Botox.

"When you're injecting the forehead, you have to be very careful to mind the muscles of the forehead and do it very carefully. Sometimes we'll inject Botox in a V shape coming up the forehead to reduce the wrinkles of the central forehead, still leaving the eyebrows laterally moving up and down as they need to. If you're going to get Botox for the first time, one tip I would give you is to possibly consider avoiding the forehead. That takes a lot more skill to get a nice result. If you just want to try it and dabble in Botox, start with the glabella or with the crow's feet. You're much more likely to get a reasonable result that doesn't create too much of a change. Then when you've gotten used to how Botox works, you can progress to the forehead in future sessions."

"Some people will actually have Botox injected into that muscle, two little injections right here, a few units on each side is all you need, and it smooths that golf ball chin right out."

"Botox is the number one most popular cosmetic treatment in the history of the world and this is a neurotoxin that works by preventing the transmission of nerve impulses to muscle. In order for a muscle to contract, it needs the nerve to stimulate that muscle contraction. Botox prevents that from happening so that the muscles don't get that nerve signal and they basically don't contract. That's why it works well for dynamic wrinkles, wrinkles that are caused by muscles. Some examples are wrinkles of the glabella or the frown lines, the forehead and the crow's feet. The downside is that if Botox spreads to unintended areas, like the upper eyelid, it can weaken the levator muscle and cause the eyelid not to open all the way. The good news is that this is temporary and will go away within about three to four months on average. There is actually an eye drop that can be prescribed to help the eyelid open up a little bit, though it won't completely counteract the Botox."

"Since doing Botox, it's changed the way that my wrinkles form. And I don't like that as much. I think that I would have started lasers and retinols earlier so that I had a higher quality of skin for longer so that I could actually prolong the need for Botox. I would focus on more skin treatments first so I could prolong the need for Botox."

"I do Botox in my jaw, I do it to my armpits, it's literally a miracle injection. And I also stay consistent with my LED mask, so those two things combined, you won't have to get Botox today, maybe in a few years, but not today."

"Botox is heavily demonized but it is a miracle injection because it does so much more than just treat fine lines and wrinkles. It was initially developed for blepharospasm where people were getting contraction of the eye and then people noticed that it got rid of the wrinkles and that's how it became a cosmetic injection. It stops the release of acetylcholine and by doing that it also helps stop you from sweating and it also has other benefits like stopping muscle contraction for people who get tension headaches. It's good for people with bladder spasms and so it really is truly a miracle injection. It gets a bad rap because it's botulism toxin and people think toxin like why would you inject a toxin into the body but it's very safe and in batches that are not contaminated we've never really seen any negative or widespread consequences of using it. Botox is probably the greatest ingredient ever made because of the demonization of it. Everything is like Botox in the bottle, everything is your Botox alternative and none of them deliver."

"Botox is truly a miracle injection and it really does get a bad rap because it's botulism toxin and people think toxin like why would you inject a toxin into the body but it's very safe and in batches that are not contaminated we've never really seen any negative or widespread consequences of using it. Botox is probably the greatest ingredient ever made because of the demonization of it, everything is like Botox in the bottle, everything is your Botox alternative and none of them deliver. All of these brands that utilize botulin toxin, they are effective, you will get what you pay for in terms of results, nothing mimics the effects. As far as safety it's really extremely safe compared to most other procedures. It's a toxin and it's thoughtfully used, deliberately used and it delivers."

"I started with the Botox brand. It stopped being potent on me. Then I moved on to, you know, the next brand and then the next brand. And now I'm on like basically the final brand that's available in the United States. I basically at this point cannot get rid of my crow's feet."

