FAQs

Who should be injecting cosmetic Botox?

Neurologists have been using Botox since 1988 when Botox first got approved by the FDA to treat a neurological condition called “cervical dystonia” or “torticollis.”  The next indication for use of Botox was “blepharospasm”, a condition of spasms around the eyes.  Neurologists and ophthalmologist were at the forefront to treat this condition.  Doctors learned during treatment of this condition that wrinkles disappear from the forehead and crow’s feet.  At this point Botox became a cosmetic procedure in the latter part of the 1990s and physicians from different specialties started using it.  It didn’t stop there and new indications for Botox continue to burgeon.  Excessive sweating and headaches are a few indications that Botox is used for now.  Cosmetic Botox is nothing more than knowing your anatomy well and how many units will it take to neutralize a muscle’s action while focusing on aesthetic benefit.  Equally if not more important is the personality of the physician.  Whether the doctor is caring, compassionate and responsive.  Can the doctor allay your anxiety related to the procedure and not rush you?  Can you speak with other patients of the doctor if you want to?  Can somebody hold your hand, if need be?  Good doctors treat every patient with the same respect, they would expect from other people. 

In order to inject Botox correctly the physician needs to know the origin and insertion of muscles and determine their strength.  At Palm beach botox, we have been administering Botox for cosmetic, headaches, excessive sweating and other neurological conditions for the past 10 years with excellent results and very happy patients.  We are so sure of the work we do, we guarantee the results we promise!

Why are the prices so much cheaper than other Doctors?

We do a lot more Botox treatments than most other practices and can offer better rates.   Net result you pay for cosmetic Botox essentially half of what you would pay at other Doctor’s offices.  We buy genuine brand name Botox from Allergan pharmaceuticals in the USA and would be happy to show you the bottle and invoice for purchase.  Beware of some non physicians purchasing Botox from other countries which is considered illegal and injecting you without physician supervision. 

How many Botox units are needed for my wrinkles?

The amount of Botox required to effectively treat any area depends on the strength of the muscles which is determined by a visual examination by the physician – men typically require many more units than women, though some women have a very strong frown lines. At the same time, some patients want a completely frozen area, while others want some movement, so the dosing is typically best decided by your cosmetic physician.

Is it possible to lift my eye brow?

Yes. If your cosmetic physician has an artistic eye, knows his or her anatomy well, it is easily possible to lift the lateral (outer portion) of the eye brow up to give you the sexy “cat or model look” Very small dose of Botox is needed for this purpose, typically ½ to 1 unit on each side. We perform this procedure routinely for patients in need for this lift.

Is it best to measure Botox in Units or Syringes?

 Most doctors purchase a 50 or 100 unit bottle of Botox from Allergan – the only make and distributor of Botox in the U.S. The bottle requires ‘reconstitution’ in order to be used properly. This means that the doctor has to add saline (salt water) into the bottle in order to create a solution of Botox that can then be injected.

If you add, for instance, 4 cc (milliliters) of saline into the bottle, you then get a solution that has 25 units per cc. If you add 2 cc of saline into the bottle, then you get a solution that has 50 units per cc. Likewise, if you add 1 cc of saline into the bottle, then you get a solution that has 100 units per cc.

Most doctors use a 1 cc syringe to inject Botox. Unfortunately, one syringe in one office is not equivalent to one syringe in another office. Using our examples note above, one syringe in the first office would be equivalent to 25 units of Botox. In the second office, this would be equivalent to 50 units of Botox. In the third office, this would be equivalent to 100 units of Botox. So, changing the dilution of Botox can significantly affect the amount of Botox that is actually being given in one syringe.

The only measurement that really matters when it comes to controlling unwanted muscle movement is how many units were used. This is also the only consistent factor between offices. So from a patient’s perspective, you should only be concerned about how many units are being used in your particular situation. In the South Florida area, Botox can range in price from $10.00 – $20 per unit. There shouldn’t be any difference in the effectiveness of one unit of Botox from one office to another. This is the only way for patients to reliably compare apples to apples when it comes to Botox use.  We will be happy to discuss with you and disclose to you the number of units injected based on your need.

What about Dysport?

Dysport has been used in the past few years, though it has been in use in Europe for many more years.  It is essentially the same medicine made by a different company and has somewhat different speed of onset and diffusion dynamics.  Compared to Botox, it is slightly faster in onset, lasts longer, costs about the same (with a 3-1 conversion compared to Botox units) and diffuses more so in the surrounding muscles.  It is considered an alternative choice for the forehead wrinkles by some patients and doctors.  Because of diffusion dynamics, the spread may at times be unpredictable especially around crow’s feet.


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