Frown Lines, Crow’s Feet, and the Forehead
Botox cosmetic injections temporarily reduce muscle contractions in areas of the face which cause wrinkles such as frown lines and crow’s feet. You begin to see results in two to seven days, and the results typically last three to four months. You will notice the full treatment effect two weeks following the injection. There is little discomfort and no downtime. Our Botox patients are delighted to see noticeably smoother, less wrinkled, and more youthful-looking skin.
BOTOX can improve:
- Horizontal lines in forehead
- Lines between the eyebrows
- A dimpled chin
- Lines around your eyes (Crow’s feet)
BOTOX may not be right for you if:
- You have had recent surgical changes to your face
- You have very weak muscles in the treatment area
- Your face is significantly asymmetric side to side
- You have an active infection near the desired injection site
- You have droopy eyelids or sagging eyelid folds, deep facial scars, or if your wrinkles can’t be smoothed by spreading them apart.
Frequently asked questions
Q: What are Neuromodulators?
A: BOTOX is medication injected into the muscle to reduce movement, which subsequently lead to improvement in the appearance of mild to moderate wrinkles. BOTOX can also be injected into the underarms, palms of the hands, and soles of the feet to reduce excessive sweating.
Q: Where are BOTOX injections most commonly delivered?
A: Neuromodulators are frequently used for the lines between the eyebrows, horizontal forehead lines, and lines around the outside corners of your eyes. However, if you have another area of concern, our injectors will discuss what they feel the appropriate intervention would be.
Q: Will everyone know that I had a BOTOX treatment?
A: Our injectors provide natural looking results. Patients report a refreshed and youthful appearance, never an overdone or unnatural look.
Q: Am I too young for an injection?
A: Probably not. Many people have overactive muscles that can result in prominent expression lines as early as their 20s. Neuromodulator injections will relax those muscles and prevent the expression lines from becoming permanent. It will also help the fine lines you can already see from getting deeper.
Q: Are the injections painful?
A: Most patients experience no pain from the injections.
Q: Who should not use BOTOX?
A: There are very few people who are not candidates for Neuromodulators. Those with certain neurological conditions may not be eligible. Please feel free to schedule a complimentary consultation to address any concerns.
Q: How long does BOTOX last?
A: There is some variation among individuals. Most patients go three to four months between treatments.
Q: What will happen if I stop treatments?
A: The medication will gradually leave the muscle. As the muscles begin to contract again, wrinkles in the skin will eventually reform.
Q: Who will do my treatment?
A: Our nurse practitioner or nurse injectors will perform the procedure.
Q: Can I exercise the day I get Botox or Filler?
A: You can exercise before your appointment, however after you’ve been injected, we suggest waiting until the following day to resume your regular exercise regimen. However, your injector will provide you with more specific instructions based on how extensive your treatment is, if necessary.
Q: I’m getting married! Can I try Botox or Filler?
A: Yes, but we do not recommend trying any new treatments less than 3 months before your big event. Botox will last approximately 3 months and filler can last 6-12 months depending on the area injected. If you’re interested in trying Botox or dermal fillers for the first time, we suggest coming in at least 6 months before your big day to see if you like the results.
Q: Can I drink alcohol?
A: Consuming alcohol less than 12 hours before your appointment can increase your risk for bleeding and bruising. We suggest abstaining from alcohol the night before and for 24 hours after your treatment.
Q: I took Ibuprofen/Aleve/Naproxen/Aspirin, can I still be treated?
A: Yes … but, NSAIDs (non-steroidal anti-inflammatory drugs) can increase your risk of bleeding or bruising. If you take this type of medication chronically, please check with your primary care physician before stopping these medications abruptly. If you take them only as needed, please try to avoid taking these medications the day before and the day of your injection. Tylenol and Opioid analgesics (ie: Norco, Vicodin, Percocet) do NOT increase the risk of bleeding or bruising and can be continued.
