BOTOX® Cosmetic

Dr. Hilinski is "Double Board Certified" in Facial Plastic & Reconstructive Surgery.

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Rhinoplasty Case Example

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BOTOX® Cosmetic treatment is a very popular, simple office-based procedure used to help smooth unwanted facial wrinkles. It is used most commonly on the sides of the eyes (crow's feet), in-between the eyebrows for vertical skin creases, and within the forehead for horizontal skin creases. Good candidates for treatment include men and women who have unwanted wrinkles which appear with animation and emotional expression. Termed hyperdynamic lines, these wrinkles are the result of underlying muscle contraction in areas of dynamic movement.

Dr. Hilinski performs a series of tiny injections strategically placed into select muscles to relax their movement. Because muscles are the source of skin creases and wrinkles, relaxing their movement results in a smoother skin surface. A topical anesthetic applied to the skin thirty to forty-five minutes before treatment may be used, along with a cold compress used just prior to treatment. The injection itself takes just five to ten minutes to complete.

Before & After Photos

There is minimal downtime, though some temporary redness and swelling may be present for a few minutes after treatment. Ice compresses will be applied for several minutes after the injection. Most patients return to normal activity within a few hours. Improvements can be seen as early as 48 hours after the procedure. Results typically last 3-4 months.

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Q - How does BOTOX® Cosmetic work?
BOTOX® Cosmetic works by paralyzing the muscle beneath the unwanted wrinkle. This stops the muscle from moving so that the wrinkle can no longer form.

Q - Are there any limitations to what BOTOX® Cosmetic can achieve?
BOTOX® Cosmetic is only effective on hyperdynamic lines, or those wrinkles caused by underlying muscle contraction and will do very little for visible wrinkles or creases seen at rest. If a resting line remains in the absence of muscle movement, this is a reflection that the skin has been wrinkled over a long period of time, thus developing an inherent crease. In these cases, BOTOX® Cosmetic will do little to improve the appearance of the line though it will prevent the muscle from creating an even deeper wrinkle. These lines may be treated with a combination of BOTOX® Cosmetic and a filler.

Q - Who is a good candidate for BOTOX® Cosmetic?
The best candidates for BOTOX® Cosmetic include men and women who have unwanted wrinkles that appear with animation and emotional expression, termed hyperdynamic lines. These lines arise from underlying muscle contraction in areas of dynamic movement. Patients often describe a deep crease or line that forms as a result of certain facial expressions. BOTOX® Cosmetic may not be appropriate for patients with certain neuromuscular disorders.

Q - Where is the BOTOX® Cosmetic procedure performed?
BOTOX® Cosmetic is an office-based procedure.

Dr. Hilinski's office in San Diego, CA is conveniently located near the following: