For patients in Winter Park and the greater Orlando, FL area, Botox® is a non-evasive yet highly effective way to address signs of aging. All injectable treatments are tailored and performed by Dr. Yeilding in the privacy of our office. Having done clinical research on Botox alternatives for treatment of facial wrinkles, Dr. Yeilding is an expert in administering Botox® and Juvéderm® for unsurpassed aesthetic results.*
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Dr. Yeilding of YMD Eye & Face offers patients in Orlando BOTOX as an expert physician injector delivering superior results and unsurpassed patient comfort. Call today for a consultation 855-YMD-FACE (963-3223) or click here. And make sure to check out our new patient and VIP specials.
Dr. Yeilding patient results shown above: On left a 62 year old woman receives significant reduction in her crow’s feet while smiling. On the right a 42 year old woman has her “11 lines” (glabellar lines) virtually eliminated while frowning. Patients are shown 2 weeks after treatment. Dr. Yeilding’s clinical study also showed her BOTOX injection technique achieved rapid efficacy with significant reduction in wrinkles at 3 days post treatment. *
Unfortunately we all get older. It’s a fact of life that we cannot change. But just because we age doesn’t mean we FEEL OLD. But increasingly noticing wrinkles on our faces sure doesn’t help. Around our mouths with smile and frown lines, and of course the 11’s on our forehead. Fortunately BOTOX was innovated by ophthalmologist medical research. And it works! When in the hand’s of an experienced injector, BOTOX is an extremely reliable solution to address facial wrinkles.
Does it matter who your BOTOX injector is? Absolutely! People often make the mistake of choosing a BOTOX provider solely on price. That can be a big mistake however. At YMD Eye & Face, Dr. Yeilding does ALL filler and BOTOX injections. Additionally, Dr. Yeilding is a board-certified facial plastic surgeon. And during her intensive fellowship training in oculoplastics and facial plastic surgery she conducted a complex study that compared BOTOX to another alternative botulinum toxin treatment. So what does that all mean to you? Unlike many low-cost BOTOX providers, because of Dr. Yeilding’s extensive medical training and experience, she has an extensive knowledge of the complex human facial anatomy, and an advanced injection technique that results in the most natural outcomes.*
California Ophthalmologist Dr. Alan B Scott, while a scientist in the late 1970’s for Smith Kettlewell Eye Research Institute, did the first FDA clinical studies using botulinum toxin in humans. He published his work in the Transactions of the American Ophthalmological Society in 1981 showing safe and effective results to relax eye muscles that caused strabismus (misalignment of both eyes- sometimes appearing as crossed eyes, or one eye turned out). Allergan Inc purchased Dr. Scott’s company and attained the first FDA approvals in 1988 for what was renamed BOTOX, for treatment of strabismus and blepharospasm (when the eyelid muscle goes into spasm). It was another Ophthalmologist, Dr. Jean Carruthers, who was conducting a BOTOX blepharospasm study, accidentally discovered the first cosmetic benefit of BOTOX when she found her study patients had reduced glabellar frown lines. Dr. Carruthers went on to publish a large body of work pioneering the use of BOTOX Cosmetic, including defining the scientific methods for assessing cosmetic efficacy. In Dr. Yeilding’s clinical study, she used the Carruthers methodology and validated grading scales to assess patient results for glabellar lines, forehead lines and crow’s feet.
As our faces age, one of the most common physiological changes is the thinning of our skin while also increasing skin laxity (stretching). When another common aging effect happens, a decrease in fat pads of the face with age, we find that gravity makes the skin sag. For saggy, thinning skin attached to very active muscles, the repetitive muscle movement causes the skin to bunch up and we see wrinkles. Some of the most common repetitive muscle contractions are smiling, frowning and squinting.