"Preventative for sure. So I always say there's no better line than the one you could prevent right, the one that you're never going to get. So if we starting earlier on it makes a lot of sense. However you can't take anything to an extreme. I don't expect an 18 or 20 year old to start doing Botox unless you make a very strong expression with your glabella lines, your anger 11s, and we could already see that even when that person is at rest not making the expression you could start see these subtle lines that even stay. And I always say that will be your actual cue maybe it's time for me to start considering toxin regardless of your age. And everybody's genetics, skin thickness, you know, some lines may show sooner than others so that's why there's so much variability in at what age. I don't like to define it so much by a number but it's totally preventative overall. The earlier you start the less lines of expression you're going to have later on when you're in your late 40s, 50s, and obviously 60s. But one thing I do like to point out to people is yes preventative but when you're 50 you're not going to suddenly be like you know what I don't need to do Botox anymore."

"There's no better line than the one you could prevent, right, the one that you're never going to get. So if we start earlier on it makes a lot of sense. However, you can't take anything to an extreme. I don't expect an 18 or 20 year old to start doing Botox unless you already see subtle lines, like with glabellar lines, your anger elevens, that even stay when that person is at rest not making the expression. That will be your actual cue maybe it's time to start considering Botox, regardless of your age. Everyone's genetics and skin thickness vary, so some lines may show sooner than others. That's why there's so much variability in what age to start. The earlier you start, the less lines of expression you're going to have later on when you're in your late 40s, 50s, and obviously 60s. But one thing I do like to point out is yes, preventative, but when you're 50 you're not going to suddenly be like you don't need to do Botox anymore."

"It's totally preventative overall. The earlier you start, the less lines of expression you're going to have later on when you're in your late 40s, 50s, and obviously 60s. But one thing I do like to point out to people is yes, preventative, but when you're 50 you're not going to suddenly be like, you know what, I don't need to do Botox anymore. I get patients that come in with already all these lines of expression that even without them making that expression you could already see the places where they make expressions. So the result cannot be expected to be the same as for someone that's doing it for pure preventative reasons. If you have a line there and that line doesn't fully disappear even when you're stretching out your skin with your fingers, then that means probably Botox is not going to be able to achieve that. It's having realistic ideas of what any cosmetic treatment can do."

"Baby Botox is essentially just using less, so it wears off sooner. We're using smaller doses, so therefore you're going to see that your movement will be back to baseline sooner than even 3 months. But if they're using it early on for prevention, not because they're really bothered by some of these lines but just wanting to prevent it, it's totally fine that they wait three, four, even a little bit longer."

"BOTOX for example or toxin will prevent lines from getting deeper. You'll not decrease collagen production or at least it prevent collagen degradation. At sunscreen and retinoid are just going to turn your skin over, it's going to look shinier, it's going to look brighter and it's going to naturally replace some of the issues that we have."

"Whenever I am talking to people and they're new to cosmetic treatments I almost always say just get Botox, like just even some Botox on your crow's feet and you'll be so happy as your first treatment. Botox is magic, it's the most amazing drug ever. Botox is more of a neurotoxin and it treats heavy wrinkles, but it doesn't treat the health of your skin the way other treatments do."

"I switched from Botox to Zaman not because I don't think Botox is great. I think Botox is also great. It just started not lasting on me, so I was like I need to try something else."

"I will say have you ever thought about a sprinkle Botox because it just opens everything up it gives you that like well rested appearance without actually being well rested and in my experience it's kind of like an easy entry in addition to your skin care that you can add on that is going to make a difference and just make you feel like yourself a little bit again. If it's done correctly and Botox is one of the easier procedures now, there's some nuance that right, not everyone's muscles are the same, you really have to take an artful approach, but for most people if it's done well you're still going to look like yourself, you're just going to be refreshed. It's not filler, it's not going to change the shape of your face, it's simply smoothing out some muscle movement."

"I used to get Botox in my forehead. I want it redone. It can get quite addictive once you like the results."

"I first started getting Botox in my late thirties and never had any issues. I was absolutely fine with the procedures, saying that it took years off my face. I loved it. I kept up with the Botox for over a decade and was happy with the results."

"As somebody who's had Botox and filler for about 7 years now on and off, I instantly knew I was in good hands after an in consultation with Dr Ahmed."

