Facial Cosmetic Surgery

BOTOX® Cosmetic

Botox treatment is a revolutionary approach to reversing the affects facial wrinkles. Crow’s feet, worry lines and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting botox into the tiny facial muscles that create the wrinkles.

Before Surgery

To better understand your overall health, we will evaluate your medical history prior to surgery. In addition, a complete examination of your eyes is made in order to decide the most effective injection sites. All issues and concerns will be discussed.

The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

The Botox Procedure

Botox injections are performed without anesthesia because it is virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment’s effect. Patients over the age of 65 may not experience as dramatic of results. Botox is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

Post-Operative Information

After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop. Botox is completely reversible so any side effect is only a temporary condition. The doctor will explain all risks associated at the time of your consultation.

Restylane® and Perlane® Cosmetic Injections

Restylane® and Perlane® Cosmetic treatments are an innovative approach to reducing and even eliminating facial wrinkles. Deep laugh lines, nasolabial folds and lines around the mouth and lips can all be treated. The products can restore the youthful volume to the face and fullness of lips.

About Restylane® and Perlane®

Restylane® and Perlane® are made of hyaluronic acid, the same viscous substance that lubricates our joints! Both products are FDA approved for the treatment of moderate to severe facial wrinkles and folds. This material is not obtained from donors; rather, it is synthesized in pure form in the lab. Because it is a thick substance that occurs naturally in the human body, it is more comfortable, lasts longer, and feels more natural than other injectable fillers such as collagen. Restylane is the most used cosmetic dermal filler, and has been used in more than 1.4 million treatments in the U.S.

Before Procedure

To better understand your overall health, we will carefully evaluate your medical history prior to treatment. In addition, a complete examination of your face is made in order to decide the most effective injection sites. All issues and concerns will be addressed.

The areas that will be treated may be marked and photographs may be taken in order to follow the improvement after the procedure. To avoid bruising and bleeding, drugs, vitamins and herbs that thin your blood or prevent platelets from clotting should be avoided.

The Procedure

These injections are performed very comfortably in the office under local anesthesia. At most, only a very slight sting may be felt when injections are made. Injection procedures usually take only 10-20 minutes. Because this is a substance that is also naturally-occurring in the body, results are not permanent. Initial results typically last 6-12 months; however, with repeated injections on regular intervals, the results can become progressive.

Post-Procedure Information

After the procedure, patients may experience slight bruising around the area that quickly fades. Swelling, redness and tenderness after the injections is minimal and also resolves quickly. Normal activities can be resumed almost immediately. One of the benefits of a reversible injectable filler such as Restylane® and Perlane® is that the effects will dissipate and disappear over months, such that should a patient desire their pre-procedure appearance, they can achieve it once more.

What are the differences between Botox ® and Restylane®?

There is a synergistic relationship between Botox ® and wrinkle fillers such as Restylane ®. When restricting muscle activity with Botox ®, and filling wrinkles with Restylane®, the effects achieved may last longer. Hand-in-hand they are ideal companion treatments as each boosts the effect of the other. One can seemingly take years off your life in the matter of minutes with the two products, thus giving rise to such names as the “15 minute face lift”


Juvederm is the one of the latest dermal fillers introduced to the U.S. market by Allergan, the company which manufactures Botox. It is a hyaluronic acid based filler similar to Restylane. However, JUVÉDERM™ injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel.

Recently approved by the FDA, Juvéderm™ injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

With Juvederm, the results are immediate with minimal downtime. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. Juvederm can be used virtually anywhere on the face, with most success in the lips, nasolabial folds (lines from the nose to the corners of the mouth), and the marionette lines (lines from the corners of the mouth downward to the jawline).