“When I saw Dr. Pilest was a training doctor with so much experience, I knew this was the right place. It’s been the perfect choice.” Caroline Moore, age 61
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Botox® Irvine | Orange County
Dr. Pilest is a Platinum Plus Botox Cosmetic Physician with over 33 years' experience. As an injection training physician, he has expanded expertise in the use of Botox and dermal fillers. All Botox and filler injections are provided solely by Dr. Pilest.
Botox Cosmetic, the proven wrinkle relaxer to eliminate frown lines, lift brows and smooth crow's feet.
BOTOX COSMETIC® - Orange CountyBotox injections are the fastest-growing cosmetic procedure in the industry, according to the American Society for Aesthetic Plastic Surgery (ASAPS)...with good reason.
"Botox is magic. Nothing can do what Botox can!" - Dr. Pilest
This procedure is one of the safest available for reduction of wrinkles. BOTOX® has been used safely and successfully in ophthalmology for over 12 years and for wrinkle therapy for well over a decade. It has been approved by the FDA for neurological disorders. In the amounts used for wrinkle therapy, the only possible side effects are temporary and localized to the area of injection.
At Total Dermatology you will always receive maximum strength, fresh BOTOX®. Although individuals may have slightly varied results, we will work with you to achieve your most optimal results. Dr. Pilest personally performs all injections, both for Botox and dermal fillers.
As a trainer for Allergan, Dr. Pilest presents Physician Lectures and Roundtable Discussions for Juvederm and Botox.
Botox & Juvederm Loyalty Program from Allergan - As a Brilliant Distinctions member you can receive redeemable points for all Botox treatments (and Juvederm too) and exchange them for Allergan products through Total Dermatology - Points are applicable to Botox, Juvederm and Latisse.
Not a member yet? Join the Brilliant Distinctions Program now. NEW! Brilliant Distinctions Mall lets you rean points by shopping at 1000's of online retailers.
What are the overall advantages of treating wrinkles with BOTOX®?
How does it work?
First: A few drops of BOTOX® are injected with a tiny needle into the muscle that creates a wrinkle. When BOTOX® is injected into a muscle, it blocks the nerve impulse from reaching that area, and as a result, the muscle weakens. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkles in the skin gradually soften and often disappear. BOTOX® treatment does not effect normal facial expressions.
Botulinum Toxin Type A (BOTOX® Cosmetic) is a protein complex produced by the bacterium Clostridium botulinum, which contains the same toxin that causes food poisoning. When used in a medical setting as an injectable form of sterile, purified botulinum toxin, small doses block the release of a chemical called acetylcholine by nerve cells that signal muscle contraction. By selectively interfering with the underlying muscles' ability to contract, existing frown lines are smoothed out and, in most cases, are nearly invisible in a week.
Basically, the botulinum toxins block the signals that would normally tell your muscles to contract. If a specific muscle can't move, it can't cause a wrinkle.
What can BOTOX® be used for?
Side effects of BOTOX® are minimal, with slight discomfort upon injection of the solution. This may be minimized by the use of Emla cream one hour prior to the injection. Bruising at the sight of injection may occur but is not common. One percent of patients develop a slight lowering or ptosis of one eyelid and, also rarely, asymmetry of facial expression. These effects are temporary and may not even be noticed by the patient.
The Anatomy of a Wrinkle
As an example we'll look at the common "frown" of the glabellar lines. The lines that appear between your brows (glabellar lines) actually result from muscle movement and the passage of time. You may have heard the expression "wearing your emotions on your sleeve," but in reality you wear them on your face. If you're angry or annoyed, for example, you knit your brows together. Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you're frowning.
After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men's, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent.
How glabellar lines are formed
Glabellar lines are the dynamic wrinkles between the brows caused by the contraction of corrugator and/or procerus muscles.
Movement of corrugator and procerus muscles can cause the skin between the brows to crease. As skin becomes less elastic over time, repeated contraction of these muscles may create visible lines and wrinkles.
BOTOX® Cosmetic works on the muscles that cause glabellar lines
BOTOX® Cosmetic is injected directly into the corrugator and procerus muscles, where it enters the nerve endings to block the release of acetylcholine, the chemical that causes muscles to contract. Once the muscles are at rest, skin becomes smoother.
Results you can see…
In a clinical study results were still visible up to 4 months later
*Unretouched clinical photos taken while frowning both before and 30 days after treatment with BOTOX®® Cosmetic.
Other above-mentioned wrinkles resulting from muscle contraction are treated in the same way. The resulting effect is of both smoother facial features and a "lifting" effect as the BOTOX® serum allows those muscle functions to become more dominate.
BOTOX®-Restylane, Botox-Juvederm or Botox-Cosmoderm Combination Treatments
Using BOTOX® to relax the dynamic muscles that cause wrinkles is frequently combined with follow-up dermal fillers. Some lines on the face are a result of skin laxity aging and are not affected by BOTOX®. These lines are readily improved with the use of either Restylane or Juvederm (both Hyaluronic acid fillers) or Cosmoderm/Cosmoplast collagen products. In some situations the Restylane can be injected during the same visit. Other times, such as when treating lip wrinkles, the Restylane or other selected filler will be placed several days later when the muscles have relaxed.
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