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Drinking Alcohol Botox

While there’s no direct reason that consuming alcohol should adversely affect the outcomes of Botox treatments, there are several factors that might lead you to err on the side of caution, and decide to limit or avoid alcohol, especially immediately before or after treatment. This blog will explore these factors in more detail.

Alcohol Acts as a Vasodilator

Alcohol is widely known to act as a vasodilator, meaning that it causes blood vessels to dilate. This, in turn, tends to boost blood circulation. One of the concerns when injecting Botox is to limit its diffusion away from the injection site before it has had time to properly bind to the targeted muscles. Alcohol consumption and subsequent increased blood flow may increase the tendency of Botox to migrate away from its intended location and reduce the effectiveness of the procedure.

Alcohol is a Blood Thinner

Botox injections, while using very fine needles, nevertheless involve puncturing the skin. This minimally invasive procedure carries the risk of bruising, more so in areas where the skin tends to be thinner. If you are prone to bruising easily, and even if you’re not, it’s best to avoid alcohol for at least a day after treatment to sharply reduce the risk of developing unsightly bruises.

Alcohol is a Contributor to Swelling and Puffiness

It’s quite normal to experience some swelling or puffiness after Botox treatments, but alcohol consumption may lengthen your recovery time. This is linked to the dilation of blood vessels, which increases fluid availability, which contributes to tissue swelling. Puffiness can also have more than a cosmetic effect, as it has the potential to alter the way that Botox diffuses through the body and reduce the muscle immobilizing effects of Botox.

Alcohol’s Effects on Healing

Alcohol is well known to have a dehydrating effect, which most definitely has the potential to slow skin healing from the effects of Botox injections. It can slow your recovery process and delay fully benefiting from the results of your Botox treatment. In general, dehydrated skin tissue is also not cosmetically desired and can make lines and wrinkles more visible. It’s also possible for dehydrated tissue to become inflamed more easily, further prolonging your recovery.

Long-Term Effects of Alcohol Consumption on Botox Results

By now, the negative effects of long-term alcohol use are well known. Alcohol has many negative effects on the body, and should absolutely be avoided if you prioritize maintaining a youthful and healthy appearance. The reasons are many – the dehydration and oxidative stress that result from alcohol use accelerate the skin aging process, and contribute to the loss of collagen, which is the root of many age-related cosmetic issues. Alcohol use can reduce the overall effectiveness of Botox, as well as shorten the time required before the procedure needs to be repeated. And if you’re also a smoker, these negative effects will be further multiplied

But I need a Drink!

OK, we understand you’ve had a hard day! Let’s find a reasonable compromise – avoid all alcohol for at least 24 hours before your Botox treatment, and for at least 48 hours after your Botox treatment. If you’re prone to bruising easily, try to increase these periods to up to a week. And if you do drink, mitigate the dehydrating effects by also increasing your consumption of non-alcoholic liquids, and be sure to use moisturizing creams.

Consult Our Botox Experts at Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing Botox procedures over the long term. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information

Why Some Patients Become Resistant to Botox, and how to avoid it

Botox resistance is a complex topic, and in many cases, facial muscles adapt to repeated Botox treatments, reducing the dose needed to maintain desired results over time. In less than 1% of cases, however, reduced response to further Botox injections is observed. There are several reasons why this can occur, which this blog explores.

Reasons Botox Might Not Work Over Time

The Immune System’s Antibody Response

In extreme cases, the body can react to Botox injections by producing antibodies that act to neutralize the effects of the Botulinum toxin that is the active ingredient in Botox. Repeated high doses of Botox can increase the chance of this happening, although it is suspected that genetic factors also make some patients more susceptible.

Sometimes, switching to another brand or formulation can help fix this problem.

Other Factors Leading to Reduced Effectiveness

If you see reduced effectiveness over time, it’s far more likely that other factors have come into play. Individuals with rapid metabolisms can see the effects of Botox treatments fade more rapidly than others. High levels of physical activity can speed up the process whereby Botox is metabolized and absorbed into the body, as can some medications. Rapid weight changes, hormonal changes, and increased levels of stress can also alter the body’s response to Botox, including how the product diffuses away from the injection site over time.

As a normal result of the aging process, levels of collagen in the body reduce over time. This can result in the gradual deepening of lines and wrinkles, which in turn require larger doses of Botox to effectively address. This can be misinterpreted as Botox losing its effectiveness over time.

There are also, unfortunately, other more straightforward reasons why Botox treatments become less effective – the use of diluted, or expired Botox products, and inexperienced practitioners, can also significantly influence outcomes.

