallmark of Dr. Sherber’s technique is that she is able to create a very natural appearance for her patients, as many of them appear on high definition film and need to look youthful but not obviously “done.”
- Whereas some people worry that Botox® will make them look frozen or permanently surprised, a very nuanced lifting of the brows or smoothing of the forehead or picking up the corners of the mouth is achievable with the state of the art techniques.
- Botox® Cosmetic was first approved by the FDA in 2002, and since then more than 11 million people have been treated with it.
- There have not been any confirmed cases of spread of toxin effect when Botox® has been used at the recommended dose to treat frown lines, crow's feet lines, or both at the same time.
Other Uses of Botox®
- One of the most cutting edge techniques that Dr. Sherber employs is to pre-treat any areas on which facial surgeries are planned (such as face lift, blepharoplasty, cosmetic mole excision, or skin cancer excision) to eliminate tension on the healing skin so that the scar can form under zero tension: this is the optimal condition for scar healing and ensures the most invisible scar formation possible.
- Botox® can also be used in the underarms to stop perspiration, and many patients find that one quick treatment per season gives them dry underarms year round.
- While competitors have appeared on the market, such as Dysport and Xeomin, Dr. Sherber prefers Botox® as it delivers predictably effective results that can be tuned from subtle to significant.
Preparing for Treatment
- For the 2 weeks prior to any injectable treatment we ask that you discontinue any NSAIDs such as Aleve, Advil, or Aspirin (unless medically necessary), as well as any supplements containing fish oil, omega 3 fatty acids, gingko, or ginger, in order to minimize the risk of bruising.
- You are welcome to take Tylenol for minor discomforts rather than an NSAID.
- If you have a history of herpes simplex cold sores, and if the Botox® is used near your mouth, we may prescribe an antiviral to take as an adjunct to treatment to prevent an outbreak.
What to Expect
- Dr. Sherber uses tiny insulin syringes to administer Botox®, and mixes Botox® with bacteriostatic saline to ensure the most comfortable injection. Most patients find treatment to be quite comfortable, but we can apply numbing cream pre-treatment if that is your preference.
- Dr. Sherber uses the most concentrated dilution of Botox® allowed by the FDA to ensure precise and long-lasting results.
- Everyone’s body processes treatment differently, but treatment generally lasts at least 3 months and effects can become more durable with time as muscles get retrained from making involuntary non-purposeful movements (such as furrowing the brows when one is reading).
Brilliant Distinctions Program
- Dr. Sherber has been involved in Botox® education for Allergan (the manufacturer of Botox®) such as the “Which ‘1’ Are You?” patient education program.
- Dr. Sherber participates in Allergan’s Brilliant Distinctions rewards program for her patients, and points are awarded for and may be redeemed for this treatment.