"Botox, which is the brand name for Botulinum Toxin, a neurotoxin. It's a literal toxin that she's injecting into her armpits. Usually this is a procedure for people with excessive sweating, not people who just don't want to use deodorant purely because of the fact that it's actually really expensive. You do need a fair bit of Botox to cover your whole armpit."

"As somebody who does get regularish Botox and filler, maybe once or twice a year, there is always a bit of me that's like, what can I do next? What else can I have done? I never go that far."

"Botox is used to treat fine lines and wrinkles. It literally paralyzes your muscles to stop them moving, creating further lines and wrinkles, and it just helps even everything out. Botox is a well studied, regularly used toxin that when injected in small doses, is perfectly safe. If you want that look of no wrinkles, no fine lines, that anti-aging look, you can get Botox and risk the very extremely rare and minimal risk complication."

"Would you rather, honestly, honestly have Botox and risk the very extremely rare and minimal risk complication. Or would you rather not smile for 40 years? Come on, like, be honest."

"Botox is a neuromodulator that decreases the intensity of repeated muscle movements to help with fine lines and wrinkles."

"I do Botox both for anti-aging and for beautification or facial balancing. When I was pregnant I didn't have Botox for almost a year and I could really see the difference in what my face looked like when I had Botox and when I didn't, and I preferred my face when I had Botox in it. To give myself a brow lift and to really prevent these lines from forming between my brows, I inject Botox into the corrugator muscles, which naturally pull your brows down and in, so when you relax them the brows are able to float up and out and give you a more open appearance. I also inject the procerus muscle, which pulls your brows straight down. Some people have a very bulky procerus muscle that makes them look almost Neanderthal-like, and when you inject that muscle with Botox it can actually decrease the bulk of that muscle and give someone a much more feminine appearance to their upper face. For myself I usually use somewhere between 18 and 20 units."

"It is the thing I do the most of in my clinic, I mean many many many patients a day all ages and stages of life, all different types of cosmetic concerns can be addressed with Botox. Not everything can be addressed with Botox and that's also really important to note, but it is a very versatile product and you can use it in a lot of ways if you are experienced. Most people are familiar with using it for your frown lines in the glabella area, and when you put Botox there to relax it the brows go up and out, so this really helps to soften the 11 lines that people get when they scowl. If you do Botox regularly there..."

"There is no replacement for a surgical neck lift but there are so many things that we can do in terms of utilizing Botox to lift that up. The concept is to tighten the skin and also the band. We're going to relax these bands, and it's actually incredibly easy and very affordable to do too."

"I do Botox the way I should once every four months. I really stay with that because it's preventative. The biggest thing for me personally is that a lot of the stuff is actually preventative, which is a big deal because they didn't have this back in the day."

"I don't think I should get Botox. I don't think you should get Botox. Botox is kind of just an umbrella term at this point for injectables that are known as neuromodulators, but there are a lot of different brands of neuromodulators each for their own slight technical differences, but they basically work to block the signal that comes from the nerve to tell muscles to contract."

"I don't really buy into the preventative Botox thing. The reason I am not such a huge proponent of it is that we don't really have studies to substantiate it. It's not an evidence-based recommendation. It's not like we have rigorous studies looking at the long-term ramifications of cosmetic neuromodulator injection over years and years and years. We don't have a lot of 70, 80-year-olds out there who have been getting neuromodulator for decades and decades to really see how it has ultimately impacted their overall face. A lot of the push for preventative Botox comes from small case reports, anecdotal patient observations, and clinician experience. Clinical experience is important, however it's also worth noting that cosmetic Botox is not medically indicated. It is a medical procedure, but it's not medically indicated. There's a financial incentive for the provider. Not saying that's the sole motivation for recommending preventative Botox, but it definitely is something worth pointing out."

