SAN FRANCISCO		MILL VALLEY
22 Battery Street, Suite 905 San Francisco, CA 94111 415.956.8686		535 Miller Avenue Mill Valley, CA 94941 415.383.5475

Botox® Treatment

Botox® is a wonderful product in Dr. Jeffrey H. Binstock's skilled hands. Botox® can easily be used to effect a reduction in frown lines, forehead wrinkles, and crow's feet. Botox® can also elevate the eyebrow area effecting a non-surgical brow lift. In the neck, Botox® is very effective in the reduction of horizontal neck lines and in the relaxation of vertical mid neck cords, i.e., thickened bands of the underlying platysma muscle. Botox can also reduce lip lines, enhance lip fullness and reduce marionette lines.

Where do you put Botox®?
The frown lines between the eyebrows are caused by the action of muscles called the corrugators. These are located just under the inner aspect of the eyebrows and can be felt as a thickening in this area when you frown.

photos of Dr. Binstock's patients**

Botox® for Frown Lines
Botox for Wrinkle

Injecting Botox® directly into this muscle relaxes it, stopping your ability to bring your eyebrows together in a frown. Once the muscle is relaxed it cannot contract and the frown lines fade away.

Likewise, when Botox® is injected into the platysma muscle and bands of the neck, it causes them to relax, thus improving horizontal lines, and vertical neck cords that develop over time. This effect can simulate a neck lift in those individuals who do not have a lot of excess neck skin.

photos of Dr. Binstock's patients**

Botox® for Neck Bands
Botox Photo

Botox® can be injected into the frontalis muscle of the forehead to reduce and smooth out forehead lines.

photos of Dr. Binstock's patients**

Botox® for Forehead
Botox Information

Relaxation of the muscles around the eyebrows can effect a nonsurgical brow lift. Botox® can be used around the mouth to lessen the depth of upper lip smile lines, and the lines and downward tilt of corners of the mouth. The chin can be injected to reduce dimpling.

A new application is the use of Botox® for axillary underarm sweating. One session generally results in relief of sweating for six to ten months. Increased sweaty palms and soles can also be treated with Botox®. See Botox® Don't Sweat.

photos of Dr. Binstock's patients**

Botox® Don't Sweat
"Starch Iodine Test" Shows Sweating
Cosmetic Botox

Ask us about other new Botox developments.

What is Botox®?
Botox® is the trade name for Botulinum Toxin type A, a purified toxin produced by the bacteria clostridium Botulinum. Large amounts of toxin blocks the nerve impulses to multiple muscles causing a form of paralysis called Botulism.

By using extremely small doses of Botox® injected directly into a specific muscle, only the action of that muscle will be relaxed and paralyzed.

What else do I need to know?
Botox® is injected into the muscle with a very fine needle during a simple office visit. The actual treatment takes only a few minutes and the Botox® takes effect in three to ten days. Gradually over four to six months the muscle relaxation will fade, and its action will return. When lines start to reappear, a simple treatment is all that is necessary to maintain a desired benefit.

Who can perform Botox® treatments?
These treatment should be performed only by a physician skilled in the use of Botox®.

How has Botox® been tested?
Botox® has been used since the 1980's for treatment of strabismus (lazy eye) in children, as an alternative to surgery, and in blepharospasm (uncontrolled eyelid blinking) in adults. Botox® was first used for frown and wrinkle lines in the late 1980's, and a major study of this technique was published in 1995 in the Journal of the American Academy of Dermatology.

What are the side effects?
There may be slight discomfort from the needle entering the skin and a small chance of a bruise at the site of the injection. To my knowlege, there have been no reports of damage to the eye, with injections to the eyelid. There have been no permanent side effects in the use of Botox®.

The risks associated with Botox® are minimal, very unlikely to occur, and generally resolve over several weeks. Rarely an adjacent muscle can be weakened for several weeks after an injection. This can manifest as a temporary droop of an upper eyelid in 1-2% of patients whose frown lines were injected. Occasionally, upon injection of frown or forehead lines, numbness of the forehead or discomfort may occur and last a few weeks.

With crow's feet injections, there may very rarely be a temporary lower eyelid droop or double vision. Neck injections may very rarely result in temporary neck muscle weakness manifesting as temporary difficulty in articulating and/or swallowing.

Injection around the mouth can cause an asymmetry of the smile lines, or corners of the mouth, and injections into the lips can cause weakness in pursing of the lips or sucking on a straw, as well as asymmetry.

Please contact Dr. Jeffrey H. Binstock in San Francisco at (415)956-8686 or in Mill Valley at (415)383-5475 for further information and to schedule your consultation to find out what Botox® can do for you.

Any and all references to Botox® refer to Botox® Purified Neurotoxin Complex which is a registered trademark of Allergan Laboratories, Inc.

Botox® Purified Neurotoxin Complex is an FDA approved medication for various kinds of muscle spasms and spastic rigidity, but has not be specifically approved for treatment of hyperhidrosis or wrinkling. The FDA recognizes the common practice among physicians to use FDA approved drugs and "off-label" uses, particularly in diseases and conditions for which there are limited alternatives.

** Benefits depicted are actual and not retouched.
Patient results may vary. Each set of photos reflects the benefit realized by the person in that set of photos, and not necessarily the viewers final results.

Jeffrey H. Binstock, M.D.
SAN FRANCISCO	MILL VALLEY
415.956.8686	415.383.5475

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