Botox® and other neurotoxins such as Xeomin®, Dysport®, and Jeuveau® eliminate wrinkles and facial creases for men and women seeking a refreshed, younger appearance. Botox is often the first injectable patients try and the results can be quite impressive. Patients start Botox treatments as young as their mid-twenties and continue into their 80s.


How Botox Works

Botox is a non-surgical treatment that addresses facial wrinkles including forehead lines, “eleven’s” or frown lines between the eyebrows and crow’s feet at the sides of the eyes. Tiny lines like these are among the first to show your age and simply disappear with Botox treatment.

Botox is also used by advanced injectors to improve the shape of the eye by opening it more or by raising the brow, giving it an aesthetically pleasing arch. It can also improve the appearance of the mouth by raising the corners of the lips, by weakening and diminishing vertical “smoker’s” lip wrinkles and by making the upper lip have more prominence (“lip flip”). Botox can even diminish the prominence of wide jaws through its effect on the masseter (chewing) muscle.


How Botox is Injected

The Botox (botulinum toxin) is injected into the muscles of the targeted areas of the face to stop muscles from contracting. This happens because the Botox molecule blocks signals from nerves to the muscle so they no longer contract. And this stops the tissue movement that forms wrinkles. Only non-critical muscles are targeted as these muscles simply make wrinkles and are not necessary for function. After Botox is placed, wrinkles disappear over the next 4 or 5 days. Persistent wrinkles can be retreated one week after the initial injection if required.



What’s the Difference Between All the Brands of Neurotoxins?

Botox, Xeomin, Dysport, and Jeuveau

The U.S. Food and Drug Administration (FDA) approved Botox and other neurotoxins, for minimization of fine lines on the face. Each of the products are manufactured and sold by different companies. There are subtle differences between the different neurotoxins. The active molecule is very similar with only minor changes between different brands. Some are touted to last longer; others take effect more quickly. The effect on each patient varies and patients who do not respond well to one may do better with another, but this is unusual. Some brands may be less expensive at times — but that is marketing, not medicine.

Zenn Plastic Surgery uses Botox more than any of the other products on the market. Botox, produced and sold by Allergan, is the original neurotoxin and the market leader. In fact, Botox, like Kleenex, has become somewhat of a generic word in society. Zenn Plastic Surgery is often approached to trial new formulations of neurotoxins. Patients should expect the most up-to-date and cutting-edge treatments.


How Soon After Treatment Will I See Results?

Within 48 hours after your Botox treatment, the wrinkles begin to melt away. Then, in five to seven days, you’ll notice smoothness and rejuvenation of your face. Hence, the fine lines and frown lines no longer appear. What separates those who just inject Botox from those who use Botox to artistically create a more youthful face is experience, training, and pure talent. Each muscle is different in size, strength, and vector of pull. It is the appreciation of each patient’s unique anatomy and the knowledge of how much and where to place Botox that separates our injector from the rest. Who injects your Botox actually matters!


How Long Does Botox Last?

Typically, after 3 to 4 months, you slowly start to see wrinkles and lines reappear as the nerve impulses start reaching the muscle again. The larger and stronger the muscle, the faster the return. It is also true that with repeated treatments, fine lines and wrinkles appear less prominently than before and may require less Botox. There is no doubt that ongoing maintenance injections every three to six months will help to maintain a smoother and more youthful look. If you keep the muscles at bay and they are always at rest from Botox, the wrinkles will simply never form.


How Much Does Botox Cost?

Calculating the cost of Botox is usually based on either the number of units, or by the area of injection. Because patient plans are specific to the patient, Zenn Plastic Surgery prices Botox by the unit. The real question is, how many units will I need? The answer – it varies. New patients are often more hesitant and start with 15-30 units but commonly are back after a week for more! To establish your Botox routine, we will note your body’s response to the number of units we administer at your last treatment. Our injector will discuss all of this with you at your consultation before any treatment so you know exactly what the cost will be for your best result. Popular belief is that Botox treatments offer the “best bang for your buck” as they are effective and long lasting, with little if any downtime.