As people get older, they tend to develop unwanted signs of aging such as wrinkles, facial creases, frown lines, and age spots. Botulinum toxin, or Botox, treatment is a quick and easy procedure that temporarily eliminates these facial deformities through several injections that may be administered inside the doctor’s office. Botox works by paralyzing the muscles used for facial expressions. Once the resting tone of the treated muscles is weakened, the pull of the muscles relaxes and the overlying skin flattens.

If you would like to learn more about Botox in order to determine whether or not this procedure may be right for you, please call Lou Plastic Surgery today at 713-932-7290 to schedule a free consultation with one of our highly qualified medical professionals.

Procedure Description

Botox is commonly used to treat facial wrinkles in the forehead, between the eyes, and in the “crow’s feet” areas (upper third of the face). This injection approach is different than the other local treatments for the aging face. Silicone, Collagen, Autologous Fat Transfer, Alloderm, and Softform all work by filling in wrinkles or depressions. These fillers are frequently not as effective as Botox in treating wrinkles in the upper third of the face. By physiologically weakening the muscles, as is done in these alternate procedures, the wrinkles are lessened naturally.

Botox is freshly prepared on the day of injection. Once prepared, the medication needs to be used within 12 hours, as the potency diminishes with time. Because of the short shelf life and the cost, Botox is not available every day in our office. In order for the treatment to be cost effective, more than one patient must be treated on the same day.

Using a very tiny needle, Dr Lou will inject small amounts of Botox into the muscles necessitating paralysis – typically the small muscles between the brows, in the forehead, and at the corners of the eyes. Depending on the areas being treated, 5-15 needle pricks (or more) may be required. Discomfort with this procedure is minimal and lasts only a few seconds.

This paralysis resulting from a Botox treatment is temporary, and re-injection is necessary within three to ten months.

Before & After Photos





Recuperation and Healing

Botox injection procedures are performed on an outpatient basis and very little recovery time is required. Patients may resume normal activity immediately after treatment. Minor side effects, such as temporary eyelid droop, nausea, and minor pain, swelling, and redness may occur.

Occasionally, the needle may puncture a small blood vessel during the injection and a black and blue area may develop. Such an area can last 5-10 days and may require make-up to cover.

If any of the Botulinum toxin reaches a facial muscle not being treated, partial weakness of that muscle may last for several months. (For this reason, you are requested not to massage the injected areas for 12 hours following the injection.) If an untreated area experiences muscle weakness, the only “treatment” is to wait for the effect of the toxin to wear off in several months.

There are no recognized permanent side effects of Botox. Complications are rare but may include paralysis of a nearby muscle, resulting in its temporary loss of function (e.g., a drooping eyelid). Botox has been used safely in the treatment of muscular facial spasms for approximately 15 years.

Intended Results

Botox injections should result in temporary paralysis of the affected facial muscles. The patient should attain a smoother, more youthful facial appearance following one of these treatments. Over time, the results will fade, since the paralysis is temporary and additional procedures will be necessary.

Other Options

Options for alternative treatments include injection of either collagen or free fat, or the surgical excision of the muscles, usually through a brow lift.


The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

Botox injected in conjunction with nearby facial surgery has caused unwanted facial weakness in at least one patient. For this reason, we will inject Botox only as an isolated facial procedure or treatment.

Insurance Guidelines

Botox injection is considered to be a cosmetic procedure and therefore is generally not covered by insurance plans. Contact your provider as soon as possible to learn more about your coverage. It is likely that you will be responsible for full payment.

Who is a good candidate?

Good candidates for Botox treatment include those who are presently unhappy with their wrinkled facial appearance. People who are allergic or hypersensitive to any ingredient in the injection should pick an alternative procedure to eliminate unwanted facial creases. Those with ALS, myasthenia gravis, Lambert-Eaton syndrome, or any other neuromuscular disorder are at a higher risk of developing serious side-effects and may be encouraged to select an alternate procedure, as well.

Contact Us

If you are unhappy with your aged facial appearance and would like to learn more about the possibility of receiving a Botox injection, please call Lou Plastic Surgery today at 713-932-7290 to schedule a free consultation.

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