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Botox and other Neurotoxins

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When wanting to treat fine lines and wrinkles, Peninsula Plastic Surgery offers several options of neurotoxin or botulinum toxin A, catering to each individual patient’s preference.   Botox® Cosmetic is the most well-known brand name for a type of botulinum toxin (type A), however equally effective in some patients are Dysport, Jeuveau and Xeomin.  When injected in small doses into specific facial muscles, the neurotoxin acts as a muscle relaxant, thereby minimizing the appearance of certain facial wrinkles.

Neurotoxin is safe. Since Botox is a purified toxin and contains no organism, it does not have the capacity to multiply and spread. Thus, its only known effect takes place where it is injected and where it is moved via massage.

From a cosmetic standpoint, neurotoxin softens or completely erases facial lines or wrinkles, including vertical lines between the eyebrows, crow’s feet, forehead furrows and lines at the borders of the lips.

Botox has more recently been used for treatment of severe hyperhidrosis (excessive sweating of the underarms) for individuals unable to obtain relief using antiperspirants.  It has been shown to result in an 82-87% decrease in sweating. Results are noticeable approximately 2 to 4 days after treatment with the full effects within 2 weeks. Dryness typically lasts 4 to 12 months. While sweating is an essential body function for temperature-control, the underarms are home to less than 2% of the body’s sweat glands.  The temporary interruption of these sweat glands’ function, has little to do with regulating body temperature.

More recently, Drs. Pellegrino and Perrotta are injecting neurotoxin to actually move certain structures on the face. For example, these doctors can produce some eyebrow elevation by injecting the muscles that normally pull them downward. They can flatten some muscle bands on the neck by simply injecting them. Because plastic surgeons are without question the masters of facial anatomy, they are uniquely able to produce amazing improvements and avoid complications.

Dr. Pellegrino, Dr. Perrotta and their mid-level providers Kerri Holloway, CRNP and Jayme Isett, PA-C perform neurotoxin injections in their office using very small needles.  No anesthesia is required, however, numbing cream is available for patients if needed.

Results can be seen in as little as 3 days and usually last 3-5 months. Patients state that, after undergoing multiple sessions of neurotoxin, their results tend to last longer than 6 months.

Side effects are few, rare and minimal.  Some patients experience mild bruising at the injection site.  Unwanted muscle weakness, eyelid weakness and allergic reactions are all rare potential complications.

before and after patient photos