Problem.

Facial wrinkles in the forehead, between the eyes, and in the crow's feet area in the upper third of the face.

Who is a candidate?

• Individuals who want to reduce facial wrinkles in the forehead, between the eyes, or in the crow's feet areas.
   
• Individuals who desire a more rested, more relaxed appearance.
   
• Individuals with inherited furrows on the forehead or between the eyes.

Procedure description.

Dr. Casso injects very small amounts of Botox® into the small muscles between the brows, in the forehead, and at the corners of the eyes. This causes those muscles to halt their function (become paralyzed), thereby improving the appearance of the wrinkle. Depending on the areas being treated, five to 15 needle pricks or more may be required. Discomfort is minimal and lasts only a few seconds.

Botox, which is freshly prepared on the day of injection, causes temporary paralysis of the muscles and re-injection is necessary in about three months.

Recuperation and healing.

Occasionally, the tiny needle may puncture a small blood vessel during the injection and a small bruised area may develop. Such an area can last five to 10 days and can be covered with makeup.

Complications are rare but may include paralysis of a nearby muscle resulting in loss of its function.

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