BOTOX® Cosmetic is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults.
BOTOX® Cosmetic targets one of the underlying causes of frown lines and crow’s feet—the repeated muscle contractions from frowning and squinting over the years. Dr. Hohuan will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.
BOTOX® Cosmetic has a record of experience that aesthetic specialists know and trust. And, the safety and efficacy of BOTOX® Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in 417 peer-reviewed articles in scientific and medical journals.
XEOMIN® (incobotulinumtoxinA) is a prescription medication injected into muscles and used to temporarily improve the appearance of moderate to severe frown lines between the eyebrows (glabellar lines) in adults.
When you squint or frown, the muscles between your eyebrows contract, causing the skin to furrow and fold. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines.
Botulinum toxin type A – the active ingredient in XEOMIN®– acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the lines between your eyebrows.
Move toward a natural look.
Wrinkles aren’t your style and the “frozen look” isn’t either. For adults who want a natural look, there’s Dysport, a prescription injection proven to help smooth the appearance of moderate to severe frown lines between the eyebrows without changing the look or movement of the rest of your face. Untreated muscles still work normally, so you can continue to express feelings naturally. It’s the lines that disappear, not your expressions.
And because Dysport delivers the natural-looking results people want, 97% of users say they’d do it again. Additionally, Dysport is approved in 57 countries2 and has 25 years of clinical experience worldwide. Find out more about Dysport below, including how it works and what you need to know before starting treatment.
One injection. Five points. Loads of confidence.
Dysport treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity. Wrinkles are caused by repeated movements and muscle contractions, which means they can even develop in younger adults. One injection into each of 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines, leaving the rest of your face to move naturally. In other words, no frozen look, just natural-looking results. You can control your look instead of your look controlling you.
Forget frown lines between the eyebrows for up to 4 months.
You’ve got better things to do than think about what your frown lines look like. In just one 10- to 20-minute treatment, Dysport may help improve the look of your frown lines between the eyebrows for up to 4 months. The majority of patients see improvement in just 2–3 days after treatment. Results of repeat treatments may be comparable to your first use. Another plus? There is minimal downtime after your treatment, which means you can get back to your day faster.
I use the smallest needle possible, minimizing discomfort to my patients. Cold ice packs are also used to dull nerve endings that sense any pain. The overwhelming majority of my patients experience only slight discomfort. If it is your first time getting botox injections, I am very excited for you, and promise that I will make it as comfortable and painless as possible!
The effect of botox may be seen as early as 3-4 days after your treatment, but usually reaches a maximum at around 2 weeks. That is why I attempt to see all of my patients between 2-3 weeks after their initial treatment to assess the effects, and to administer any touch-ups as necessary to achieve the optimal aesthetic effect.
The effect of botox usually lasts 4 months regardless of the location of use (eg, brow, frown lines, bunny lines, crow’s feet, lip depressors, masseter muscle, mentalis). If I am seeing you for the first time, it may take 1 or 2 treatments for me to find the optimal dose and location of botox to achieve the aesthetic goals we set. Once we find the right balance, maintenance is usually recommended every 4 months. Some patients may metabolize botox slightly faster, and some may metabolize the botox slightly slower. Once you see the lines returning with facial animations, it is a good time to schedule an appointment for maintenance treatment.
We discourage consumption of alcohol at least 24 hours before your treatment. We know with busy a busy social life and social calendar, this is not always possible, so I work with patients to meet their goals regardless. For 3 hours after your treatment, we ask that patients stay upright, and to avoid working out. We also ask that for every 15 minutes 3 hours after your treatment, you make the expressions that we are trying to soften (eg, brow furrowing, squinting your eyes, raising eyebrows, depressing lips). This will assist the muscles we are targeting to take up the botox more effectively.
Botox can be administered into any muscle to achieve a desired effect. It is important to have a full facial analysis to determine what is possible. Botox can achieve 1-2 mm of elevation of your brow, softening and brightening the eyes. It can smooth horizontal brow lines within a certain range. Too much can lower the brow and lead to a more fatigued and less bright look. Botox can also provide elevation to the corners of the mouth, it can soften the labiomental fold or crease, and it can create a more oval and delicate taper to the jawline by softening the masseter muscle at the angle of mandible. The precise treatment plan can be arrived at only after careful facial analysis to determine the interplay of the multiple facial muscles that act in concert. Botox must be precisely delivered into the substance of the muscle. Unwanted diffusion can create eyelid droop, drooling, and other unwanted problems that, although temporary, may last up to 4 months.
Yes. There are different medications we can administer to help with a droopy eyelid that may result from botox that was administered either too low on the brow, or too deep in the brow allowing it to diffuse behind the orbital septum and paralyzing Mueller’s muscle. We also can help with creating more symmetry to the brow in patients who may have unnatural appearing brows secondary to imbalance in botox uptake or administration.
Yes. Botox can be administered with deep-, mid-, and superficial level fillers to soften fine lines, add volume to the cheek bones, add structure to the jawline, and soften deep folds. It can also ideally be used in conjunction with skin resurfacing procedures to optimize wound healing and permanent wrinkle removal, and also in conjunction with surgical rejuvenation of the upper eyelids to augment the aesthetic results.
We treat patients as young as 17 or 18 with botox. Use of botox prevents deep lines and furrows from forming. However, if you are pregnant or attempting to get pregnant, botox is contraindicated. Patients who may be older who have deep lines at rest will still get significant benefit from botox. However, the results will be augmented with fillers that can soften fine or deep wrinkles present at rest. Some patients with more advanced volume loss and signs of facial aging may benefit more from laser skin resurfacing or surgical facelifting as their primary treatment. Botox and filler in these patients will play a secondary rejuvenating role.
Yes. In my practice, I strive to deliver the highest level of service and quality to all my patients. The best way to do this is to spend time with my patients, perform a thorough facial analysis, and to develop a personalized and individualized care plan that seeks to achieve natural, aesthetic, and realistic results. For this reason, ALL treatments in my office are administered solely by me.
The best part of botox treatments is the feedback I get from patients when they look and feel brightened and more refreshed.
Patient Review
11/18/16 I saw Dr. Hohuan for Botox and fillers. It was my first time getting injections from an M.D. Who has spent years studying the aging process. He explained he wouldn't be targeting the usual spots I get done at the salon because although those areas do produce a more youthful look, that youthful look does not translate well on an aged face (I'm over 50) something will always appear off about the face. Dr. Hohuan is very caring and concerned about pain levels. He even created his own formula for numbing cream for lip injections. I didn't need a mirror to know I had great results, I knew from Dr. Hohuan's growing enthusiasm with each needle prick and genuine smile when procedure completed. When I did look in the mirror, I saw me, the me from 25 years ago. I always looked nice after having Botox but I never looked like me. Dr. Hohuan is highly skilled and very talented and I will only have Botox and fillers done by him from now on. When my husband of 25 years saw me, the look in his eyes and the smile he gave was just another benefit of having the right person give injections. I waited over a month to submit this to report how I look and I still look amazing. I'm a fan, Dr. Hohuan!
