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Since its introduction in 2002, Botox Cosmetic from Allergan has become a household name, known for its ability to treat wrinkles such as crow’s feet and frown lines. Neuromodulators such as Botox are prescription medications that are injected directly into the muscles of the face and relax them to prevent them from forming creases in the skin.
Dr. Tal Roudner is a Botox specialist in Miami, FL who uses neuromodulators such as Botox to treat wrinkles and frown lines in order to provide patients with a more youthful and vibrant appearance. The effects of Botox can also be used to treat a number of medical conditions such as migraines, severe underarm sweating, urinary incontinence, and muscle spasm. Dr. Roudner treats many of these conditions at our state-of-the-art surgery center in beautiful Miami, FL. If you are interested in Botox injections to treat your facial wrinkles or other conditions, please contact our Miami office to schedule your appointment with Dr. Roudner.
What Is Botox?
The FDA has approved Botox (onabotulinumtoxinA) as a cosmetic treatment to reduce the appearance of frown lines in people between the ages of 18 and 65 years old. Botulinum toxin products are neuromodulators used to treat facial wrinkles. These medications work by blocking the transmission of signals from the nerves to weaken or temporarily paralyze muscle contractions.1 While the muscles are weakened or paralyzed the facial wrinkles are softened or completely eliminated. As the neuromodulator wears off, the muscle gradually regains its activity.
Dr. Roudner’s goal is to restore a youthful appearance by softening or eliminating facial wrinkles while maintaining some facial expressions. Dr. Roudner may perform a series of injections with the neuromodulators in the appropriate anatomical locations and concentrations to obtain that rejuvenated appearance.
Dr. Roudner uses Botox to restore a youthful appearance by softening or eliminating facial wrinkles while maintaining some facial expressions. View more results in our Botox Before & After Photo Gallery.
Preparing For Botox
Before performing the treatment, Dr. Roudner will discuss the medication with you to make sure you understand what Botox can and can’t do. Dr. Roudner will also review your medications with you to determine if you are taking allergy medications, muscle relaxants, or sleeping aids. Some medications, including over-the-counter blood thinners such as aspirin, naproxen, and ibuprofen, can increase your risk of bleeding or bruising and should be avoided for at least two weeks prior to an injection of Botox. If you are taking any other medications that should be avoided, Dr. Roudner will let you know and will discuss with you whether they should be stopped. If you have any chronic respiratory conditions or muscular or neurological disorders you should let Dr. Roudner know prior to treatment as Botox may not be the right choice for you. Dr. Roudner will discuss other options for treating your lines and wrinkles including the use of facial fillers.
The Botox Procedure
Come to your appointment at our Miami office with a clean face that is free of makeup and lotions. Icing the area to be treated about 30 minutes prior to your injections can provide a numbing effect. Dr. Roudner can also apply a topical anesthetic to numb the area if you desire. Once you are comfortable and ready to proceed, Dr. Roudner will carefully inject the medication into the desired area. The length of time required to complete the treatment will depend on how large an area is being treated, but most treatments only take about 15 minutes.
Techniques Used during Botox Treatment
The procedure is performed with injections at specific anatomical areas where the functioning muscles are present while using very small thin needles (30-32 gauge) which minimize the discomfort associated with the injections.
Botox Anesthesia
Most people injected with a botulinum neurotoxin like Botox require no anesthesia or anesthetic. If a patient is extremely sensitive or anxious a topical anesthetic may be applied to the area to be injected one hour prior to the procedure.
Length of time for Botox
The procedure takes anywhere between 5 to 15 minutes depending on how many areas are injected.
Botox Recovery
Patients will notice slight swelling and redness at the injection sites that may last a few hours to a day, rarely some discomfort may be associated with the injections that may last a few days. Icing the area may be helpful to speed up recovery and reduce swelling. Avoid any strenuous activities on the day of the treatment (gym, running, etc.), as sweating may cause the loss of the neuromodulator. The use of the treated muscles for a few hours after the treatment may increase the uptake of the neuromodulation.
Botox Results
You should begin to notice a difference in the appearance of your lines and wrinkles within about one to three days, and the full effect will be noticeable after about 10 days. In most patients, the effects created by Botox should last about three to four months. After this time, you can return to our Miami office for another treatment. If you have been using Botox regularly for at least two years, you may notice that the effect may last up to six months.
Schedule A Consultation For Botox
If you have questions about Botox or other non-surgical cosmetic anti-aging treatments, please contact us today to schedule a consultation in our Miami office.
FAQs About Botox
What can Botox do for me?
Injections of botulinum toxin can assist in obtaining a rejuvenated youthful appearance, reduce or eliminate unwanted facial wrinkles, and stop uncomfortable appearance and staining of clothes associated with hyperhidrosis, or excessive sweating. Botox has other medical uses which include treatment for overactive bladder, chronic migraine, neck pain associated with cervical dystonia, blepharospasm, strabismus, and certain neurologic conditions that cause upper limb spasticity.2
Do Botox injections hurt?
Not all patients find Botox treatments uncomfortable and there is minimal to no pain or discomfort following the procedure. If requested, a topical anesthetic can be applied an hour prior to treatment.
Who is a good candidate for Botox treatment?
Any healthy person between the age of 18 to 65 who would like correction of dynamic facial wrinkles. Individuals who are pregnant or breastfeeding should not have Botox injections. According to important safety information in the medication guide, those with peripheral motor neuropathic diseases, such as ALS or myasthenia gravis may be at an increased risk for serious side effects and should be closely monitored.
Does Botox treatment require downtime?
No downtime is required after Botox injections. Recovery time is minimal from hours to a day or two and only requires avoiding strenuous activity.
What is the difference between Botox, Dysport, and Xeomin?
These are all neuromodulators that work to temporarily relax the facial muscles that cause line lines and wrinkles.
Does Botox have any side effects?
The most common side effects associated with Botox typically resolve within several hours and include pain, swelling, and bruising at the injection site. More serious side effects include allergic reactions, eye problems such as dry eyes and double vision, trouble swallowing, loss of bladder control, and dry mouth.3
Are there any serious risks to be aware of?
Although extremely rare, Dr. Roudner should be notified if you experience any difficulty breathing, speaking, or swallowing after injections of botulinum toxin type A injections. You may notice these symptoms hours to weeks after the treatment. In very rare cases of the neuromodulator spread to other areas of the body, a condition called botulism, there may be generalized loss of strength and muscle weakness all over the body which may manifest as vision changes, drooping eyelids, and other rare symptoms. Should you experience any of these symptoms you should contact Dr. Roudner at our Miami office as soon as possible.
1 Stanford Medicine. Botox. Available: https://med.stanford.edu/cosmeticsurgery/aestheticservices/nonsurgical/botox.html. Accessed September 21, 2022.
2 Penn Medicine. The Surprising Uses of Botox. Available: https://www.pennmedicine.org/news/news-blog/2018/july/the-surprising-uses-of-botox. Accessed September 21, 2022.
3 Mayo Clinic. Botox injections. Available: https://www.mayoclinic.org/tests-procedures/botox/about/pac-20384658. Accessed September 21, 2022.
4 ASPS. What are the risks of botulinum toxin injections? Available: https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin/safety. Accessed September 21, 2022.
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Dr. Tal Roudner has either authored or reviewed and approved the content on this website.
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