What is Botox?

Botox St. Louis - Ophthalmic Plastic & Cosmetic Surgery

Botox injections are such a simple and effective in-office procedure for facial wrinkle issues that it was the most popular cosmetic “pick-me-up” even before it had cosmetic drug approval in 2002. The effects can be so subtle that no one will know you have had the procedure. If you have facial wrinkling caused by poor muscle tone, you may be an excellent candidate for Cosmetic Botox in St. Louis.

Botox is derived from a naturally occurring protein that is purified and has been used safely for years in various medical procedures. In minute amounts, it relaxes muscles that are contracting too much, which means that it is also good for people with muscle spasms, such as eyebrow twitches.

Dr. Holds has unique experience with Botox as a surgeon who has been a physician trainer for Cosmetic Botox for Allergan Pharmaceuticals. He has used the drug for over 20 years, beginning his work with it in 1987, even before it was FDA-approved for medical conditions. Dr. Holds has performed basic research on the effects of Botox on humans and has taught hundreds of doctors about its medical and cosmetic uses over the past 20 years.

How does Botox work? It temporarily weakens the muscle so that wrinkle-causing muscle contractions are dampened, which means it’s perfect for alleviating wrinkles caused by years of repeating the same facial expression.

Botox injections can:

  • Soften or eliminate frown lines, crow’s feet, and creases on the forehead.
  • Relax wrinkles around the eyes.
  • Soften vertical wrinkles on the upper lip (especially when combined with fillers.)

Botox® Treatment

A very fine needle is used to inject tiny and precise amounts of the Botox at the sites where it needs to relax the wrinkle-causing muscles. Many of our patients receive a topical anesthetic special to our practice, which is very effective! Anxious or sensitive patients can even have a cooling blower applied as well. Most people report only minor discomfort from the injections, if any at all.

Botox has proven over 25 years to be exceptionally safe. Doctors all over the world give these injections daily with rare side effects. The most frequent side effects are produced by either inappropriate administration by unskilled injectors or very occasional spread of the drug into an adjacent muscle group producing a slightly droopy eyelid or brow. In 2010, the Food and Drug Administration placed a “black box” warning on all neurotoxins which refers to issues unrelated to cosmetic treatments. Talk to Dr. Holds if you have any concerns.

The effects of Botox are temporary, but they usually last three to six months. Many people get the injections three to four times per year, but you can have injections as needed to achieve your desired results.

Recovery from Botox® Treatment

There is no real recovery period necessary for Botox, as you can go home as soon as your injections are finished. You can even go to work the same day if you like and apply makeup immediately.

You will be asked not to massage the exact area where you had your injections for the first day or two, and it is best not to lie down for a few hours. Facials or treatments where your head is in a cradle or in a prolonged dependent position should be avoided for one week. Yoga, pilates, or any type of strenuous exercise should also be avoided for 24-48 hours.

While most patients report no discomfort at all after Botox treatment, a few experience some minor soreness and bruising in the injection area. This discomfort is almost always very short-lived. Patients who use blood thinners, such as aspirin and other non-steroidal anti-inflammatory medications, will reduce the risk of bruising if they can avoid these medications for 2-7 days before treatment.

The effects of the injections will appear gradually over a 5-10-day period following your procedure. So, you may not be able to see the full results right away. As the treatment gradually wears off, wrinkle-producing muscle contractions will begin to recur. Some patients note a “facial training” effect in which they are less prone to wrinkle-causing facial movements such as furrowing their eyebrows, even after the drug wears off.

Call our office today at 314-567-3567 for a consultation to find out more about how Botox can help you to look and feel younger.

Botox Before and After


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St. Louis, MO 314-567-3567