Botox^® for a Relaxed Facial Attitude

Successful Botox® therapy requires in-depth knowledge of the facial anatomy and precise technique. Dr. Cook’s extensive facial rejuvenation surgery is the foundation of our treatment methods. Dr. Cook has carefully studied the patterns of facial expression, and this leads to a highly individualized approach. We believe that all patients benefit from our diligent attention to detail.

Over the years, habits of facial expression can mold and reshape facial contours, especially around the eyes. This may result in an unintentional facial attitude that miscommunicates our emotions to friends and family.

The most frequent zone for such habits to occur is between the eyebrows. A person may intentionally contract the muscles in this region in concentration or to protect the eyes from the sun’s glare. Over time, such muscle contraction may become a continuous, subconscious habit.

Over activity of the muscles in this region may have several undesirable consequences. Deep furrows or “frown lines” may develop and give the face an angry, or distressed, look. Repeated and prolonged contraction of these muscles pulls the inner brows downward and can set the facial attitude into a permanent frown. Patients with these habits report that friends and co-workers ask them why they are always “angry” or “tired.” Excess contraction of these muscles may also contribute to a sense of heaviness in the region by the end of the day. This over activity may even trigger tension or migraine headaches.

For some patients surgery may represent the best solution to this problem, but many of our patients have achieved a wonderful softening of the facial attitude with Botox®. This remarkable substance works by interrupting the message that tells the frown muscles to contract.

Patients are delighted by the change. A subtle but distinct elevation of the inner brows restores a calm and refreshed facial attitude. The habitual creases between the brows are softened.

Habits of expression in other facial regions may also respond well to Botox® therapy. These include the “crow’s feet” at the outer corners of the eyes, the horizontal creases of the forehead, and the vertical lines of the neck.

Treatment consists of precise microinjections along the path of the overactive muscles. Practically all patients are able to resume work and social interaction immediately. Most of our patients return every three to six months for additional treatments, since the Botox® loses its control of the muscle over time.

• Ten Things You Should Know About Botox® Before You Seek Treatment.

• Ten Questions You Should Ask Before You Are Treated With Botox®.

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