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Botox

Botox is a treatment to smooth fine lines and wrinkles while enhancing and softening facial features. It is the single most popular cosmetic treatment performed in the United States.

Got Wrinkles?

Botox can dramatically soften the appearance of facial wrinkles and provide a more rested and youthful appearance.

Are You A Candidate?

Our Cosmetic Self Evaluation can help you decide if Botox is the right procedure for you: 

TAKE OUR SELF EVALUATION

Overview

Smooth Away Wrinkles

The stresses of daily life take their toll on the appearance of our face. Both women and men frequently complain of smile, worry, and frown lines that appear around the forehead, eyes, and mouth.

Botulinum type A (commonly known as brand names Botox, Dysport, and Xeomin) is a protein that relaxes the facial muscles that cause facial lines.

Botox treatment will not only help you look younger, but more refreshed, relaxed, and pleasant. Botox is also very popular and effective as a preventive treatment to slow down the appearance of wrinkles.

Botox Candidates

Are you bothered by wrinkles?

You may be a good candidate for Botox if you are bothered by the appearance of facial wrinkles and wish to look younger or more relaxed.

The most commonly treated areas are those areas where muscle activity most influences facial features:

  • Glabellar lines (a.k.a “11s” or frown lines between the eyebrows)
  • Wrinkles around the eyes, such as crow’s feet
  • Horizontal forehead lines

Botox can also help improve the following conditions:

  • Vertical lip lines
  • Lines on the bridge of the nose (“bunny lines”)
  • Downturned corners of the mouth
  • Neck banding
  • A cobblestones appearance to the chin
  • Portruding jaw muscles that give the appearance of a large jaw (masseter hypertrophy)
  • Temporaral mandibular joint (TMJ) syndrome or pain
  • Migraine headaches
  • Excessive sweating of the underarms, palms, or soles

Procedure Steps

How Botox is Performed

Botox is administered as a small series of quick injections that are performed in the office. Ice will be used to numb the treated areas to make the injections more comfortable. The injections are described by most patient as either painless or a quick pinch. The procedure takes just a few minutes to perform.



 

 

Recovery

No Downtime & No Wrinkles

There is no downtime after Botox treatment. You should expect temporary swelling and redness that usually subsides within 15 minutes. There is a slight chance of bruising. It is recommended not to touch the area for at least 4 hours and not to do any strenuous activity to avoid moving the medicine to different areas.



 

Choosing a Provider

Do Your Homework

A highly experienced injector is important for obtaining natural, noticeable results.

Many people think that because Botox is advertised in day spas and other non-medical offices, Botox injections are on the same level as a manicure, facial, or haircut. This could not be further from the truth! Though non-surgical, Botox injections are a medical procedure that requires specific training, knowledge, and skill to administer safely and effectively.

When selecting a provider for injectable treatments, give your decision the same level of care and scrutiny as you would for a surgical procedure. While many doctors begin advertising Botox treatments after attending a weekend course in injectables, only board certified plastic surgeons have extensive knowledge of facial anatomy, a well-developed aesthetic eye, and a surgeon’s skill and precision.

A Plastic Surgeon is The Most Skilled Injector of Botox

Whomever you choose, make sure your provider has a proven background in facial aesthetic medicine and surgery as well as training and substantial experience performing Botox injections. At many medical spas (as well as even some plastic surgery offices), Botox injections are administered by nurses, nurse practitioners, physician assistants, or general medical doctors. While these providers are likely to be competent with these procedures, their skill level, knowledge, experience — and consequently results — simply can’t compare to the expertise of a board certified plastic surgeon. Botox injections are commonly learned at weekend courses with a standardized approach that uses standardized dosages and injection points. However, each patient has unique anatomy and muscles, so a detailed understanding of facial anatomy and individualized treatment plans are needed to obtain consistently excellent and natural results. At 77 Plastic Surgery, Dr. Larry Fan wants to provide the very best results for our patients, so he insists on performing all Botox injection treatments himself. Dr. Fan has performed thousands of Botox injections, and he will help you develop a customized treatment plan designed just for you.

Why Choose Dr. Larry Fan & 77 Plastic Surgery?

There are many physician’s offices and medical spas that are now injecting Botox. Why come to us?

  • Dr. Larry Fan performs all of his own injections. Your injection will NOT be performed by a nurse, physician assistant, or general medical practitioner, but a highly experienced, knowledgeable, and skilled board certified plastic surgeon! Patients appreciate Dr. Fan’s gentle hands and artistry and often express how their injectable treatment was the best they’ve ever received.
  • Dr. Larry Fan is skilled at performing both injectables and surgery, so he will be able to determine if you are a good candidate for injectables alone. This also means that he will help you achieve a natural look and to avoid that “Real Housewives” look that is so commonly seen from patients walking out of medical spas, some dermatology offices, and other practitioners who do not perform surgery.

How Much Does Botox Cost?