**note: if you are on anticoagulants (i.e.: Coumadin, Lovenox, Pradaxa, etc.) we require a complimentary consult with our Nurse Practitioner prior to proceeding with any treatment. Sandee Lewis, NP, will perform the injections on clients who are on an anticoagulation regimen.
Q: What else I can do to decrease the risk of bruising or swelling before and after filler treatment?
A: In addition to following our medication recommendations and abstaining from alcohol (see above), if you take a fish oil supplement, that should be held 5 days prior to treatment. There is also a homeopathic supplement called Arnica Montana that may reduce the potential for bruising. It comes as a tablet or a cream and can be purchased at the pharmacy.
Q: What should I avoid after I get Botox or Filler?
A: We recommend you avoid lying down for 3 hours or applying direct pressure to your face for at least 8 hours following an injection. Please keep this in mind if you have an appointment in the evening. We also recommend you avoid receiving any facials, facial massage, or laser treatments to the face for 2 weeks following an injection. Doing so can potentially alter the results of your treatment.
Q: What will I look like immediately after treatment?
A: After Botox, you will have small, red bumps at the injection sites that usually dissipate after 20-30 minutes. After filler, you will experience slightly more redness and swelling. You may also have small, but visible, needle marks. The redness, swelling, and possible bruising from filler will be the most noticeable in the first 48 hours, but will gradually improve over the next few days. You can return to work, run errands, etc the same day as your Botox injection. Most people will want to have a day off following filler injections if they are concerned about the level of swelling, however this is not required and is based on your own level of comfort.
Q: I made my appointment a few days ago, but now I’m sick, should I still come in?
A: We suggest you be symptom-free for at least 7 days before coming in for your appointment. Having a compromised immune system can increase the risk of an adverse reaction to Botox or Filler. If you are interested in filler treatments, we also recommend not having any dental procedures 30 days prior or 30 days following the injection.
Q: I’m pregnant or breastfeeding. Can I get Botox or Filler?
A: It is not recommended that pregnant women or nursing mothers receive Botox or soft tissue filler treatments. Animal reproduction studies have not been performed to determine if fillers could produce fetal harm. It is not known if fillers or its breakdown products can be excreted in human milk. If you are trying to get pregnant and/or undergoing fertility treatments, as a precaution we recommend waiting 2 weeks following any injection before trying to conceive.
Q: I get cold sores. Can I still get Botox or Filler?
A: Yes … but, if you are getting an injection around your mouth and have an active sore, you will have to delay treatment. If you know you are prone to cold sores, please let your injector know. Our Nurse Practitioner will provide you with a prescription for Acyclovir and instructions prior to coming in for your appointment.
Q: I’m traveling/flying tonight/tomorrow. Can I still be treated?
A: Yes. Traveling will not effect your treatment outcome. However, it’s still important to know that you should not lay down for 3 hours after your treatment or apply direct pressure to your face for at least 8 hours. Also, if you’ve had filler, you will have some swelling, redness, and possible bruising. If a touch-up is necessary, we suggest coming back 2-3 weeks after your initial treatment to ensure a more optimal result. Please keep this in mind when scheduling your initial treatment around your travel plans.
Q: I’m nervous. Can I bring a friend/family member to my appointment?
A: Yes … but your friend/family member should be mindful that you are undergoing a procedure. Our injectors want to ensure the focus of the appointment is on you and our attention will be on performing a safe injection. If your friend/family member has questions about the procedure, or is also interested in having an injection, please let the front desk know when scheduling so that the appropriate amount of time is designated for the appointment. It will be up to the discretion of each injector whether they are comfortable having an additional person in the room during the procedure.
Disclaimer: A full version of our post-care instruction sheet for both Botox and Soft Tissue Filler are available upon request. Our injectors will also discuss post-care instructions and answer any questions at the time of your appointment. Please note, it is up to the discretion of the injector to determine if treatment is appropriate on the day of your appointment.
195 Capitol Ave
Lander, WY 82520
202 S. 6th East
Riverton, WY 82501