*Dr. Pilest is a Platinum Plus Botox Physician
BOTOX®
Botox injections are the fastest-growing cosmetic procedure in the industry,
according to the American Society for Aesthetic Plastic Surgery (ASAPS).
"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 almost 10 years. 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.
Botox Benefits Card - Your reward card and extra perks for simply staying current with your Botox injections.
Get your card at your next visit with Dr. Pilest and then activate your reward card online.
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Botox - Relaxing Away the Years (Press Release)
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What
are the overall
advantages of treating wrinkles
with BOTOX®?
- Reduces or eliminates wrinkles
without surgery.
- No sedation or anesthesia is
needed.
- Corrects underlying muscles (as
opposed to the skin's surface or
skin's sub-layer the way peels do).
- Reduces horizontal creases in
forehead. Reduces frown lines.
- Minimizes the look of crows' feet
and laugh lines.
- Provides dramatic effects.
- Effects are customizable and reversible.
- Some patients report they no longer
get migraine headaches.
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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.
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What
can BOTOX® be used for?
- Frown
Lines
- Worry Lines
- Periorbital Wrinkles (Crow's Feet)
- Bunny Lines
- Brow Lift
- Brow Asymmetry
- Drooping Mouth Corners
- Lip Wrinkles
- Platysma Stranding ("Neck Banding")
- Chest Wrinkles and Vertical Lines
- Hyperhidrosis - Severe Underarm Sweating
- Ophthamological Conditions and Dystonia
|
Worry Lines |
Frown Lines |
|
Bunny Lines |
Squint Lines/Crow's Feet |
|
Drooping Mouth Corners |
Platysma Stranding or "Banding" |
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Treatment
Procedure
- Dr. Pilest will administer
several tiny injections of BOTOX® Cosmetic directly into the muscles
of the areas you wish treated.
- The location of the
injections will be determined by examining your ability to move
certain muscles in the selected area. The location, size, and use
of the muscles that create a furrowed brow vary markedly among individuals.
- No anesthesia is
required, although you may choose to have the area numbed with a
cold pack or anesthetic cream prior to injecting. Discomfort is
usually minimal and brief. Most patients compare the sensation to
a pin prick and treatment takes only a few minutes.
- You may resume normal
activity immediately. You may see a marked improvement in the moderate
to severe frown lines between your brows within days. Improvement
may continue for as long as a month, and could last up to 5 months.
After
that, the muscle action returns. When frown lines reappear, a repeat
treatment is necessary to regain the results.
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Are
there any side
effects?
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.
Caution:
The Food and Drug Administration (FDA) has issued statements warning
of the possible hazards of "BOTOX® parties." Whether used to treat
medical conditions such as blepharospasm or strabismus or cosmetic
concerns such as furrow lines, a BOTOX® injection is a medical procedure
that should be performed in a controlled medical environment by a
licensed physician.
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Women's Top 10 Questions About Injectables
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.
(Source: Allergan)
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.
Men are becoming equal fans of BOTOX®, too. Erasing frown and worry
lines give a more assured appearance. And a special added psychological
benefit? Seeing yourself "look" less stressed or angry actually
triggers more positive emotions.
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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.
This particular combination treatment can affect a dramatic improvement
for the entire facial area.
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Complementary
Treatments
Fraxel Resurfacing
Perlane
Restylane
Juvederm
Sculptra
Radiesse
Cosmoderm
Other
De-Aging Treatments
Thermage
Smoothbeam
Vbeam
Chemical
Peels
Smooth Peel
Cosmelan
De-Pigmentation
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2008 © Total Dermatology is one of Southern California's top laser dermatology centers offering
laser treatments for
sundamage,
pigmentation,
acne and acne scars
and
crinkly eye wrinkles.
Dr. Pilest, a Board Certified dermatologist and one of Orange County's most
popular cosmetic dermatology specialists, offers patients in Orange County a wide variety of
wrinkle fillers such as
Restylane,
Juvederm,
Cosmoderm and Cosmoplast,
Radiesse (also known as Radiance), and
Sculptra. Dr. Pilest treats patients from the Newport Beach, Irvine, Laguna Beach, Laguna Hills,
Tustin, Mission Viejo and Orange County area as well as cities throughout California, the United States and abroad.
He is recognized as a master level injection specialist and is a national
teaching faculty member for Bioform Medical. Dr. Pilest is well known for his
expert treatments in managing
Rosacea,
acne, and
hyperpigmentation.
Meet Dr. Pilest - What
We Treat - Juvederm - Restylane - Sculptra Volumizer - Thermage PLUS - Fraxel - FotoFacial - Laser Surgery - Velasmooth for Cellulite - Esthetician Services - Testimonials - News/Seminars
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