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Botox is the most popular cosmetic medical treatment in the U.S., and is a favorite among men and women looking for non-surgical facial rejuvenation. Botox has a long history in ophthalmic plastic surgery and was first used for conditions with hyperactive eyelid squeezing (Blepharospasm, Hemifacial spasm, Meig's Syndrome) in the 1980's. It is still the most effective treatment available for blepharospasm and Dr. Kohn's experience with Botox dates back to 1985 as he was one of the initial investigators whose cases led to the initial FDA (Food and Drug Administration) approval of this treatment. Oculofacial plastic surgeons are among the foremost specialists in the use of Botox for lines, wrinkles, and facial reshaping and contouring. It has proven to be safe, effective, and economical.


Botox is a safe, naturally occurring substance that causes musce relaxation typically lasting three to four months. In high doses, Botox will weaken muscles substantially, while in lower doses, the relaxation and weakening are subtle. These effects can be harnessed by Dr. Kohn to improve frown lines between the brows (the glabellar region), crow's feet at the outer corners of the eyes, horizontal lines in the forehead, and eyebrow height and shape. Botox can also be used to treat vertical lip lines, down turn at the lips, and twitching or spasm of the eyelids, cheeks, and face.


Dr. Kohn will review your specific concerns and medical history and advise you about the best uses for Botox in your situation. It is injected with a tiny needle directly into the involved muscles that are causing the lines, wrinkles, facial aging, or spasm. While there is mild discomfort during its administration, the injections take only a few seconds.


Beneficial muscle relaxing effects and diminution of facial lines begin to be visible at two to three days following injection and are usually fully evident in less than one week. Improvement in facial appearance and muscle relaxation typically last three to four months.


Bruising can occur with any injection, although it is uncommon with Botox. Infection is extremely uncommon. Botox can rarely induce temporary weakness in an adjacent muscle leading to a temporary asymmetry or a drooping eyelid or lip. These uncommon transient changes completely disappear when the effect of Botox wears off.




Click on an image to view an enlarged version of these and additional before and after photos.


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