BOTOX® is the gold standard neuromodulator/neurotoxin (also known as neuromodulation). Introduced in 2002, BOTOX® Cosmetic was a revolutionary product for the treatment of moderate to severe glabellar lines (those 11’s between your eye brows). BOTOX® has also recently received FDA approval for crow’s feet. Since 2002 multiple uses of BOTOX® have been shown safe and effective, including treating strabismus, blepharospasm, hemifacial spasm, hyperhidrosis (excessive sweating), cervical dystonia, spasticity of elbow, wrist and finger muscles, chronic migraines, urinary incontinence, crow’s feet wrinkles and more. Dr. Carruthers compared BOTOX® to Penicillin because it was so versatile against a wide range of conditions. Cosmetic uses grew very quickly because it had very apparent results, does not require surgery and has essentially no recovery time. Over 11 million BOTOX procedures have been done in the United States alone.
Using a fine needle, Dr. Yeilding injects BOTOX into precise muscle locations without requiring anesthesia. The treatment is usually completed in about 15 minutes in our Orlando office. By acting on the neuromuscular synapse, BOTOX reduces muscle contraction and therefore the wrinkles that go with it. This effect is not permanent however but does last 3 to 4 months depending on the patient.
Within minutes any effects at the injection sites are typically gone, certainly within an hour. There is essentially no recovery time with most patients. Sometime there is slight bruising but this is rare with Dr. Yeilding’s gentle injection technique. The full effect of BOTOX is in 2 weeks after treatment, however Dr. Yeilding finds her patients receive significant benefit by day 3.*
Ruth Hill Yeilding MD, Medical Director of YMD Eye & Face, Winter Park, FL, in the heart of the greater metropolitan Orlando area, has perfected the use of this reliable product, BOTOX Cosmetic for wrinkle reduction. Dr. Yeilding has super specialized training, first in Ophthalmology, to gain understanding of the ultra complex set of muscles, nerves and blood vessels around the eye and face, and then Oculoplastics and Facial Plastic Surgery to be able to effectively manipulate facial anatomy to achieve aesthetic beauty. During her fellowship with nationally known facial plastic surgeon, John P Fezza MD, Sarasota FL, Dr. Yeilding conducted a complex clinical study comparing BOTOX to an alternative botulinum toxin treatment. Dr. Yeilding brings a deep knowledge of facial anatomy, an advanced gentle injection technique and a total commitment to personal patient care in her role as expert injector of BOTOX.
Dr.Yeilding patient results: Above on the left is a young woman of 30, who has very subtle crow’s feet that still bother her. Two weeks post treatment the photo on the right shows a softened aesthetic look. *
Dr.Yeilding results above show the before picture on the left a woman age 54 has dramatically reduced forehead lines two weeks after treatment. *
Above is a mid-50’s woman who has glabeller lines that show significant reduction after two week post treatment. *
Dr. Yeilding approach is to be the #1 Quality BOTOX® provider in the Orlando area. The vast majority of Dr. Yeilding’s patients are repeat patients, and they receive very competitive pricing because of their loyalty. In combination with the Brilliant Distinctions Rewards Program from Allergan, which YMD staff will make sure your credits are promptly posted, Dr. Yeilding’s patients receive the highest value BOTOX® treatment in Orlando. Click Here to see more Orlando BOTOX Before and After Pictures from Dr Yeilding.*
There are many different types of wrinkles we acquire with age and the details turn out to be highly patient specific. All patients are different yet almost every patient does seem to have at least ONE of the issues above. During your consultation with Dr. Yeilding she will access all of the anatomical elements- fat pad position and size, muscle tone, muscle movement, skin thinning, skin laxity (stretching). For patients with glabellar line (the 11’s), forehead lines, crow’s feet or frown/laugh lines around the mouth, Dr. Yeilding will determine whether BOTOX is the right choice for you.
Based on her detailed assessment, Dr Yeilding will carefully create a custom treatment plan that considers your age and aesthetic goals. Sometimes when there is more than one issue, Dr. Yeilding will advise you to first tackle that issue that can be helped the most with a single treatment. This way the patient can evaluate how the results feel to them over time. Most of Dr. Yeilding’s patients are thinking long term, and many receive multiple treatments over time, some more aggressively than others, but Dr. Yeilding will restrict the amount and scope of treatments to always yield conservative but effective aesthetic enhancement. Knowing when to say no, verses doing a little more is one of Dr. Yeilding’s key attributes. Patient well being is always first with Dr. Yeilding.
