Dr. Holcomb combines Botox with injectables to enhance the improvement seen by patients. She also recommends lasers and light devices, microneedling, or chemical peels to help with skin quality while reversing wrinkles.
These neuromodulators are used to relax overactive muscles. The relaxation helps to reduce the presence and formation of wrinkles. The effect of Botox Cosmetic injection is temporary and repeat treatments are necessary to soften creases and furrows. Botox Cosmetic works by blocking the communication between the nerve endings and the muscle. This blockade prevents the muscle from contracting and reduces the repetitive movements that lead to wrinkles.
Botox Cosmetic is FDA-approved for moderate to severe crow’s feet, moderate to severe frown lines between the brows (glabellar lines, 11’s), and for excessive underarm sweating (hyperhidrosis).
There are other areas that Dr. Holcomb has experience treating with Botox Cosmetic, also called “off-label use.”
- Forehead lines or the frontalis muscle
- Eyebrow lift or eyebrow shaping
- Downturned lips or sad face
- Lip lines or smoker’s lines
- Chin wrinkling or treatment of the mentalis muscle
- Jawline softening or treatment of the masseter muscle
- Neck wrinkles or platysmal bands
- Uneven smile and Bell’s Palsy
- Improvement in facial symmetry
- Bunny lines or wrinkles on the side of the nose
The goal of treatment is to soften facial expressions that lead to the formation of permanent lines. At Pure Dermatology, we like patients to be able to smile and frown and not look “frozen.” The softening of muscle movement and improvement of wrinkles usually occurs within 2-7 days. We like to see the patient back 2 weeks after the first treatment to ensure both the patient and Dr. Holcomb are satisfied with the outcome. At Pure Dermatology, we take patient comfort very seriously so we typically apply numbing medication and Dr. Holcomb uses a very fine needle to inject into specific muscle groups. Botox Cosmetic treatment has little to no downtime.
Botox Cosmetic treatment in the upper face lasts 3-4 months in the majority of patients. Treatment in very active areas, like crow’s feet or lip lines, may wear off sooner. Neck bands may last for up to 4-5 months or longer. Botox used for hyperhidrosis (excess sweating) often lasts for 6 months.
Dr. Holcomb trains physicians nationwide on the use of Botox Cosmetic and Dysport and has participated in the Allergan Medical Facial Aesthetics Advisory Board and Allergan Emerging Leaders Advisory Board. She is an Assistant Clinical Professor at Tulane University School of Medicine where she teaches monthly at the dermatology Resident Cosmetic Clinic, focusing on cosmetic injectables.
Botox Cosmetic was FDA-approved in 2002 and Dysport was approved in 2009. Both have been used in millions of U.S. patients. Botox Cosmetic and Dysport are similar products, and made by different manufacturers.