Botox® Injections

What is Botox®?

Botox® is a purified protein from a neurotoxin produced by the bacterium Clostridium botulinum called botulinum toxin. Botox® is used medically to treat certain muscular conditions and cosmetically remove wrinkles by temporarily paralyzing muscles.  The medical form of Botox® is safe and tightly regulated. It has been studied for years all over the world and is produced in a very strict and controlled environment.  Botox® doesn’t build up in our systems, nor is there a lifetime maximum dose of Botox®.

An injection of Botox® basically blocks the neurotransmitters in the treated muscle which in turn stops the muscle from contracting. In other words, Botox® deactivates the muscle and tells our brain, we don’t need this muscle to work anymore.  As a result, our facial muscles relax and in turn the wrinkles around our eyes and forehead go away. It is important to note that Botox® can only be used to treat areas with “dynamic wrinkles”, which are those formed when we flex muscles in our face.  Botox® will not work on those wrinkles present when our facial muscles are at rest (static wrinkles).

How wrinkles are formed?

Our face and facial movements are governed by a lot of musculature.  Take our forehead for instance.  Those muscles running up and down are called our occipitofrontalis muscles.  These muscles produce the transverse wrinkles running across the width of our forehead.  Wrinkles are always formed in a perpendicular line to the direction that the muscle runs.  So on our forehead, the frontalis muscle runs up and down, meaning our wrinkles will run horizontal across.  What causes the wrinkle is the repetitive motion of the muscle moving up and down creasing and folding over and over again.  The same holds true for our corrugator supercilli muscle that produces vertical wrinkles between the eyebrows above the nose and our ocularis orbis muscle that we use to squint leading to crow’s feet.

Before and after picture of a women receiving Botox® treatments

What Areas Can Be Treated with Botox®?

  • Forehead (the horizontal worry lines)
  • Crow’s Feet (around the outside of our eyes)
  • The 11’s (frown lines between the eyes)
  • Bunny Lines (on the side of the nose)
  • Eyebrows (slightly raises the outer corners)

How long do Botox® Treatments Last?

You will just begin to see the results in about 2-3 days after your treatment.  At the one week mark, your Botox® treatment will be about 74% effective.  Your results will continue to improve steadily and at two weeks you are essentially at maximal effect. Typically, Botox® lasts 2½ to 4 months depending upon your individual metabolism and a few other different factors.  The maximum length ranges from 2 to 6 months and we recommend you follow-up every 3-4 months to maintain optimal results.

Reasons to choose the Sheen Vein Institute of St. Louis.

For years, the skills and knowledge of the Sheen Vein Institute staff, led by Dr. Sheen have increased greatly to provide you with a very good experience. Dr. Sheen is Board Certified in Venous and Lymphatic disorders (the treatment of varicose vein disease) and has ample industry experience with injections directly into the area a patient wishes to improve.  Dr. Sheen is also a member of the American Academy of Facial Aesthetics.

Before and after picture of a women receiving Botox® treatments

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