The cost of Botox treatment depends on a number of factors including the number and size of areas to be treated, the expertise of the injector, and geography. The cost for Botox treatment starts at $385 and up.

You can find more information about our Financing plans here

See Your Results

Turn Back The Hands of Time

After years of using our facial muscles constantly, most of us will notice expression lines that stay even when our face is at rest. With one treatment, Botox can smooth out these lines and give subtle changes by lifting the brow and softening fine lines. The effects of treatment will be seen 1-2 weeks after treatment and will last 3-4 months. Follow up treatments are recommended to maintain results.

Botox treatment is also very popular as a preventive treatment to slow down the appearance of smile, frown, and worry lines.

Dr. Fan and his team are known for their artistic eye, experience, and meticulous attention to detail. Results are always natural looking with noticeable improvement.

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Actual Patient Before and After Botox Treatment.

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Botox FAQ

What is the cause of wrinkles and facial expression lines?

Lines and wrinkles develop, at least in part, from the movement of facial muscles under the skin. After years, expression lines stay even without muscle movement. The development of these wrinkles is influenced by years of sun exposure. Neuromodulators such as botulinum type A (Botox, Dysport, or Xeomin) can prevent the unwanted facial expression lines and improve or blend the wrinkles that were appearing when the muscles are at rest.

How does Botox work?

Botulinum type A (Botox, Dysport, or Xeomin) acts by calming muscle movement at the treated sites by not allowing the muscle to contract tightly. Only muscles creating wrinkles are treated.

What is a Comprehensive Facial Rejuvenation Plan?

A successful facial rejuvenation treatment plan will incorporate elements to repair all of these changes (also known as the 4 R’s):

Redrape: Redrape, lift and tighten sagging skin and support tissues: Facelift, Neck Lift, Eyelid Surgery, Brow Lift, Ultherapy

Refill: Fill lost volume: Fat Transfer, Injectable Fillers

Repair: Repair skin damage: Skin Rejuvenation, Laser Skin Resurfacing, IPL Photofacial

Relax: Relax facial muscles that cause lines: Botox, Brow Lift

Learn More: The 4 Elements of a Successful Facial Rejuvination Treatment

Does Botox injection hurt?

There is a minor sting from the injection. This can last a few seconds. Once the injection is complete, there is usually no discomfort.

How long does Botox last?

About 3 to 4 months. The effect begins to wears off and the muscle becomes active again with returning facial expression lines.

How does the skin appear after injection of Botox?

Some redness and swelling are expected at the treated sites, which usually resolve within 15 minutes. Occasionally, less than 5% of the time, there can be mild bruising, which could last up to 2-7 days. The skin typically feels normal and there are no unusual sensations after injection.

When can I expect to see results?

About one to two weeks after treatment the maximal benefit is attained and continues for a few months.

Are there any limitations after treatment?

Yes. Refrain from touching the area of treatment for at least 4 hours. By pushing on the area that was treated you may cause a negative effect. Immediately after treatment, avoid lying down or yoga. These positions may make the medication move. Avoid causing inflammation/flushing in the face (like facial, sauna, exercising, tanning). Routine washing and showering is fine.

Are there any risks or side effects?

Rarely. If the neuromodulator should affect an adjacent muscle, it too may have reduced activity. This has been reported in about one percent of those treated and if this does develop, the most common change is eyelid drooping. However, any such unwanted muscle relaxation would also be temporary.

What is the difference between Botox, Dysport, and Xeomin?

Each of these products contain the same active ingredient (botulinum type A) and are designed to address the same types of wrinkles and other cosmetic concerns. So how they are different?

The main difference lies in their formulation, which influences dosage used, how much the product spreads, and how quickly a patient might see results. For example, Botox Cosmetic is formulated with an accompanying protein, Dysport contains a smaller version of a similar protein, and Xeomin doesn’t contain an accompanying protein at all.

All three products are FDA approved and have been used safely and effectively for years. Which of the products is best for you will depend on your anatomy, your goals, and your surgeon’s recommendation.

Why should I care who performs my Botox injections?

A highly experienced injector is important for obtaining natural, noticeable results.

Many people think that because Botox is advertised in day spas and other non-medical offices, Botox injections are on the same level as a manicure, facial, or haircut. This could not be further from the truth!

At 77 Plastic Surgery, Dr. Larry Fan wants to provide the very best results for our patients, so he insists on performing all Botox injection treatments himself. Dr. Fan has performed thousands of Botox injections, and he will help you develop a customized treatment plan designed just for you.

Learn More: Why Plastic Surgeons Make the Best Botox Providers

BROWSE OUR LEARNING CENTER

Related Procedures

Injectable Fillers

Injectable fillers such as Juvederm Ultra, Voluma, Restylane, Perlane, Radiesse, Belotero, Sculptra, and Bellafill are very popular treatments used to restore lost facial volume and plump up deep folds and hollows associated with aging of the cheeks, eyes, mouth, nose, forehead, temples, and lips.