Medical vs. Cosmetic Usage

It’s far more likely that resistance will develop in response to larger Botox doses, as may be associated with medical use of the product. Cosmetic Botox treatments typically use far smaller doses and, therefore, carry a greatly reduced risk of adverse long-term reduced effectiveness. Use of Botox to address migraine headaches, in particular, can result in an increased risk that the body develops antibodies in response to treatment.

Strategies to Prevent Botox Resistance

Several things can be done to reduce the chance of developing long-term resistance to Botox. Spacing treatment sessions further apart will reduce potential problems, as can avoiding combining several different cosmetic treatments in single sessions.

If you do see reduced response to Botox, consider pausing treatments for anywhere between 5 and 24 months to allow time for antibody levels to decrease naturally. Your practitioner should be monitoring your long-term response to Botox treatment, and can adopt different strategies to maintain the effectiveness of treatments while reducing dependency on high doses of Botox.

Choosing a practitioner who prioritizes skillful application of reduced Botox doses over blanket application of large doses will give you far better natural-looking long-term results, as well as saving you money.

Consult Our Botox Experts at Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing Botox procedures over the long term. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.

Nasolabial Folds close up on woman's face.

Nasolabial folds are the name given to the creases that run from the sides of the nose down to the corners of the mouth. They become more apparent as we age and our skin starts to lose its elasticity, and fat deposits beneath the skin start to shrink.

In some cases, nasolabial folds are caused by a loss of volume around the base of the nose, while in others, they are linked to muscle activity, which can affect how deeply the lines become etched into the skin.

Marionette lines describe lines extending vertically from the corners of the mouth down to the jawline. They create a downturned expression, which is another symptom of the aging process, when gravity pulls against the soft tissue around the lower face. Some marionette lines are linked to muscle activity; in this case, the depressor muscles are used to pull the mouth downwards.

Common Causes of Nasolabial Folds and Marionette Lines

The normal aging process is the primary reason for developing both, as the natural production of collagen and elastin starts to slow. This process can begin as early as the mid-20s, but greatly accelerates as we age. Repetitive muscle activity contributes to their development, much more for some individuals than others.

Other external causes also play a role, ranging from excessive sun exposure, smoking or alcohol consumption, and genetic factors that can influence changes in hormone levels during the menopause.

Treatment Options

Dermal fillers are often used to reduce the appearance of both issues, but in cases where the lines are linked to muscle activity, Botox can offer an effective alternative.

Microneedling treatments can also be used to stimulate collagen production, and chemical peels can be used to remove the outer layers of the skin, revealing smoother skin layers beneath.

Botox as a Treatment for Nasolabial Folds

Botox injections into adjacent muscles can relax the muscles that accentuate the nasolabial folds, resulting in a softening of the lines and a more relaxed appearance. This treatment is only effective when the folds are tied to muscle activity; it is far less effective in cases when the formation of skin folds is linked to sagging skin or loss of volume.

Botox as a Treatment for Marionette Lines

Botox can be injected into the depressor muscles that serve to pull the corners of the mouth downwards. Weakening these muscles leads to a subtle lifting of the corners of the mouth, which also tends to reduce the severity of vertical lines.

Treatment results are achieved without adding the bulk that would come from the use of dermal fillers, which is advantageous as it allows for more natural-looking results to be achieved.

Long-term Advantages of Botox Treatments

In common with other uses of Botox, results are temporary, lasting for up to 6 months. When applied expertly, Botox can be used to achieve excellent results, and it can be combined with other treatment options, for example, dermal fillers, to help combat lines that are static, and not directly linked to muscle activity.

Repeated application of Botox over longer time periods can have other benefits, as treated muscles learn to become less active, and hence require repeated treatment less frequently.

Consult the Experts at Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing Botox procedures. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information

Can Botox Help Retrain Facial Muscles for Balanced Movement?

Botox works by limiting or preventing muscle movements in specific locations. Its effects typically last for between 3 and 6 months, during which time overactive muscles can rest, while untreated adjacent muscles have the opportunity to become more active. When applied skillfully, the Botox practitioner has the opportunity to rebalance or retrain facial muscles, improving facial dynamics while avoiding crudely paralyzing facial movement.

Achieving Balance in Everyday Expressions

Botox is commonly used to address deep wrinkles linked to repeated frowning or grimacing. But it doesn’t only function by inhibiting muscle contraction, it also indirectly retrains neural pathways, having the longer-term effect of reducing the muscle memory associated with extreme expressions. Over time patients can actually start to learn how to express emotions using less muscle activity, and this can actually reduce the Botox dose needed to maintain results in subsequent treatments, and lengthen the period needed between repeated applications.