"It's interesting though that patients report and clinical experience confirms that many patients who get regular Botox, not only do they have that improvement in dynamic wrinkles but they also have improvement in these other things like wrinkles that were already there at baseline. There are a couple of proposed mechanisms behind other impacts of Botox on the skin. One is something called a learned response, basically there's this idea that by getting regular neuromodulator injections you sort of learn to not recruit those muscle groups regularly or as aggressively because you spend time with them paralyzed, you kind of get out of the habit of doing things like that, that repetitive movement that creases the skin. But it doesn't explain how it is that wrinkles continue to improve after Botox wears off, there's evidence of persistent change to the..."

"You could potentially overdo it and too much neuromodulator regularly can potentially alter the muscles in a way, for example, in your forehead it might make them thin with time and that might make the skin of the forehead appear thinner. Overfilling coupled with too much Botox I do think can give you a very generic appearance. It can also give you a very frozen appearance and I do think that can make you come across as appearing older. It's really important that you go to someone who is well qualified and experienced because I do think that a lot of the frozen face situation is coming from med spas with poorly trained individuals who maybe just took a course as opposed to going to a board certified dermatologist or plastic surgeon."

"Botox is natural, it's actually one of the most natural treatments available in medicine as a whole and certainly in aesthetics. That is because botulism toxin is a natural toxin from a bacteria. In massive doses botulism toxin can be quite toxic to the system, now we're using it in micro doses to paralyze a muscle, which is actually its toxic effect to paralyze a muscle, but only where we injected. We are paralyzing a muscle to soften wrinkles. Botox sits between your nerve cells and blocks the stimulation so you want to contract it but you can't."

"Because it wears off in the body, you'll never have a long-term problem with Botox because it wears off, so all side effects essentially wear off as well. I've never seen it in more than a decade of practice injecting tens of thousands of patients with Botox. I've never seen a long-term problem with it."

"The effects are not permanent and they only last around three to four months, and the more you do them there is a possibility that you can form auto antibodies to the Botox, so it could be possible that you have to switch from Botox to a different type. I started getting Botox back when I was a resident in dermatology at NYU. The injections we gave each other during training were much higher in dosages than I would use on myself now. I was completely frozen after some of those sessions where we were injecting each other. I could not even lift my eyebrows. My brows felt heavy, which is a side effect when you inject too much or too low in the forehead. There were many times when I could not frown at all, like totally frozen, completely immobilized."

"When I inject too much or too low in the forehead, my brows felt heavy, which is a side effect. There were many times when I could not frown at all, totally frozen, completely immobilized. My approach now when I get Botox is that I just want it to look natural. I want people to still be able to move the muscles of their face and be able to have expressions. When patients bring up Botox, they say they don't want to look like those frozen celebrities on TV, but their faces look like that because they're getting too much Botox, too many units. If you're wanting a more natural approach, you can use less Botox and that'll still give you free range of movement. I typically get injected in my forehead area and always get my glabella because I have one deep static wrinkle forming a vertical line there that's getting etched into my skin. I usually get three injections on each side around my crow's feet because I have fine wrinkles over there."

"The day you stopped doing Botox, this is how your face is going to look, and that is a reality that no one talks about. I don't do Botox obviously you can tell. Those who do Botox and fillers don't talk about the side effects, don't talk about the things that you should be knowing before you walk into that doctor's clinic."

"Botox is an expensive procedure. I am talking about your lifetime value of Botox. You need to understand, okay, Botox, one-time treatment, we are looking amazing, it doesn't work like that because Botox is temporary. It will last you maybe for eight to nine months. Last couple you're feeling very tight and snatched, but because it is a neuro..."

"When you stop doing Botox you will look at least 15 to 20 years older than your actual age because all of your muscles will suddenly become sad muscles. Unless you are going to invest in this throughout your life cycle, understand that if you are going to say okay at the point of 50 when you stop doing Botox you will look like 70. And if you are prepared to make that change then that is something that you can definitely opt for."

"Botox just goes wrong. You look at them and you're like, oh my God, what did this person do? Now she's looking like a duck or she's looking bloated or whatever. It can shift, it can go wherever on your face."