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BOTOX®

Babak Azizzadeh, MD, FACS is internationally recognized for his expertise in facial plastic surgery and non-surgical facial procedures. His Harvard-trained expertise in aesthetic and reconstructive facial surgery attracts patients both nationally and internationally to the CENTER for Advanced Facial Plastic Surgery. He is the author of five bestselling books, including Master Techniques in Facial Rejuvenation and Beverly Hills Beauty Secrets, is recognized as a Top Doctor by the US News & World Report, and has been featured on the Oprah Winfrey Show, The Doctors, The New York Times, and countless other media outlets.

BOTOX Before & Afters

What is BOTOX?

BOTOX is the most popular non-invasive cosmetic procedure, with over 6.3 million people receiving treatments in the past year (according to ASPS). BOTOX is an injectable prescription used to temporarily smooth fine lines, wrinkles and furrows caused by excessive muscle movements. It works by reducing muscle contractions in the treated area. It is administered in a matter of minutes, through a series of small subcutaneous injections. The injections themselves are generally pain free and very tolerable. After BOTOX injections, you can return to your normal activities with no down time. In some cases, you may feel a slight tingling or soreness in the area, for a short time, but there should be no serious pain or other side effects. The effects of your BOTOX injections will take a few days to become visible, and will last for up to 4 months.

At the CENTER for Advanced Facial Plastic Surgery, Dr. Azizzadeh performs all BOTOX injections himself. As a double board certified facial cosmetic surgeon, Dr. Azizzadeh has great insight into not only facial aesthetics, but also into the anatomy of the facial muscles. This specialized knowledge allows him to precisely place a very specific amount of BOTOX to give patients naturally beautiful results.

Although BOTOX is the most common non-surgical cosmetic procedure, it is still of utmost importance that you trust your BOTOX treatment to a qualified expert, like Dr. Azizzadeh.

What is BOTOX used for?

There are dynamic wrinkles all over the face. When we smile, frown, raise our eyebrows or squint our eyes, wrinkles are created as a result of those repetitive expressions. Over time, these wrinkles start to become ingrained in the skin, appearing even when one's face is completely relaxed. BOTOX is the go-to treatment to improve the appearance of moderate to severe lines and wrinkles on the face, resulting in smoother, younger looking skin. This is a good alternative to a facelift for patients who don't want or don't need surgery.

While BOTOX is best known for its cosmetic results, Dr. Azizzadeh can also utilize it for many other treatments. Below are some examples of how BOTOX can be used for both cosmetic and non-cosmetic purposes:

  • Crows feet
  • Frown lines (between the brows, also known as 11 lines)
  • Bunny lines (wrinkles on top of your nose)
  • Forehead creases
  • Eyebrow lift
  • Gummy smile

BOTOX is most commonly used to treat the following non-cosmetic issues:

  • Facial Paralysis - as an expert in the facial nerve, Dr. Azizzadeh uses BOTOX for a unique purpose: the treatment of facial paralysis. Patients with Bells palsy, synkinesis or facial spasm can find relief with targeted BOTOX therapy administered by Dr. Azizzadeh. Because facial paralysis usually affects only one side of the face, BOTOX is further used to create balance and symmetry during facial expressions.
  • Underarm Sweating - Patients who suffer from hyperhidrosis (excessive sweating) can find relief through BOTOX. When performed by Dr. Azizzadeh, BOTOX treatments have been proven to reduce sweating in the underarms.
  • Masseter Hypertrophy - The masseter is the primary jaw muscle. In some patients, this muscle can become overly large, resulting in a jawline that is too square or angular. BOTOX can be used to reduce masseter activity, restoring a heart shape to the face.

Comprehensive consultation process

In order to help you get the most out of your BOTOX treatment, Dr. Azizzadeh performs a thorough consultation to discover your cosmetic and/or functional goals. As an internationally renowned facial and plastic reconstructive surgeon, his highest priority is helping his patients get the results they desire.

Dr. Azizzadeh takes plenty of time to help his patients fully understand their treatment options during their consultation. He will ask patients to look up and scrunch their forehead, smile, scowl, etc. so that he can see how the patient's facial muscles move and the strength of those muscles. After evaluating the patient's facial movements and aging process, he can determine the appropriate BOTOX treatment plan.