Correcting Muscle Imbalances Caused by Facial Palsy

Bell’s palsy is a condition linked to temporary weakness or paralysis of muscles on one side of the face. Recovery takes several months, during which time therapy is required to prevent nerve spasms from creating permanent contraction of one half of the face. Botox has been successfully used in combination with physical therapy to prevent these unwanted muscle spasms, and to restore facial symmetry.

Enhancing Lower Face Appearance

Overactive depressor muscles are linked to the appearance of a downturned mouth, resulting in an unwanted stern appearance. Precise Botox doses are able to counteract this downward movement, and by careful balancing with the other muscles that control the mouth and lips, can create a subtle lift that enhances the symmetry of the lower face.

Long-Term Considerations

Botox is effective when used to counteract wrinkles caused by dynamic muscle movements, but it cannot help reduce the appearance of static lines and wrinkles caused by loose skin linked to the age-related loss of collagen. Dermal fillers can be used to address these problems.

Long-term application of Botox can lead to a reduction in the size of muscle fibers, which needs to be carefully managed to avoid unwanted strain and possible asymmetry due to adjacent muscle groups. A medically trained and experienced practitioner will be your best choice to perform Botox treatments when complex trade-offs linked to facial anatomy become necessary.

Consult the Experts at Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing Botox procedures. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information

Botox Without The Freeze

For most people considering Botox, a major concern is, “Will I end up looking frozen?” The stiff, unnaturally expressionless face that many fear has been the punchline of jokes for many years, and it is a very real fear for many newcomers to using Botox and other neurotoxin injectables. We have good news for you: Botox, when injected using modern techniques by experienced injectors, is actually designed to do the opposite – it helps you achieve a subtly fresh, more youthful appearance that looks entirely natural. In this article, we will explain how we achieve remarkably natural outcomes by harnessing our in-depth knowledge of anatomy, personalized care, and diligent follow-up.

Refreshed, Not Frozen

The true power of Botox isn’t erasing all facial movement to prevent lines; it’s about softening your facial lines without impacting your natural facial expressions. After Botox, you should still be able to move your eyebrows, smile naturally, and look surprised when you’re actually surprised. To achieve this natural look, the best approach is to “start low and go slow”. This approach is sometimes referred to as “Baby Botox” and is a great way for a first-timer to dip their toes into trying Botox without experiencing a dramatic change. The goal of this technique is simple: to look like you’re refreshed and rested without looking unnaturally frozen.

Why Bad Results Happen

So, why do some people end up looking completely frozen or strange after Botox? The answer usually comes down to an improper balance between the different muscles in the face. For example, if the forehead’s lifting muscles (the frontalis) are relaxed too much, it can cause a drooping brow (brow ptosis). This droop can cause a person to look heavy and tired. If the wrong balance is struck around the eyes, the eyelids can become droopy (eyelid ptosis). And then there’s the “Spock Eyebrow” that is caused by an imbalance in the muscles that leads to an unnaturally overarched eyebrow.

These outcomes are usually caused by over-treating or under-treating areas, which leads to imbalance. More specifically, it’s not about the Botox itself, but rather poor technique and precision that cause these issues.

Customization is Key

Botox is not a one-size-fits-all treatment; every person’s face is structured very differently. A skilled injector will take a slow, methodical approach to mapping out your facial anatomy to assess how strong or weak your individual muscle groups are and to see how they all work together. They should also factor in unique facial features, like hooded eyes, which might require slight adjustments in their treatment plan.

Most importantly, your injector should listen to your goals and concerns and create a plan that works based on those. Whether it’s subtle smoothing or a gentle lift, a customized plan will help you achieve the results you want, without looking unnatural. It takes true artistry and precision on the part of the injector to achieve a natural look.

The Two-Week Follow-Up

Botox is not a one-stop process. A standard part of treatment is to follow up in two weeks to see how your face is responding. This is the time that the injector can evaluate your results and fine-tune them with micro-adjustments, with a few extra units where needed. This often overlooked step ensures that your results are balanced, natural, and never appear “frozen”.

The Connection Between Botox Treatments and Improved Sleep Quality

The primary usage of Botox does not directly influence sleep quality, but Botox has many potential uses, and it can be used to treat several non-cosmetic conditions that can have a significant effect on the overall quality of sleep. This blog examines these situations.

Botox and Sleep Bruxism

Sleep bruxism is the name given to the involuntary clenching or grinding of the teeth while sleeping. It’s a relatively common problem, which can lead to accelerated tooth wear, as well as jaw pain and discomfort.

