About + Frequently Asked Questions

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Botox blocks cholinergic transmission at the neuromuscular junction by inhibiting the release of acetylcholine (ACH) from peripheral nerve endings.  It binds to cholinergic nerve terminals through translocation of the light chain part of the molecule into cytosol at the nerve terminal, and enzymatic cleaves to the SNAP25 protein needed for the release of ACH and muscle contraction (appearance of wrinkles).

Botox stays in the area where injected with a small diffusion across the muscle that relaxes the muscle that through contraction forms wrinkles in various facial areas.  It has the potential to migrate from the area so proper placement is needed and a thorough knowledge of facial anatomy to fully understand and utilize the product effectively.  The results with Botox are evident in 5-10 days after the injection and will continue to effectively treat the area for up to 14 weeks.

Botox also has pain management uses for a number of muscular spasticity disorders and other pain disorders including orofacial pain.  Besides inhibiting the release of acetylcholine (ACH) from peripheral nerve endings, Botox has a secondary effect in that it blocks or inhibits release of glutamate that functions as the brains main excitatory neurotransmitter (CGRP).  This explains why Botox reduces pain longer than its ability to reduce muscular problems deformities.

The bottom line is that Botox works for a number of muscle related, cosmetic, and pain related disorders. There are over (17) FDA Approved uses for Botox and is why Botox continues to be the #1 non-invasive aesthetic procedure performed in the United States for the past (15) years.

Juvederm works by adding volume to the facial tissue through its active ingredient, hyaluronic acid. Hyaluronic acid is a natural substance found in the human body. It stimulates the production of the connective tissue that plumps the skin (collagen). As you get older, the production of hyaluronic acid and collagen decreases. This increases the appearance of sagging and wrinkling of the facial skin.

During the procedure, your doctor will inject Juvederm into the target area. She will also lightly massage the area to ensure an even distribution and reduce the chance of swelling. The entire procedure usually takes between 15 and 60 minutes, depending on the area treated.

Juvederm injections contain a small amount of pain-reducing lidocaine. This will help minimize any pain or discomfort you feel during treatment and make it go away quickly.

Recovery time is minimal. But people are advised to avoid strenuous activity, sun exposure, wearing makeup, and consuming alcohol for at least 24 hours post treatment.

Most notice the effects of Juvederm right away, or after the swelling reduces. Results typically last between six months and two years, as every patient is different and has different needs. 

For Botox you should expect minimal downtime. Occasionally post treatment discomfort, swelling, redness and bruising, numbness of the forehead, and/or a slight transient headache can occur. Results can be anywhere from immediate to up to 1-2 weeks after treatment and typically last 2-5 months.