SECOND QUARTER 2007, VOLUME 21, NUMBER 2

Best Bets for a Rejuvenated Look Botox® Injections or Forehead

IN THIS ISSUE

Doctor Directed: Today, Tomorrow, and the Future

Best Bets for a Rejuvenated Look Botox® Injections or Forehead

Ask the Surgeon / Health Tip / What’s New

Eat Your Way to Good Looks

Do you see vertical lines between your brows? Or, maybe the skin is starting to sag and wrinkle above your brows. The skin on your forehead ages along with the rest of your skin due to diminutive collagen production, hormone loss, and damage from the sun and environment. Two treatment options that will restore a more youthful, refreshed appearance to the area above the eyes are botulinum toxin type A injections (BOTOX®) and a brow lift. Find out what treatment option may be right for you!

BOTOX® Cosmetic
The Food and Drug Administration (FDA) approved BOTOX® Cosmetic in 2002 for the temporary treatment of moderate to severe frown lines between the brows in people 18 to 65 years of age. It is available by prescription only. These frown lines that appear between your brows are called glabellar lines. They result from constant muscle contraction over time. After years of expressing your emotions, the lines linger longer and become more pronounced. Botulinum toxin injections, or BOTOX® Cosmetic, can temporarily reduce the appearance of these lines for up to four months after treatment. It works by blocking the nerve impulses of the injected muscles, so the muscles do not contract and the lines do not form..

What to expect
Your facial plastic surgeon will evaluate your facial features and determine where to administer the injections—this is unique and based on how the individual’s muscles contract and appear. Most likely, you will be comfortably seated in a reclined chair. While no anesthesia is required, your physician may apply a cold pack or anesthetic cream to numb the area. Several tiny injections will be made directly into the muscles that cause those lines between the brows. The procedure typically takes about 10 minutes. Once you are done, there is no recovery time. You should begin to see improvement within days.

One of the most popular questions asked: Will I be able to make facial expressions after treatment? Yes! Unlike how it is portrayed in Hollywood spoofs and movies, BOTOX® Cosmetic will not prevent you from smiling, frowning, or any other expression. You still will be able to—just without the wrinkles and creases between your brows.

Since BOTOX® is a temporary solution, be sure to discuss with your physician a treatment schedule. If you do not continue treatment, the lines will reappear.

Brow lift
The brow lift, or forehead lift, is a surgical procedure to correct the sagging of the skin. Patients that often appear angry, sad, or tired because of their sagging skin, benefit immensely from smoothing and minimizing these frown lines, creating a refreshed, more alert appearance. A good candidate for this procedure may have congenital (genetic) indicators, such as low eyebrows that project a sad expression; or, due to aging, a candidate may have horizontal forehead lines, furrows between the eyebrows, hooding eyelids, or sagging skin.

What to expect
To see what a brow lift can do for your face, put your hands above your brows and outside the edges of your eyes and gently raise the skin upward. Brow lifts can improve a sagging brow or deep furrows between the eyes. This procedure is typically performed on patients between age 40 and 65; however, it may be necessary at an earlier age if addressing a congenital or reconstructive issue.

Good health and realistic expectations are a prerequisite for surgery. The procedure can be performed under local anesthesia and sedative; however, most patients request general anesthesia.