Sleep bruxism has several possible causes, including elevated levels of stress. Studies have shown that injecting Botox into the large masseter jaw muscles can result in a decrease in the levels of nocturnal jaw muscle contractions, without having negative effects on the normal use of the jaw muscles while eating. When used this way, Botox can provide temporary relief from sleep bruxism, with benefits typically lasting for up to 12 weeks.

Botox and Obstructive Sleep Apnea

Sleep apnea, which involves repeated interruptions in sleep caused by the cessation of breathing, can result from a variety of causes. In some cases, sleep apnea can be traced to abnormal contractions of the jaw muscles, which in turn can cause the airway to become constricted. Botox injections into the masseter muscles have been shown to be able to greatly reduce the problem.

In other cases, Botox injections into the soft palate or base of the tongue have resulted in a reduction in the severity of sleep apnea caused by constriction of the airway. These results depend on individual circumstances and are not reproducible in all patients.

Some cerebral palsy patients suffer from sleep apnea caused by uncontrolled muscle spasms; Botox has been shown to provide relief in this situation.

Botox and Overactive Bladders

Botox can provide relief in cases where sleep is frequently interrupted by the need to urinate during the night. In this case, Botox is used to reduce the intensity and frequency of bladder muscle contractions. The benefits, although temporary, can last for up to 6 months.

Botox for Migraines and TMJ

Botox has been shown to provide significant relief for patients suffering from chronic migraines, often linked to stress in the TMJ (temporomandibular joints) that connect the jaw to the skull. Botox injections into the masseter muscles are considered an effective way to treat this disorder.

Botox and Restless Leg Syndrome

Some patients suffer from sleep interruptions caused by extreme cases of restless leg syndrome. Botox has also been used with some success in this situation.

Improve Your Sleep and Comfort with a Personalized Botox Treatment

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing Botox procedures, including for the relief of migraine and TMJ pain. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information

How Long Will Your Restylane Results Last?

Restylane is a well-known and respected family of dermal filler products, covering the full range of cosmetic applications.

Restylane is used to help disguise many of the unwanted effects of aging, including the development of fine lines and wrinkles, and unwanted loss of volume beneath the skin. Restylane fillers are viscous injectable gels whose primary ingredient is hyaluronic acid. This is a naturally occurring substance in the body, which serves to attract and bind moisture. Injecting this creates additional bulk beneath the skin, which in turn counteracts areas that have lost volume. The filler also becomes integrated with cells beneath the skin, and has the additional long-term benefit of stimulating the body’s production of collagen, a vital substance that contributes to overall skin health and vitality.

Restylane products use a higher viscosity gel than other products, which makes them more suitable as a way of adding additional bulk to areas where the product must be sculpted to address lost volume, such as the cheeks, chin, and hands. One variant, Restylane Kysse, has a smoother consistency that makes it more suitable for use in and around the lips.

Loss of Efficiency Over Time

In common will all other hyaluronic-acid based formulations, the benefits gradually lessen over time as the filler is slowly absorbed, metabolized, and eliminated by the body. It’s hard to predict with certainty how long the benefits of a Restylane treatment will last; the duration is influenced by many factors, including the precise formulation used, however results are commonly seen to last for up to 6-12 months.

Duration of Different Restylane Variants

Restylane Kysse (used for the lips) typically gives results that last up to 12 months. Restylane Lyft (used for chin augmentation and as a way to address lost volume in the cheeks) lasts for between 6 and 9 months. Other Restylane variants can last 6-12 months, especially when used on parts of the face that are not subject to regular movement.

Absorption of any dermal filler product is accelerated when it’s injected into an area that is regularly stressed by muscle activity, such as the lips. Denser Restylane formulations degrade more slowly than do thinner ones. Other factors that influence the longevity of dermal fillers include the patient’s level of physical activity, metabolism, lifestyle, as well as the skill level and experience of the practitioner who performs the procedure.

Comparison with Other Dermal Fillers

There are a large number of available dermal filler products on the market, so it is not possible to generalize. However, some Restylane variants have a somewhat denser and more granular texture than other products, which may result in longer lasting results. But choosing the best filler product for a particular use is not as simple as simply choosing the longest-lasting one. Dermal fillers must provide several sometimes contradictory benefits, including texture, consistency, longevity, suitability for a particular area, the ability to enhance appearance while still looking natural, and finally safety and reversibility.

Your practitioner has to choose the product (or products) that provide the best balance between these different trade-offs. You should certainly discuss your concerns and objectives with your practitioner; this will help them to guide you towards the best solution for your particular needs.

Enhance Your Look Today with a Personalized Restylane Treatment

Your Laser Skin Care practitioners are medically qualified, with extensive experience performing dermal filler treatments. We tailor all treatments according to each patient’s needs. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.

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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.

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