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Botox Information | Orange County

What does Botox do?

Botox is used primarily to soften facial wrinkles. There are a lot of products, treatments and machines that aim to do just this. Botox works in a very unique way. Botox softens these wrinkles by softening the contractions of the muscles that make the wrinkles.

How do you give Botox?

Botox is first mixed with sterile saline solution to create the form that is used to inject the medication. Botox is measured in UNITS. The Botox can be mixed diluted with different amounts of saline and therefore be prepared in different concentrations. But, the measurement of units keeps the treatments comparable no matter which dilution is used. Botox is given as  microinjections. The medication is injected directly into the muscles where the effect of wrinkle relaxing is desired. It is very important that your injector have a very strong knowledge and understanding of the facial anatomy to ensure that the medication is being injected directly to the muscle desired and not to any surrounding structures or muscles.

Botox Before and After Photosbotox-before-after-botox-photos-newport-beach-orange-county.html

Why choose an Oculoplastic Surgeon for your Botox treatment?

There are many different types of medical professionals who offer Botox treatments. It can very overwhelming as a patient, trying to decide the best place and person to go to in order to get your best result. A successful Botox treatment requires your provider to have three vital attributes.

Experience - Dr. Joseph utilizes Botox in both his aesthetic and reconstructive practice daily. He shares his extensive experience with the residents in training at UC Irvine, where he helps train them in both aesthetic and reconstructive uses of Botox.

Ability- In order to reliably achieve desired results from each Botox treatment, one must be able to reliably inject precise microscopic amounts of medication to muscles areas that can be a fraction of a millimeter thick. Dr. Joseph is a trained microsurgeon and posses the skills and ability to provide you with your perfect Botox treatment.

Knowledge- The lines that are best treated by Botox are around the eyes. Dr. Joseph is one of a small group of doctors who focuses his practice in this area.  He has unsurpassed knowledge of the anatomy in in this area and this knowledge is paramount in delivering your desired results.

As an ophthalmologist and cosmetic surgeon, Dr. Joseph has extensive experience using Botox for various indications. His patients return extremely happy with the results that Botox can achieve.

Jeffrey Joseph, M.D.

What Muscles is Botox used on?

There are many facial muscles that cause wrinkling. The most noticeable, and most common muscles are the muscles around the eyes.

      Between the brows (The 11’s)

There are three primary muscles that cause furrowing between the brows and the very common vertical lines or 11s that form with time. Relaxing these muscles without taking away their action completely is the goal of a Botox treatment and natural result in this area. This enables a softening of the lines while still maintaining normal expression.

Next to the eyes (The crow’s feet)

Changes in this area are very common, and contribute to the heavy, saggy look that the eyes can develop with time. These lines are caused by over contraction of the muscle responsible for closing the eyelids, called the orbicularis oculi muscle. This muscle can also bring down the very important outside portion, or tail of the eyebrow. This contributes to the hooding of the upper eyelid that’s very commonly seen. Botox treatment in this area has multiple goals including softening the lines or crow’s feet, restoring the level of the tail of the eyebrow and improving the eyebrow shape or arch. All this needs to be done while maintaining the normal function of the muscle so the eyelids can close and protect the eyes as they normally do.

The forehead

The large for head muscle called the front talus muscle is responsible for the horizontal lines that develop overtime. We use this muscle is the only muscle that elevates the eyebrow. Is also very important muscle with regards to our facial expression. The goal of Botox treatment to the four head is to soften the contraction of the frontalis muscle and the associated wrinkles that it causes on the four head. This must be done while maintaining normal expression the ability to support and lift the brow. Treatments in this area must be very refined and subtle. Overtreatment leads to the commonly seen “frozen Botox” appearance of the face as well as drooping and heaviness of the browse and eyelids.

Other areas commonly treated with Botox include

Bunny lines (Next to the nose)

The corners of the moth

The fine lines of the lips (Smoker’s lines)

Are there risks with Botox?

While you may think of Botox as a salon or spa treatment, Botox is a real medical procedure, with the potential to cause serious problems, even death. In trained educated hands, however, the risks of Botox injection are very rare and minor. Bruising and uneven results are the problems that happen most often. Most of the bigger problems have resulted from large doses in the neck area. Usually these are not for cosmetic reasons. In this area, Botox can travel to the muscles that control swallowing and coughing and aspiration of food and pneumonia can result. While complications, especially serious ones, are exceedingly rare, it reminds us that Botox is not a solon or spa treatment but is a medical procedure that should be performed in a medical office, a heavily regulated environment designed to assure patient safety and privacy.

Do I need Botox?

A very common change that occurs as we get older is the development of wrinkles and fine lines around the eyes, between the brows, or on the forehead. If you are starting to see these changes, then a Botox treatment is an excellent option. During your consultation with Dr. Joseph in his Newport Beach office, you will learn about the unique treatments he offers, and discuss your individual goals. Together you will develop a plan to maximize your results.


Newport Beach

180 Newport Center Drive, Suite 158

Newport Beach, CA 92660

Tel: 949-424-3524

Fax: 888-317-9590

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