Tag Archives: botox

PUBLISHED: Botox Injection

Botox Injection
Charles R. Woodard, MD¹; Alexandra L. Elder, BS²; Helen A. Moses, MD¹; C. Scott Brown, MD¹
¹Duke University Medical Center
²Thomas Jefferson University

Botox injection is one of the most common cosmetic procedures performed. Botox temporarily paralyzes targeted skeletal muscles of the face, reducing the patient’s ability to produce unwanted dynamic wrinkles. Commonly treated areas of the face include the procerus and corrugator supercilii muscles to treat glabellar frown lines, the frontalis muscle to treat horizontal rhytids of the forehead, and the orbicularis oculi muscle to treat “crow’s feet” wrinkles along the lateral aspect of the orbit.

A thorough facial analysis is necessary to develop a treatment plan for each problem area, particularly by engaging the patient to determine what his or her goals for treatment are. Providers must take care when injecting into the face to avoid complications of overtreatment, such as brow ptosis from over-injecting the forehead or elevated brow from over-injecting the periorbital muscles.

PREPRINT RELEASE: Botox Injection

Botox Injection
Duke University Medical Center
Charles R. Woodard MD
C. Scott Brown MD
Helen A. Moses MD

Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Facial plastics surgeon Charles Woodard, MD instructs his residents on the principles of facial analysis. He then demonstrates the proper technique for administration of Botox during an injection workshop. While typically associated with facial wrinkles, Botox may also be used to help treat blepharospasm as well as migraine headaches.