Botox injections: What to expect

Botox is a neurotoxin and we use it to
stop muscle function or prevent muscle function for about three to six months so most people use Botox primarily for
the wrinkles above their nose in between the eyebrows or the wrinkles along the
outer portion of the eye, what we call the crow’s feet. At UC Irvine Health the
plastic surgeons here that are performing Botox injections are either
in the process of being certified by the American Board of Plastic Surgery or
certified by the American Board of Plastic Surgery. You don’t know who’s injecting you in a
medi spa you don’t know what their training has
been, you don’t know how many patients they have actually injected, and you
don’t want to go to somebody who won’t be able to help treat any problems if they
do arise. So a patient would come in, fill out what
we call an encounter form or history and physical examination form and then
be taken back to a procedure room in order to meet the physician. The physician
would come in sit down with the patient go over the history physical form make sure that the appropriate
medications are listed make sure there’s no allergies and then
explain a little bit about the procedure and more importantly, sit down and find
out what the patient wants. What area is the patient concerned about? Is it the
frown lines? Is it the crow’s feet area? Is it around
the mouth? All of those we would sit down and determine what is the most
appropriate option for the patient. We would apply some numbing medicine,
let’s say if the patient wants the injections on the forehead, to the
forehead area and perhaps also around the corner of the eye. The needle is a
small needle that we utilize and the injections would usually start in the
middle of the forehead, in-between the eyebrows, and then move usually out
towards the corners of the face or lateral aspects of the face injecting periodically as we do that and
we would then create a second layer of injections up towards the hairline to
help block some of the upper portions of the two big frontalis muscles on your
forehead. Botox can cause the eyelid to droop for
a period of time so in order to avoid that we would stay
on the side of where the bone is and not towards the outside of where the eyelet
is. Once it’s done we tend to put ice back on those areas
and let the patient relax for a few minutes. Then the patient is free to
leave the office and go back to work or what other functions they like to do.


  1. Prevent muscle function? Isn’t that what we not want? It’s like being in space for 30 years without working out and coming back not feeling used to gravity and lifting.

  2. Love the video! Check out our most recent video on Bellafill! – the longest lasting, FDA approved injection which stimulates your own bodies collagen, to help revive your skin and give it its youth back!

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