Highly trained practitioners should be able to use Botox to preserve facial expression while softening wrinkles. Dr. Kolstad carefully maps his patient’s facial muscles and removes movement in specific areas to soften lines and create a natural appearance.
Dr. Kolstad is frequently sought by patients who have had improper Botox injections leading to dropping of the eyelids. This is a treatable, but also avoidable complication of putting Botox into the wrong muscles.
Dr. Kolstad’s expertise in Botox comes from spending a year training with one of Allergan’s Black Diamond Providers. The prestigious Black Diamond is awarded to the top 1% of practices and medical spas using Allergan’s Botox and Juvederm products. It is through working and learning from the best that Dr. Kolstad is able to deliver such high quality care to his patients.
What is Botox?
How Does Botox Work?
When Botox is injected into a muscle, it blocks the acetylcholine, the nerve messenger, from delivering the message to the muscle. The muscle never receives the signal to contract, so it remains at rest.
On the upper third of the face, the expressive area, we constantly engage the muscles around our eyes, between the brows, and on the forehead when we make expressions such frowning or showing surprise. Over time we form hundreds of thousands of these contractions, plus our skin thins. This allows wrinkles and lines to form on the surface skin above the muscle. These are glabellar lines (the 11s) between our brows, forehead lines, and crow’s feet at the outside of our eyes. These are known as “dynamic wrinkles.” When Botox is injected into the muscle forming any of these wrinkles it keeps the muscle from contracting, so the wrinkle on the surface skin is erased.
What Areas Can Botox Treat?
Botox’s original FDA approval was for the treatment of forehead lines and glabellar lines between the eyebrows. In 2011, Botox received FDA approval for injection of crow’s feet. Dr. Kolstad has also found success using a combination of Botox and dermal fillers to treat lines around the mouth, colloquially known as lipstick lines or smoker’s lines. This is an “off-label” use, but has proven popular with many of our La Jolla patients.
3) Crow’s Feet
4) Lipstick Lines / Smoker’s Lines.
Does Botox Injections Hurt?
How Long does a Botox Injections take?
When Can I Expect To See My Wrinkles Go Away After Botox Injections?
What Are The Side Effects with Botox?
Botox has been injected millions of times around the globe and it has proven to be an effective and very popular treatment. The main side effects are slight redness, swelling, and possible itching at the injection sites. This resolves in a few hours. Occasionally, patients may develop a slight headache for a few hours after their Botox session, but this also passes in a few hours.
The main risk with Botox is having it injected by an inexperienced or untrained person. If Botox is injected into the wrong muscle it can lead to problems such as a drooping eyelid. That’s why you should only have Botox injected by an experienced plastic surgery such as Dr. Kolstad. Dr. Kolstad is double board-certified and has extensive knowledge of facial anatomy and extensive experience with Botox.
Can I Combine Botox With Other Procedures?
Many of our patients combine Botox injections with dermal fillers, such as Juvederm or Restylane. This is easy to do because, for the most part, these injectables work on different areas of the face and on different types of wrinkles. Dermal fillers work on wrinkles caused by sun damage, declining collagen production, and personal habits such as smoking. These are known as “static wrinkles.” These wrinkles usually occur on the mid to lower face, particular from the nose down through the mouth area.
Dr. Kolstad can inject Botox to erase your crow’s feet and your 11s, and then he may inject Juvederm Voluma to return the volume to your cheeks and Restylane Refyne to address moderate smile lines. This can be done in a single session.
Preparing for a Botox Session
Schedule A Consultation
Frequently Asked Questions
Dr. Kolstad administers every unit of Botox for his patients.
Dynamic wrinkles are caused by the contractions of underlying facial muscles every time you smile, laugh, or frown. The more emotion you show, the deeper these wrinkles and lines are likely to be. While you may have earned your worry lines, you don’t have to show them anymore.
You can generally expect to see results in 3-5 days, although it may take as long as two weeks. Most people can expect to enjoy the benefits for 4-6 months.
To schedule an appointment call us at (858) 859-2563 or get in touch with the form below.