For Women > Non-Invasive > BOTOX Injections

BOTOX Injections

Rigorously researched. Expertly applied.

BOTOX Injections

Botox is an amazing drug derived from a common bacteria. This powerful toxin binds motor nerves and prevents the nerve from activating a muscle. Muscles contract and get shorter but skin can’t do this. When muscles contract skin folds. It is the repetition of folding over time that leads to both volume loss and the formation of wrinkles and fine lines. It is for this reason that Botox can actually be used to prevent the formation of lines and thereby justify the millennials use of the product. Once lines are present at rest they can be softened by Botox but either fillers or resurfacing will be needed to really address them. Manipulation of muscles with Botox can be done artistically to elevate the eyebrow position, stop the frown and minimize forehead contraction. Other wonderful uses for Botox include balancing facial asymmetry and relief from migraine headaches and headache and jaw pain caused by teeth grinding and TMJ. Axillary hyperhidrosis, otherwise known as excessive sweating from the armpits can also be resolved with Botox. New indications arise every few months making this an exciting product to work with.


What is Botox cosmetic?

Botox is derived from the botulinum toxin. Despite the concern that statement raises, it is not poisonous. The substance is purified and safe in the small doses which are delivered by injection to specific site. When injected by someone with in-depth knowledge and experience, Botox injections are relatively painless but topical numbing creams and ice can help make this even more tolerable.

How is the injectable used?

A thin needle is used to inject minute amounts of Botox into the muscles. The amount of Botox used will depend on the number of areas treated and the extent of the movement of the muscles in the area being treated.

The muscles in the treated sites will remain paralyzed on average about 3 months, after which additional treatment will be needed to maintain the result. Although the average duration is 3 months some individuals will see return of movement sooner while the majority last a bit longer. Avoiding exercise immediately after treatment is recommended but normal activity can resume the following morning unless some bruising occurs. In that case, Dr Kessler recommends avoiding cardio or elevation of your blood pressure for 48 hours after treatment. It takes about five days to see the effects of the treatment. Dr Kessler recommends evaluating your results on the fifth or sixth day. Checking the resting position of the eyebrows as well as the lines of the face when smiling and raising the brows is important. You should look rested in repose and move naturally when animating. Dr. Kessler will always place the minimal amount of Botox you need. He would rather add a little in a week than have too profound an effect which takes 6-8 weeks to wear off.

Adverse Effects of Botox

The adverse effects of Botox are predominantly related to it being injected into the wrong place. If too much Botox is placed in the forehead or it is placed too close to the eyebrows, the eyebrow can drop. This makes the brow feel heavy and can even impact your vision as eyelid skin descends at the level of the upper lid crease. If Botox drifts down into the upper eyelid, the upper eyelid can drop. The position of the eyelid will actually cover a portion of the pupil. This can be managed with eyedrops to temporarily elevate the lid but definitive treatment requires time for the Botox bond to be broken. This can take 6-8 weeks. Thankfully these are rare occurrence when your injector understands the anatomy. Although people say they have a Botox allergy, Dr. Kessler believes the allergy is related to the preservatives present in the saline used to reconstitute the Botox. Many clients have been successfully treated by Dr. Kessler who believed they had this allergy.

