Botox injections are not generally considered painful, as the needles used are extremely fine and the procedure involves injecting small quantities of the product into superficial facial muscles. Nevertheless, individuals differ widely in their perception and sensitivity to pain (including, for some, the anticipation of pain), and of course, some parts of the face are inherently more sensitive than others. Fortunately, there is a range of techniques available for minimizing...
The FDA has officially approved Botox for a limited number of uses, and for adults up to the age of 65. However, this does not mean that its use outside these limits is unsafe or illegal. Botox is used for a very large number of “off-label” uses, even though these uses are also not officially sanctioned. So, what does it mean to use Botox off-label, and does the FDA’s age...
Although Botox can be used successfully by almost anyone, we do observe some differences in the duration and effectiveness of its results in some individuals. In some cases, these may be related to a patient’s medical history, but in others, genetic factors can play a role. This blog will explore how some of these factors influence how Botox works and how it’s used. Genetic Factors That Influence Botox Effectiveness Botox...
Sagging or drooping eyelids can be caused by a number of medical conditions, including serious nerve or autoimmune-related issues. They are also a common result of lack of sleep or stress, but are also quite often associated with simple aging, linked to loosening skin and weakened muscles. Genetic factors can also contribute, as the condition may be inherited and worsened by excess skin above the eyes. In many cases, Botox...
While the primary focus of Botox procedures involves using it to relax facial muscles that are linked to dynamic lines and wrinkles, we’re starting to see increased interest in using its ability to modify muscular activity in other areas, including some tied to body posture. An interesting off-label application involves using Botox to relieve tightness in the trapezius muscles (also known as ‘traps’) that can lead to hunched posture, and...
Celebrities, like the rest of us, don’t all approach cosmetic procedures the same way. Some prefer to do so in private, while others decide to go public and create a significant social media presence that draws attention to the work they’ve had done. There does seem to be a growing trend in which more public figures are ready to talk about procedures like Botox, often through social media, in much...
Botox is used to reshape eyebrows by selectively relaxing the muscles that pull them in different directions. The forehead muscles can lift the eyebrows and enhance their natural arch, while other muscles pull them downwards. Careful application of Botox can alter the balance between these muscle groups, achieving subtle improvements in eyebrow height, contour, and symmetry that can last 3 to 6 months. Muscles That Control Brow Position The forehead...
Stress can reduce the effects of Botox, often causing results to wear off sooner than expected. This blog explains why and what you can do about it. Stress and Cortisol Cortisol is a naturally occurring hormone that plays a vital role in regulating many body functions, including our metabolism and the function of our immune system. It’s also involved in the body’s response to stress, helping regulate blood pressure, blood...
Where You Should Not Inject Botox
Posted on November 21, 2025 by
Botox achieves its results by temporarily relaxing muscles, preventing contractions that create or exacerbate lines and wrinkles. But achieving the best results requires great skill and extensive experience because Botox injections that are incorrectly positioned or that use the wrong dosage can lead to unintended results, ranging from unwanted cosmetic over-corrections to causing actual functional problems. Using Botox on the following areas requires extra caution. Forehead and Brow Muscle Risks...
The huge (and growing) popularity of social media platforms is significantly shaping how we perceive beauty, how we react to age-related changes in our appearance, and the degree to which we accept cosmetic treatments to alter and improve the way we look. Transient viral trends have played a role in driving the widespread acceptance of cosmetic procedures – online influencers can, for example, stimulate interest in particular Botox applications. The...
Meet Dr. Fedonenko
Dr. Eleonora Fedonenko is a member of the American College of Physicians and is Board Certified in Internal Medicine.
She completed her Residency at the University of Virginia School of Medicine in 1998 and has since specialized in Cosmetic Dermatology.
She obtained additional training in aesthetic medicine procedures soon thereafter, and the results of her extensive training and experience show in each and every patient’s face. She’s a doctor that can truly been trusted with your skin care and anti-aging needs.