Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Wednesday, August 6, 2008

Should I get Botox or fillers?

I am in my mid-30s and have just noticed some new wrinkles on my forehead as I tend to raise my eyebrows a lot. If they are new, slight wrinkles and not deep do you think I will need a filler or should Botox be enough?

It sounds like you are only just starting to see expressive lines on your forehead. This is a perfect time to start with Botox because you can really have a good preventative effect. My recommendation is small doses of Botox (8 to 12 units) -- enough to weaken the muscles and reduce the lines but not so much that you are paralyzed. Over time, if you do a little Botox regularly, you will delay new lines from coming up.

Board certification in plastic surgery is important for facelifts and in dermatology for skin cancer. For Botox, however, experience is what counts. You can tell who is an experienced injector from the Allergan (Botox company) website and go there. And try to have the most experienced injector in the office do the injections. If that's the doctor, great. If he operates all the time and his nurse injects every day, however, have her do it.

Web reference: http://www.westsidemedicalspa.com/botox.html

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