Botox & Dermal Fillers

• Fine to moderate lines on the forehead
  

• Wrinkles around the eyes (“crow’s feet”)
  

• Wrinkles between the eyebrows (“anger lines”)
  

  Chronic migraines
  

  TMJ pain
  

  Teeth grinding and clenching (bruxism)
  

The treatment can be confidence-boosting and life-changing, especially when it comes to treating facial pain.  Effects are not seen immediately, but rather take effect anywhere from 2-14 days after injection.   While there is no “downtime”, the most common side effect is mild to moderate bruising around the injection sites, so we recommend scheduling your visit at least two weeks before any major event (wedding, photo shoot, etc). We recommend a two-week follow-up appointment to evaluate results, especially for those who are first-timers. Results last from 3 to 6 months on average and depend on several factors including how quickly your body metabolizes the product, age, and severity of the wrinkles.

DERMAL FILLERS

Dermal fillers can help to reduce moderate to severe facial wrinkles and skin folds that are not caused by muscle action. Dermal fillers, such as Juvederm, Versa, and Restalyne can be used to:

• Enhance lips
  

• Remove lines from nasolabial folds
  

• Soften “marionette lines” around the mouth and chin
  

Dermal fillers are made of hyaluronic acid, which is naturally produced and broken down by our bodies. When the dermal filler is injected, the patient can see immediate results. The most common side effects are swelling and bruising that resolve in a few days to weeks. This is also why we recommend getting dermal filler at least two weeks before any major event. We recommend a two-week follow-up appointment to evaluate results, especially for those who are first-timers. Results last from 3 to 6 months on average.

Trigger Point Therapy

A trigger point is a hyperirritable spot in a tight band of muscle that causes pain that radiates or spreads to other locations. For example, a patient may have a tender spot on a neck muscle that when compressed causes pain that radiates to the top of the head. This pain can sometimes be debilitating for patients and greatly limit their range of motion, causing everyday tasks like turning the head and eating to be uncomfortable. Trigger points are treated with injections, either with local anesthetic or botulinum toxin (Botox, Xeomin). The injection itself breaks up the tight band of muscle that makes up the trigger point, and the addition of Botox or Xeomin can help those effects last longer. Either way, patients tend to get relatively immediate relief that continues to improve over the following days to weeks. To determine whether a patient is a candidate for trigger point injections, an in-depth examination is done beforehand. Generally speaking, most patients are candidates if they are in good overall health and suffer from:

• Facial pain
  

• Pain from TMJ disorder
  

• Neck or shoulder pain
  

We recommend a follow-up visit two weeks after treatment to evaluate results, especially for first-timers. Results last from 3 to 6 months on average.