He also takes the time to educate his patients on the underlying causes of their cosmetic complaints, like how wrinkles can result from a combination of factors, and how different types of wrinkles or folds can be erased or smoothed out by different treatments, not just BOTOX.

In the complex field of facial plastic surgery, knowledge is the most important thing for a patient, and that is Dr. Azizzadeh's primary goal. From there, he knows that you will make the right decision for yourself.

Dr. Azizzadeh's BOTOX Philosophy

Dr. Azizzadeh is a double-board certified Facial Plastic & Reconstructive surgeon with expertise in delivering excellent BOTOX results. He takes an extraordinarily detailed approach to these injectable treatments, and believes there is no such thing as a standard application. Instead, he customizes every BOTOX treatment to the needs of the patient. He examines every aspect of the face, carefully taking note of each individual issue so that they can be addressed and he can provide balanced facial rejuvenation results. With this integrated approach.

It is Dr. Azizzadeh's goal to maintain the patient's natural beauty. Therefore, during treatment with BOTOX, Dr. Azizzadeh is able to precisely address facial features and erase wrinkles, preserving the patient's natural facial contours and capacity for expression.

In many cases, to achieve a well-balanced facial aesthetic, Dr. Azizzadeh will recommend pairing BOTOX injections with fillers (Juvederm, Voluma and/or Scultpra), Ulthera, laser, chemical peels or skincare. Each of these treatments serves a different purpose and when used in combination with each other, can maximize a patient's outcomes. If you are interested in learning more about all non-invasive anti-aging treatments, be sure to ask Dr. Azizzadeh during your consultation.

Pre-Treatment Guidelines Before BOTOX

Medications To Discontinue 7 Days Before Treatment To Avoid Bruising

  • Apirin
  • Ibuprofen (Motrin, Advil, Aleve)
  • St. John's Wort
  • Omega 3 fatty acids
  • Vitamin E
  • Ginger
  • Ginko
  • Bilboa
  • Ginseng

Cold Sores: If you have a history of cold sores, ask us about pre-care instructions.

Post-Treatment Guidelines Before BOTOX

Side Effects

The intensity and duration of your side effects depends on the treatment aggressiveness and your individual healing characteristics, but usually can last up to a week after treatment.

  • Stinging: Some patients develop stinging at the injection site for 10-15 minutes following treatment
  • Swelling, Tenderness: Some patients experience some swelling or tenderness at the injection site. It should resolve on its own within a few days.
  • Redness: You may apply makeup immediately after treatment to minimize the redness.

After BOTOX Treatment Skin Care

  • Sunscreen: Proper and frequent application of sunscreen is always important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor (SPF) of 30 or more. You should apply sunscreen 20 minutes before going outside, and again, immediately before. After that, reapply your sunscreen every 2 hours. If direct sun exposure is necessary, wear a hat and clothing that covers the treated area. Use this regimen during the healing period and always. For more skincare tips, check out our blog.
  • Avoid Excessive Sun and Heat: Until any initial swelling and redness has resolved. This includes aggressive exercise.

Trust Your Face To An Expert

As an internationally renowned facial plastic and reconstructive surgeon, Dr. Azizzadeh has been featured in major news outlets for his unrelenting expertise in this crucial field. Most notably, he was featured on Oprah for his groundbreaking facial nerve reconstruction on Mary Jo Buttafuoco, a prominent victim of a shooting.

Additionally, Dr. Azizzadeh has been featured in People Magazine, New York Times, Discovery Health, Los Angeles Times, Beverly Hills Courier, and many other prestigious media outlets. He authored the best-selling book Beverly Hills Beauty Secrets, and was the lead editor on a number of definitive medical textbooks, including Master Techniques in Facial Rejuvenation and Master Techniques in Blepharoplasty and Periorbital Rejuvenation. These textbooks have become a standard in the medical community and are used all over the world by board-certified plastic surgeons as well as training programs for up and coming plastic surgeons. He is the co-director of the annual, world-renowned Cedars-Sinai Advances in Multispecialty Aesthetic and Reconstructive Surgery Symposium and the co-director of the USC Facial Plastic Surgery Fellowship Program.

Schedule Your Consultation

To learn more about your unique BOTOX injections, please contact The CENTER for Advanced Facial Plastic surgery to schedule your consultation with Dr. Azizzadeh.

Schedule Your Consultation Today Call (310) 657-2203

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