+^01 What is Botox Cosmetic?
Derived from the Botulinum toxin, Botox Cosmetic is an extremely effective treatment for wrinkles and fine lines caused by repetitive muscle movement (dynamic wrinkles). When injected, Botox will cause a temporary paralysis of the targeted muscles; relaxing and smoothing the area.
+^02 Who is a candidate for a Botox Cosmetic treatment?
Anyone frustrated with the appearance of forehead lines, Crow’s Feet (at the corners of the eyes) and Frown Lines (between the eyebrows) may make an excellent candidate for Botox Cosmetic.
+^03 Where is a treatment with Botox Cosmetic performed?
All Botox Cosmetic treatments are performed in the office suite of Kessler Plastic Surgery.
+^04 Is any anesthesia used for the Botox Cosmetic procedure?
No anesthesia is normally required during Botox Cosmetic injections, as the procedure is almost painless. Dr. Kessler does provide patients with the option of a topical anesthetic or cool air blasts, to keep discomfort to a minimum.
+^05 How is a procedure with Botox Cosmetic performed?
During a treatment, Dr. Kessler will use a thin needle to inject a very small amount of Botox Cosmetic into the muscles of a predetermined area.
+^06 How long is the procedure time for Botox Cosmetic?
A treatment with Botox Cosmetic will take less than 30 minutes.
+^07 How long will the results of Botox Cosmetic last?
The targeted muscles will remain paralyzed between three and four months after a Botox Cosmetic treatment. After this time a repeat treatment will be needed to maintain results.
+^08 Are injections with Botox Cosmetic painful?
Injections of Botox Cosmetic are virtually painless. For patients who do not tolerate discomfort well, there are options available such as topic anesthetics or blasts of cold air.
+^09 What is the recovery like after the Botox Cosmetic treatment?
Patients are able to return to their normal activities the same afternoon as their Botox Cosmetic treatment. Some initial swelling and redness may occur, but this will pass over the first 48 hours. Patients need to take care not to rub the treatment area for several days, as this can cause the Botox to migrate beyond the target area.
+^10 When can I return to work after a treatment with Botox Cosmetic?
Patients normally feel well enough to return to work or school immediately after a Botox Cosmetic treatment.
+^11 What are the risks of a Botox Cosmetic treatment?
Botox Cosmetic treatments are considered safe and effective. While complications are rare, these may include excessive bruising, scarring, infection, area numbness, and asymmetry.
+^12 Can I finance my Botox Cosmetic procedure?
Yes, Botox Cosmetic treatments can be financed at Kessler Plastic Surgery; go to carecredit.com for more information on healthcare financing.
Our Truth in Beauty Promise
We will ALWAYS make recommendations for you that deeply consider your unique goals in context of your nutrition, lifestyle, face and body type.

We will NEVER knowingly recommend a procedure that could compromise your health, appearance or well-being.
Alex D. San Antonio,TX
Dr. Kessler is not only one of the most caring and compassionate people I have ever met, he is also one of the finest highly skilled physicians around. He truly does care about every patient’s goals and will do whatever he can to help achieve those goals. I had a face/neck lift and...
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Debbie S., Cenby, OR, USA
As both a patient and a professional, Dr. Kessler is the best surgeon I have ever had the pleasure of being treated by, he has amazing surgical skill, takes all the time in the world with you during your care and has the highest standard for his work I have seen for many years. I have...
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Stephen P., Beverly Hills, CA, USA
I am so happy. I am so glad I came to Newport Beach in search of Dr Kessler. You have all made me feel just so ‘relaxed & confident’ in all aspects of this ‘thing’. Dr Kessler is a wonderful person, who is ethical, informative, sincere and a surgical ‘artist’. As I...
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Alejandra B., Mission Viejo, CA,, USA
It has been 6 months since the date of my surgery and I couldn’t be more pleased with the results. As you may recall, my previous breast implants became encapsulated resulting in hard, tender and poorly shaped breasts. I was ashamed of how they looked. When my husband and I met with...
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Markee F., Irvine, Ca,USA
Dr. Kessler is definitely a “Best in Class” surgeon. His enthusiasm and love for what he does is evident the first time you meet him. The compassion and care that he gives his patients is beyond measure.He took the time to not only explain the surgery procedure and potential problems...
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Lee W., Aliso Viejo, CA, USA
Dr. Kessler is the most caring doctor I have ever met. The minute he walked into the examination room for my initial consult I liked him and it continues EVERY time I see him. I had a lower body lift and my arms done. I am so happy with his work. He is a perfectionist and it shows....
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Glory E., Dayton, OH, USA
My experience with Dr Rob Kessler was extremely pleasant and has changed my life in the most positive ways. He has performed numeous surgeries on me after I had lost weight with having a gastric stomach bypass. He has perfomed the following surgeries on me: A breast lift, lower body...
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Stephen P., Beverly Hills, CA, USA
Incredible results. Surgical center was great–lots of special care, made you feel very special, spent the night with one to one nursing care with an ICU nurse. Nurse anesthetist was great. VERY postive experience.
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