• Excessive facial wrinkles.

• Large wrinkles or furrows in your forehead.

• Small wrinkles or “crow’s feet” around your eyes.

• A vertical “frown line” between your eyebrows.

The procedure works by altering the facial muscles beneath the skin that are related to wrinkles. A cream with local anesthetic will be placed on your skin prior to treatment, and ice will be immediately applied upon completion of the Botox® treatment. Typically a small amount (1-2 cc’s) of Botox® is injected into the area of the wrinkle. Botox® works by blocking the impulses from the nerve to the facial muscles, thereby relaxing them. The result is the underlying facial muscles relax and the skin begins to smooth out. The effects of a Botox® treatment will last approximately three to six months after which the patient may choose to repeat the procedure.

Patients generally return to their normal activities immediately after the procedure, however following the post-procedure guidelines will dramatically reduce the length and intensity of the recovery period. Patients should avoid engaging in heavy physical exercise, applying cosmetics, or laying down flat for a minimum of 4 hours after the injections. It is also advisable to avoid rubbing or massaging the injected area for at least 24 hours.

• Reduce facial wrinkles and lines.

• Improve sun-damaged skin.

• Correct age spots and pigmentation problems.

• Lighten scars (especially from acne).

• Treat precancerous skin lesions.

At the time of your procedure, any active skin disease, infection, or acne needs to be under control in order to maximize results. There are several different types of chemical solutions which can be used, ranging from a mild solution to a very strong one. The surgeon will select what is best for the patient based on their skin condition, color, and desired result.

During the procedure, the skin is first cleansed of oils. A solution is then carefully applied and is allowed to remain on the skin for a short time in order to remove the layers of damaged skin. At this point, the skin will turn white, a frost-like effect. The skin is then neutralized and cleansed. Finally, an ointment is applied to the skin to aid in healing.

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. An ointment and dressings are applied immediately following surgery to aid in the healing process and to minimize swelling. The skin will have a pinkish color, and a thin crust may form over the area that was treated. Patients sometimes report minor pain associated with the procedure, which can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given by the surgeon. Recovery time varies depending upon the extent of the chemical peel.