BOTOX® Injections Treatment Questions and Answers Archive

Nov
2001

Q&A: Can I have BOTOX done on my face if I am breast feeding my child?

Question:

I just had a baby one month ago and I'm breast feeding. Can I get botox injections in my face if I'm breast feeding?

- Renee

Answer:

 Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Renee, Although all of the toxin is bound locally, I would suggest that you stop breast feeding for two days following a Botox injection.

-- Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Oct
2001

Q&A: What do you know about "neck banding"? Is botox used for this?

Question:

What do you know about "neck banding"? Is botox used for this?

- Deborah

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Deborah, Vertical neck bands are caused by a division between the large platysma muscle which supports the skin and soft tissue of the neck. The best repair for this is directly reappoximating this muscle with or without an associated removal of excess skin and resuspension of it (facelift). If surgery is not desired, the central muscle can be weakened with botox so that the bands do not stand out so definately. After performing the botox procedure a number of times, both my patients and myself do not think that it helps very much ( maybe 10 to 20% ).

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Aug
2001

Q&A: What it the consensus of opinion for the use of Botox in treating TMJ pain and tight muscles caused by very hard gritting during sleep?

Question:

What it the consensus of opinion for the use of Botox in treating TMJ pain and tight muscles caused by very hard gritting during sleep?

Answer:

I am not familiar with the use of Botox in treating TMJoint dysfunction.

--Charles R. McNamara, DMD
Winter Park, Florida



Aug
2001

Q&A: Is hair loss a side effect of BOTOX® injections?

Question:

Is hair loss a side effect of botox injections? I've had just one appt. two weeks ago and my hair loss is alarming.

- Kat

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Kat, I cannot imagine any theoretical or real relationship between the two and I have never read anything associating the two.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jul
2001

Q&A: Where can I find the cheapest BOTOX® injection?

Question:

Where can I find the cheapest botox injection?Thankyou.

- Jen

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Jen, Perhaps you should ask where can I find the best and safest Botox injection. It was reported in the last two issues of Plastic and Reconstructive Surgery the Botox injections caused prolonged paralysis of the entire side of one woman's face and the drooping of the lower and upper lid of another woman. This paralysis could last 4 to 6 months. I would think that the difference between $250 and $300 would matter little in this light. You should call around to the different offices of dermatologists and plastic surgeons in your area to find the best prices. Be sure to ask about complications as well.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Apr
2001

Q&A: Can I get Botox injections in the lower half of my face?

Question:

I am interested in having botox injections in the lower half of my face to eliminate the frown lines on the sides of my mouth. Is this procedure successful?

- Susan

Answer:

Jonathan Ross Berman, MD - LocateADoc.com

Like lots of things in cosmetic surgery, you can probably find somebody to perform what you want. Very few plastic surgeons I know will inject botox in the lower perioral area for fear of smile muscle paralysis. I won't inject around the mouth for fear of having a paralyzed smile.

--Jonathan Ross Berman, MD
Boca Raton, Florida



Mar
2001

Q&A: How much Botox is needed for an injection between the brows?

Question:

How much Botox is needed for an injection between the brows? Is one cc enough? What is a cc? Approximately what is the average cost of this injection to this area? If injected in the forehead, will the eyebrows fall?

- Nancy

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Nancy, The amount is actually relatively unimportant since the Botox injection is made-up by the person doing the injecting. Each vial contains 100 units of the toxin. For most people, about 20 units is all that is necessary for long-term paralysis of the muscles. Most of us make the volume to contain that amount about 0.5 or, at most, 1.0 cc. If the volume is too large, not only does it hurt more to do the injection but there is also more risk to the Botox migrating to where it is not wanted or needed (usually the levators of the upper eyelid leading to drooping eyelids for a few months). Most of us have an intrinsic tension on the muscles of the forehead (like the muscles elsewhere) and if completely paralyzed, the brows will fall. Most of us to paralyze the forehead, however do so to only a limited extent, ie. where the wrinkles are most prominent. No one wants an inanimate forehead. For severe wrinkles and to permanently remove the frown muscle, a brow lift is the procedure of choice.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Mar
2001

Q&A: Why can I not find a doctor in New York City to inject BOTOX® in my upper lip?

Question:

when I was in Hawaii, I had botox injected in my forehead and upper lip. It took twice to have it be great, but I loved it. Now I'm in New York City and it's four months later and I want to get injected again, but none of the doctors I've come across here will inject in the upper lip. I can't imagine why, it worked so great and erased those awful purse lines. Do I have to go all the way back to Hawaii to find a doctor?

- rose

Answer:

Jonathan Ross Berman, MD - LocateADoc.com

WAS THE DOCTOR IN HAWAII A BOARD CERTIFIED PLASTIC SURGEON? MOST PLASTIC SURGEONS I KNOW WILL USE BOTOX IN THE FOREHEAD, BETWEEN THE EYES, AT THE CROW'S FEET AREA. I DO NOT INJECT THE UPPER LIP. I CAN'T SPEAK FOR MY COLLEAGUES WHERE I PRACTICE, BUT I DO NOT THINK THAT THEY INJECT THE UPPER LIP ALSO. DID YOU KNOW THAT YOU CAN PARALYZE THE UPPER LIP FUNCTION FOR UP TO SIX MONTHS WITH AN INJECTION TO THE UPPER LIP?

--Jonathan Ross Berman, MD
Boca Raton, Florida