The skin around the eyes, lips and forehead develop deep lines after years of squinting, laughing, frowning, thinking, and smoking. BOTOX can help correct these visible signs of aging with a simple and safe procedure. Most patients will start seeing results within 72 hours of their first treatment with maximize effects after 14 days.*
BOTOX® is most commonly used for
Lines around the eyes (crow’s feet)
Horizontal forehead lines
Nasal scrunch or squint lines
BOTOX® can do the following*
Reduce creases between the eyes
Create a brow lift
Diminish Crow’s feet
Elevate a turned-down nose tip
Show more teeth, less gums
Minimize a tight pebbly chin
Smooth and lift the neck
Relieve excessive underarm sweating
Debunking Botox Myths
*individual results may vary
Frequently Asked Questions
Does BOTOX® hurt? What size of needle do you use?
We use the same needle that is used in diabetics to give themselves insulin. That is about as small and as short a needle that you can get. We strongly believe that we have to include our patients in the process. That means we give the botox as slowly or as quickly as the patient wants or will make our patients comfortable. It is a needle so it hurts, but we make it as painless as possible.
How much BOTOX® will I need? How long does it take to work?
When you come to see us, we ask you what you would like to improve. We won’t start injecting you without talking about your goals. We work with you to decide how much botox we will use. We don’t use the same amount of botox on every patient or use a formula that we apply to everyone. The effects are may be first noticed in 72 hours but it may take up to 14 days to maximize the effect. You may be asked to return after the first treatment so that your provider can assess your response. The first set of injections may only give a partial response. This is common and complete relaxation may be noticed after the second or third treatment.
Is BOTOX® safe? Will it paralyze my face?
BOTOX® is one of the safest procedures around today, even though it initially may sound the scariest. If you stick to an expert injector, the risks are extremely low. BOTOX® has been used for over 20 years and has an outstanding safety profile. This totally depends on the skill of the injector and how much botox you get. It also depends on your goals. Some patients want no movement and some patients want some movement. We use botox to relax muscles and not to freeze or paralyze your face.
Will BOTOX® help me with facial wrinkles such as 11s, crow’s feet, and forehead wrinkles?
BOTOX® works by relaxing the muscles, it does not get rid of wrinkles. There are two types of wrinkles – “static” and “dynamic.” Static wrinkles are there when you don’t move your face. Dynamic wrinkles are there or deepen when you move your face. Botox works by preventing the dynamic wrinkles from becoming static. Once wrinkles become static, they are much harder to treat and often need treatments such as filler and skin resurfacing to improve.
How long does BOTOX® work? How often will I need BOTOX®?
It totally depends on your face and how fast your face metabolizes the proteins. On average it works for 3 months. For some people it is less and for some it is more. It totally depends on your goals. To improve one’s appearance is a commitment. Facial aesthetics is not “one and done.” Every day you are one day older and your face has aged one day. Over time this aging accumulates and shows more and more. Unfortunately many of our patients come to us when their wrinkles have already formed and are extremely deep. At that point we would not say it is too late, but it is an uphill battle. To maintain or improve your appearance takes work, time, and dedication.
Am I too young for BOTOX®?
We have botox patients as young as 18. Most patients start in their early to mid 20’s. At this point it is all about prevention. Once the wrinkles form (or become static), it takes much more work and money to improve. Another advantage of starting younger is that the cost is much less. Many of our younger patients only spend $50 every three months to prevent their forehead from wrinkling.
How much will I have to spend on BOTOX®? Where can I get the cheapest or least expensive BOTOX®?
The cost of BOTOX® depends on two things. It depends first on your goals and second on how much movement you have based on how strong your muscles are. We have patients who spend as little as $50 every three months, some spend over $700 every three months. For the average middle aged man or woman it is about $500 every three months. Many people are shocked at that number. $500 is just over $150 per month. Think about how much you spend on moisturizer and less effective treatments such as microdermabrasion and facials. For the average patient, BOTOX® costs the same as one $5 starbucks a day. One of our favorite things to say is “Don’t price shop your face!” At our clinic we charge $11 dollars per unit. You can get it for more or for less depending where you go. When you get BOTOX® you are paying for two things. You are paying for the amount of botox but much more importantly you are paying for the knowledge and experience of the injector. Calling around for deals to save a small amount may seem like a good idea. But finding and sticking to one doctor who gets to know your face is better.
What does it mean to dilute BOTOX®?
BOTOX® comes as a powder. In order to turn it into a liquid you have to add saline. How strong the botox is depends on how much saline you put in the vial. 1cc to 1 unit is highly concentrated. 2.5cc to 1 unit is “diluted.” However when someone “dilutes” their BOTOX® they usually inject more fluid which makes the total amount of BOTOX® injected the same. We use 1 to 1. We like to call it “firewater” because it is about as concentrated as you can make it.
Where is BOTOX® injected? How far does it move when it is injected?
BOTOX® is injected in the muscle that causes the wrinkle to form. It is a common mistake to think that botox is injected in the wrinkles themselves. It is the muscles that cause the wrinkling so the botox has to be injected directly into the muscles. Concentrated BOTOX® moves on average 1 centimeter from where it is injected (less than half an inch).
Who can give BOTOX®? Is it important who injects my BOTOX®?
BOTOX® can be given by doctors, advanced practice nurses (nurse practitioners), and nurses under doctor supervision. The doctors who supervise nurses don’t necessarily need to have experience in BOTOX® injections. Most doctors who supervise nurses will say that they “know” how to give BOTOX®. That is very different than having mastery in injecting BOTOX®. Only you can make the choice of who you want injecting your botox. The results of your BOTOX® depends just as much on the knowledge and experience of the injector as on how much BOTOX® you get. At our clinic you will get your BOTOX® from a physician only. Dr. Bolger travels all around the country to learn the latest strategies and techniques to give the optimum results. Dr. Bolger is not a plastic surgeon, which means that his unique focus is on improving the appearance of your face without surgery. This is an advantage considering that instead of having to learn about the whole body and surgery he can go to conferences that only focus on non-surgical improvement of the face using BOTOX®, fillers, repositioning sutures and energy based treatments. Before he moved his practice to full-time facial aesthetics he was an emergency physician for 20 years which puts him in a unique position where he is very comfortable with a needle and facial anatomy. At our clinic we are “Platinum” injectors with the company that makes Botox (Allergan). This means that we are in the top 10% in the country for how much botox and filler that we use. Not bad for the Quad Cities when you consider that we are in the top 10% compared to big cities like New York, Chicago and LA. Another thing to consider is that many clinics and doctors that are Platinum or Diamond status get that way by buying breast implants as well as botox. This means that they get their status with having multiple clinics or buying more expensive materials (like breast implants). This makes us very proud to be Platinum with our “small little clinic in a small town.”
Before & After
View real Dr. Bolger’s patient before and after photos from Medical Aesthetics and Wellness. view more cases
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