Dr. Yeilding approach is to be the #1 Quality BOTOX® provider in the Orlando area. The vast majority of Dr. Yeilding’s patients are repeat patients, and they receive very competitive pricing because of their loyalty. In combination with the Brilliant Distinctions Rewards Program from Allergan, which YMD staff will make sure your credits are promptly posted, Dr. Yeilding’s patients receive the highest value BOTOX® treatment in Orlando.*
The most interesting thing about Botulinum A Toxin (BTX) is that, in its undiluted and natural form, it is a potent poison – a neurotoxic protein that is produced by the clostridium botulinum bacterium. If ingested by a human, BTX can cause a life-threatening type of food poisoning, called botulism. However, in its commercially refined and purified configuration, BTX, better known as “Botox,” it is a useful drug that doctors employ as an effective treatment for many different types of health problems.
Approved as a muscle relaxant by the federal Food and Drug Administration (FDA) in 1989, BOTOX® was originally used to treat facial spasms, eyelid spasms (blepharospasm), the muscle spasms that cause strabismus, or crossed eyes, and cervical dystonia (a neurological movement disorder). BOTOX works by blocking the release of acetylcholine, the neurotransmitter that the brain sends to a muscle, commanding it to contract. When a targeted muscle is no longer getting the body’s normal electrical/chemical stimulus to contract, formerly uncontrollable spasms are reduced or eliminated.
Over time, physicians began to administer BOTOX® for several other medical conditions, including:
Because of its ability to halt muscle contractions, in effect, causing temporary muscle paralysis, Botox began to be seen as an effective neuromodulator for aging skin and a way to temporarily improve the appearance of moderate-to-severe “frown lines” between the eyebrows (glabellar lines). When underlying facial muscles don’t contract, the overlying skin remains smooth and unwrinkled.
After producing encouraging results in formal, clinical trials, the FDA approved the use of BOTOX® for cosmetic use in 2002. In addition to frown lines, BOTOX® can also help reduce “crow’s feet” and other fine lines on the forehead and around the lips and eyes – lines and wrinkles that tend to accumulate over time as a result of years of smiling, frowning, and squinting.
Today, BOTOX® cosmetic providers, in addition to plastic surgeons, include dermatologists, aesthetic spa physicians, dentists, nurse practitioners, nurses and physician assistants. However, results can vary widely based on the medical background and experience of the provider. According to the American Society of Plastic Surgeons, there were approximately 6.3 million BOTOX® procedures performed in the United States in 2013. The global market for botulinum toxin products is forecast to reach $2.9 billion by 2018.
BOTOX® is a safe and non-invasive procedure that can offer its users a more youthful appearance without surgical intervention or long recovery periods. In fact, a typical procedure usually lasts only ten minutes. The treatment is injected into the muscle one to three times via a very fine needle. Minor side effects are rare, and may include a slight redness or swelling at the injection site(s) which normally diminishes very quickly. Following treatment, visible results of BOTOX® Cosmetic are usually noticed within 3–5 days. The maximum benefit will be reached within one or two weeks.
A single treatment lasts about three months. The effect fades gradually, but since it can be repeated indefinitely with no lasting harm, a patient can return for treatments three or four times a year. However, BOTOX® should not be used during pregnancy, while nursing, or in combination with certain medications.
Before having a BOTOX® procedure, consult with Dr. Yeilding about any of the following you might have taken recently:
By Ruth Hill Yeilding
* DISCLAIMER: With all Before and After images, stock photos, Patient Testimonials or Reviews shown on the site, no claims are made that results are typical. Results vary with each individual patient, and results are cannot be guaranteed. All Before and After images and Patient Testimonials are Dr. Yeilding patients; however, all photos, testimonials and stock photos are shown for informational purposes only. All Patient Testimonials are individual patient opinions and do not represent claims or guarantees of results by YMD Eye & Face.