Botox® is a naturally derived product that is used to reduce the appearance of some unwanted facial expression lines. In addition, Botox® is used to reduce excessive perspiration of the armpits, hands and feet.

What is Botox®?
Botox® is naturally derived purified botulinum toxin that is FDA approved to reduce facial expression lines as well as to minimize perspiration. It has been used for medical purposes for more than 2 decades. Botox® is capable of preventing the unwanted facial expression lines that eventually develop into permanent wrinkles and furrows. Sometimes, even wrinkles and furrows at rest, improve or disappear after treatment with Botox®.

How does Botox® work?
When the facial expression lines are targeted, Botox ® reduces the activity of the nerves that control the facial expression muscles. For the treatment of excessive perspiration of the armpits, hands and feet, Botox ® reduces the activity of the nerves that stimulate these sweat glands.

How does Botox® compare to Fillers?
Botox® and Fillers are used for different purposes. Botox® reduces the activity of the muscles that produce Facial Expression Lines. However, it may not significantly affect those wrinkles and furrows that have already developed and are present in the absence of active facial expression. Filler materials, such as Juvederm® and fat, treat these at-rest Wrinkles Lines and furrows by plumping up the skin. Although Fillers reduce the appearance of lines when there is no facial expression, the moment that you smile or frown, the lines reappear.

How do I know whether I will benefit from Botox® or a Filler for expression lines?
This will depend upon whether you want to treat Facial Expression Lines or Wrinkle Lines. That is, are your lines present at rest (Wrinkles Lines) or only with facial expression (Facial Expression Lines)? Some people benefit more from Botox® than Fillers while others more from Fillers than Botox®. However, many benefit from a combination of Botox® and a Filler. During a consultation, it will be determined whether Botox®, a Filler or a combination will provide the most benefit to you.

Is there any discomfort with treatment?
There is usually mild discomfort at the injection sites – this only lasts for the duration of the injection. There is rarely any discomfort or unusual sensation after treatment.

How long do the results of Botox® last?
The effects of Botox® are temporary. Reduction in facial expression lines usually lasts for up to 4 months. Reduction in excessive perspiration usually lasts for up to 6 months. When the effect of Botox® wears off, treatment can, again, be administered. There is no limit to the number of times that Botox® can be administered.

When can I expect to see results after treatment?
About 24 hours after treatment, reduction of the facial expression lines can be noticed. One to 2 weeks after treatment the maximal benefit is attained. Reduction in perspiration can sometimes be noticed within hours after treatment.

Are there any risks or side effects?
Side effects from Botox® are rare. Side effects would develop if Botox® affected an adjacent muscle, which was not meant to be treated. In that circumstance it, too, would have reduced activity. This has been reported in about 1% of those treated and, when reported, appears as eyelid drooping. Such undesirable changes are temporary, persisting a few months.

“You cannot go wrong with this dermatologist. Dr. Green and his staff are the very best! They go out of their way to assure patient satisfaction. I have used many services in the Bethesda location, and have always been more than satisfied. I highly recommend Dr. Green.” 

Susan E.

Dr. David Green, M.D.

Dr. David Green is a Board certified Dermatologist in Bethesda, Maryland. Dr. Green specializes in Dermatology, Dermatologic Cosmetic and Laser Surgery and the treatment of Varicose Veins and vascular disorders.

He is Certified by the American Board of Dermatology, is a Fellow of the American Academy of Dermatology, and a Member of the American Society for Dermatologic Surgery, and the American College of Phlebology. He treats patients from Maryland, Washington DC, Virginia and throughout the Mid Atlantic region.

Location

Dr. David Green proudly offers services in his Bethesda, Maryland office.

4800 Montgomery Ln.,
Suite LL50
Bethesda, MD 20814
Phone: 301.907.7250

OUR OFFICE IS COMPLIANT WITH THE CURRENT MARYLAND REGULATIONS INCLUDING:

10.32.09: Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices. This is a Maryland safety regulation that governs who can legally perform medical cosmetic procedures.  Dr. Green administers all injectable treatments (including Botox™, Juvederm™, Voluma™, Kyblella™, and other fillers & Sclerotherapy) and laser treatments.