On-Label Botox for Frown/Forehead Lines and Crows Feet: Houston, The Woodlands, Conroe, Texas

Dr. Anita Gill demonstrates on-label Botox for frown and forehead lines as well as crows feet. The Gill Center for Plastic Surgery & Dermatology 9200 Pinecroft Drive Suites 460 & 465 The Woodlands, Texas 77380 281-853-5308

On-Label BOTOX Use

Hi everyone. We're going to demonstrate the on-label indications for Botox today. I'm going to have our very nice patient here contract her muscles here. These muscles corrugator and procerus make up the glabella. You can relax now. They are the brow depressors so when she contracts they actually depress your brow. I'm going to have you elevate the eyebrows now. This is your frontalis muscle here. This gives you the eyebrow elevation. And then I'm going to have you smile. This is your orbicularis oculi muscle that envelopes the eye, and so here these are the muscle fibers that can open up your eyes. Also, it helps elevate your eyes, and then also gives you those pesky little crows lines that you don't want to get.

Relax for me. We're going to demonstrate a Botox injection here and what it does. Botox helps relax these muscles so that by injecting here you're actually going to get an elevation in this little complex here. We're going to start. Here we go. We just pinch this little muscle here and start one, two, three. Feeling okay?

Mm-hmm (affirmative).

Then we put a little bit in the nasal root here as well. Just for those little horizontal lines. It really helps. Now here above the eyebrow, we try to stay at least a centimeter above so we never get any eyebrow issues or dropping. I go a little bit more superficial as I inject laterally. I know it stings a little bit here. She's doing great. Then there's sometimes a third little fiber here that we want to get. She's doing great. A lot of these little blabs will go away in five minutes. We're going to do this side now. Remember, we go a little bit more superficial the more lateral we go. Then I'm gonna just switch out our syringes here.

We'll put a little bit more here. Okay, and now we're going to have her raise her eyebrows again. Good. Remember this muscle, go ahead and relax, is what normally elevates the eyebrows. By putting a little bit here we help relax that, those lines, but we don't want to overdo it because it will take away from here. Also, if we go too low we're gonna lower the eyebrows, so we stay high for these injections. Here we go. Really the key is little microdroplets of Botox injection here to give a very soft relaxed feel.

Doing okay?

Mm-hmm (affirmative).

Okay, so forehead's done. Now we're going to inject around the eyes. By injecting right here below the tail of the eyebrow, that lateral part of that eye muscle, the orbicularis oculi, if you inject right here, it actually gives a little lift to your eyebrow, so where your eyebrow should be normally lifted it's a really nice little trick for that. We're going to inject both sides. She's doing great. Sometimes in patients, I'll even inject a little bit here, but you want to be careful by injecting right beneath the eye. Sometimes you can cause a little bit of hollowing around the eye. See, we don't want to do that here.

I'm going to have her move her head a little bit towards me, and we're going to go right here, and that is it. Thank you for tuning in for the on-label indications for Botox.