There are many different types of wrinkles we acquire with age. The details of which type you may have is specific to each patient. While all patients are different, almost every patient seems to have at least ONE of the issues above. During your consultation, Dr. Yeilding will assess all of the anatomical elements - fat pad position and size, muscle tone, muscle movement, skin thinning, and skin laxity (stretching). For patients with glabellar lines (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.

BOTOX® for Crows Feet

BOTOX® for Forehead Lines

BOTOX® for Glabella

Based on her detailed assessment, Dr. Yeilding will carefully create a custom treatment plan that considers your age and aesthetic goals. When there is more than one issue to consider, Dr. Yeilding will advise you to begin with the issue that can achieve the most with a single treatment. Then the patient can evaluate how the results feel over time. Most of Dr. Yeilding’s patients tend to think long-term, and many receive multiple treatments over time. Although some patients may want to proceed more aggressively than others, Dr. Yeilding will restrict the scope of treatments to yield conservative but effective aesthetic enhancement. Knowing “when to say no”, verses “doing a little more” is one of Dr. Yeilding’s guiding principles. A patients’ well-being always comes first for Dr. Yeilding.

The most interesting thing about Botulinum A Toxin (BTX) is that, in its undiluted and natural form, it is a potent poison.  It is a neurotoxic protein that is produced by the clostridium botulinum bacterium.  If ingested by humans, 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, blepharospasms (eyelid spasms), the muscle spasms that cause strabismus (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, signaling it to contract. When a targeted muscle is no longer receiving 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:

• Overactive bladder and urge incontinence
• Chronic migraine headaches
• Upper limb spasticity as a result of cerebral palsy, multiple sclerosis, stroke, brain trauma or spinal cord injury
• Excessive sweating
• Spasmodic dysphonia – an unusual condition that causes difficulty speaking smoothly

BOTOX® is a safe and non-evasive procedure that can offer its users a more youthful appearance without surgical intervention or long recovery periods. In fact, a typical procedure lasts only ten minutes. The treatment is injected into the muscle one to three times with a very fine needle. Minor side effects are rare, and may include a slight redness or swelling at the injection site(s) that normally diminish very quickly. Following treatment, visible results of BOTOX® Cosmetic are usually noticed within 3–5 days. The maximum benefits will be reached within one or two weeks.

A single treatment usually lasts about three months. The effects fade gradually.  But since it can be repeated indefinitely with no lasting harm, a patient can return for treatments several 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:

• Blood-thinning drugs
• Antibiotics by injection
• Muscle relaxants
• Allergy or cold medicine
• Sleep medicine

Any effects at the injection sites are typically gone within minutes, certainly within an hour. Essentially, there is no recovery time for most patients. Occasionally there may be slight bruising, but this is rare with Dr. Yeilding’s gentle injection technique. Although the full effect of BOTOX® appears in 2 weeks after treatment, Dr. Yeilding has found that her patients enjoy significant benefit by day 3. *

All facelift patients receive Dr. Yeilding’s personal cell phone number.