Injectable fillers are administered during a quick, in-office procedure with little-to-no downtime. Injectable fillers are commonly used before and after facelift surgery.

Learn More About Injectable Fillers

Fat Transfer

Fat transfer is a procedure that involves harvesting fat cells from other parts of your body and injecting them into a treatment site to increase volume. Fat transfer to the face is often performed in conjunction with a facelift to restore lost volume in the cheeks, folds around the nose and mouth, lips, and temples.

Learn More About Fat Transfer - Coming Soon

Facelift

A facelift is a surgical procedure that lifts sagging skin and support tissues and restores a youthful contour to the mid and lower face.

Learn More about Facelift

Eyelid Surgery

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of eyelids. Blepharoplasty may be performed on the upper and lower eyelids. It is often done in conjunction with a facelift, or in some cases in place of a facelift when the main area of concern is the eyes.

Learn More About Eyelid Surgery

Brow Lift

A brow lift is a surgical procedure to improve the appearance of the forehead and eyebrows. It is different from a facelift because the facelift focuses on the mid and lower parts of the face below the eyes. A brow lift is often done in conjunction with a facelift.

Learn More About Brow Lifts

Laser Resurfacing

Laser resurfacing is a treatment to reduce facial wrinkles, blemishes, irregularities, and scars using concentrated beams of light. Laser resurfacing of the face is often performing in conjunction with or after a facelift to repair sun damaged skin.

Learn More About Laser Resurfacing

 

IPL Photofacial

IPL, or intensed pulsed light, is a photofacial treatment to reduce brown spots, redness, age spots, broken blood vessels, and rosacea. IPL is often performed after a facelift to repair aging skin.

Learn More About IPL Photofacial - Coming Soon

Skin Care

Our skin care programs involve the use of medical grade skin care products that can brighten, smoothen, and even out aging skin. Our skin care programs are frequently used to enhance the results of facelift surgery.

Learn More About Skin Care

Ultherapy

Ultherapy is a non-invasive, non-surgical treatment that uses ultrasound energy to firm, tighten, and lift the skin. The improvement seen after Ultherapy treatment is much more subtle and modest compared to the results of a facelift.

Ultherapy is often used for maintenance treatment after facelift surgery. Ultherapy is not a suitable replacement for a facelift; patients who desire a facelift but choose Ultherapy are seldom happy patients.

Learn More About Ultherapy

Total Facial Rejuvenation

Total facial rejuvenation encompasses a comprehensive treatment plan that includes tightening loose skin, restoring lost volume, repairing sun damaged skin, and relaxing the facial muscles.

A facelift is one of the main components of total facial rejuvenation, as are eyelid surgery, brow lift surgery, fat transfer, injectable fillers, laser resurfacing, IPL photofacial, medical grade skin care, and Botox treatment.

Learn More About Total Facial Rejuvenation - Coming Soon

VIEW ALL PROCEDURES
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“I’ve received Botox injections for 10 years prior to seeing Dr. Fan, but I’ve never had better results. He has great hands, and his results are the most natural I’ve ever had.

— D.E.

Why Dr. Larry Fan & 77 Plastic Surgery

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Larry Fan, MD

 
Dr. Larry Fan is an award winning, Harvard educated, and nationally recognized plastic surgeon. He is a progressive, compassionate thinker who is committed to achieving the highest levels of excellence and the very best aesthetic results. Dr. Fan is an expert facelift surgeon who is known for achieving natural beauty, never “overdone.”
Meet Dr. Fan
botox provider

Harvard Trained & One of America's Top Plastic Surgeons

Dr. Fan is known for his elegant sense of artistry and refined surgical skills. He will perform your surgery with expert, world-class execution and has the results to prove.

botox candidate

Exceptional Results & Award Winning Care

Dr. Fan and his team are committed to providing you with exceptional care, counseling, and support before, during, and after surgery. We take pride and joy in caring for you and have received numerous awards for our compassionate care.

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State-of-the-Art Office & Private Surgery Center

Come relax in our beautiful office and enjoy the comfort, safety, and privacy of our fully accredited onsite private surgery center.

Download Our Popular Book:

"Beauty for Life"

In this feature length book, you will learn:

  • How to look great at any age
  • How to find a beauty team that you can trust
  • How to choose the right skin care products for your skin type
  • How to choose between The Needle and The Knife

This book was written by top plastic surgeon, Dr. Larry Fan.

 

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Ready For A Younger, Fresher You?

Schedule your complimentary consultation with Dr. Fan here.

During your consultation, Dr. Fan will take the time to address your specific goals and to discuss your treatment options. He will determine if you are a good candidate for facial rejuvenation and review the results that can be realistically achieved. He will also help you determine which complementary procedures may benefit you the most.

Schedule Complimentary Consultation