Botox Injections in Beverly Hills, CA

Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhD


Smiling, laughing, frowning, and other facial expressions are a result of the facial muscles contracting. In our youth, the lines and creases that appear during facial movements go away when the face is at rest. These are referred to as dynamic wrinkles. Over time, creases, lines, and furrows become permanent fixtures on our faces. And these persistent facial wrinkles age the face. Around the eyes, wrinkles can also create an appearance of anger or sadness. Luckily, BOTOX Cosmetic provides a non-surgical way to refresh the face and prevent the deepening of dynamic wrinkles so you can look and feel like your best self.

As a board-certified oculoplastic surgeon, Dr. Raymond Douglas has a deep understanding of the facial anatomy around the eyes and forehead, which allow him to provide his patients with superior Botox treatment outcomes. He always focuses on softening the wrinkles on the forehead and around the eyes in a very natural and youthful way. His focus is to erase your lines and wrinkles so you can be you again!

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What is Botox?

Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhDBotox is made primarily from the botulinum toxin type A, the same bacteria that cause botulism. That sounds scary but it’s not. Back in the 1950s scientists discovered that when the botulinum toxin was injected into a muscle in very minute amounts it stopped that muscle from contracting. That research led to Botox. Various experimental uses of Botox for stopping muscle spasms came next. In fact, the first actual FDA approval of Botox was for the treatment of involuntary eyelid spasms.

Of course, the world beyond the research realm heard of Botox in 2002 when the FDA approved the neurotoxin for aesthetic treatment of wrinkles and lines on the upper third of the face. Since that approval, year in and year out Botox has been the most popular cosmetic procedure, surgical or non-surgical, around the world.

In the succeeding years, Botox has also been approved for various other uses: treating migraine headaches, temporomandibular joint disorder, excessive sweating, overactive bladder, among others.

What areas can be treated by Botox Cosmetic?

BOTOX is routinely used in the upper part of the face where muscles are frequently in a state of contraction. Some of the uses for this injectable include:

  • Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhDSmoothing frown lines
  • Eliminating crow’s feet
  • Relieving eye twitching
  • Treating a droopy brow
  • Reducing migraines
  • Helping with thyroid eye disease

Who is a candidate for Botox?

Most adults who are interested in rejuvenating their appearance by reducing lines and creases without surgery are good candidates for BOTOX treatment. Good physical and emotional health is also key to the most successful treatment. BOTOX is not approved for women who are pregnant or nursing and may not be suitable for individuals with a neuromuscular disorder.

At our practice, Dr. Douglas is the only one performing Botox injections. As an experienced injector and surgeon, he administers a very specific amount of Botox in order to reduce wrinkles; not to freeze your face or halt the ability to make facial expressions altogether. Before administering Botox, he will engage you in a thorough discussion that enables him to understand each person’s desired outcome and develop treatment around his or her goals.

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How long does Botox last?

Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhDBOTOX is a temporary wrinkle-reducing treatment that reduces muscle activity beneath the skin. Results develop over the course of one to two weeks and they last an average of four months. Every person’s body will process the Botox at a different rate so the length of the treatment results will vary. Some people notice that results fade as quickly as three months, while some have reported results lasting well over six months.

How does Botox work?

BOTOX is made from minute amounts of purified Clostridium botulinum, a protein found in nature. When a very small concentration of this protein is injected into a muscle, it prevents contraction. Our muscles contract when the chemical messenger acetylcholine is released by nerves where the nerve ending meets muscle cells. By introducing the botulinum bacterium into the area of a target muscle, we prevent the release of acetylcholine in that part of the face or body, thereby inhibiting muscle contraction. Without tension in the muscles, the overlying tissue lies more smoothly, making the face look younger and friendlier.

Are there side effects with Botox?

Botox has been injected millions of times around the world and it has proven to be safe and very effective. Side effects are usually slight swelling and redness at the injection sites. This usually passes within a day or so. Some patients develop a slight headache for the first 12 hours or so after their injections, but this is rare.

The main possible side effect is if Botox is injected into the wrong muscle. In these instances, it can lead to a drooping eyelid or other facial problems. That’s why Dr. Douglas, a board-certified oculoplastic surgeon, is the only Botox injector at our practice. His knowledge of facial anatomy ensures your Botox results will be exactly as you expect.

It is important for patients to not rub their injection sites for a full 24 hours after their treatment with Dr. Douglas. This can make the Botox migrate to an unwanted muscle.

What do I need to do to prepare for my Botox session?

Botox was deemed the original “lunchtime cosmetic procedure,” meaning it’s perfect for people coming in over their lunch breaks and then returning to work. That’s how easy it is to have Botox injections. Your appointment only takes 10-15 minutes with Dr. Douglas and there isn’t any recovery afterward. There isn’t anything you need to do to prepare for your Botox appointment, either.

What can I expect during my Botox session?

Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhDDr. Douglas injects Botox with a very fine, short needle. Plus, it is not injected deeply (unlike some dermal fillers). Our patients equate their Botox injections with the feeling of a pinprick, and they don’t ask for or need topical numbing prior to their injections. Of course, if you’d prefer to have your injection sites numbed, we can apply topical cream, but it will add 30 minutes or so to your session for the anesthetic to take hold. The actual Botox injections take just 10-15 minutes. You can get right back to work or your normal activities immediately afterward.

What can I expect after my Botox injections?

Botox doesn’t deliver instant results. It takes a few days, usually about four, for the botulinum toxin to block the nerve messages and relax the injected muscles. From there, you should notice a marked decrease in the appearance of your crow’s feet, the 11s between your brows, or your forehead lines, depending upon where you had injected. These results last about four months in most patients. At that point, your muscles will begin to contract again, and the wrinkles that form above these contracted muscles will return. Another Botox session with Dr. Douglas will maintain your results.

Why should I use Botox?

Most people feel the wrinkles and creases that form on the upper third of their faces, the expressive area, really age their faces. When you frown, squint, show surprise, even smile, you can feel the muscles around your eyes, brows, and on your forehead engage. As we make these expressions hundreds of thousands of times and as our skin thins with aging, wrinkles start to form above these muscle contractions. These are crow’s feet, the 11s between the brows, and forehead lines. The crinkly sides of our eyes, the two vertical lines between the eyebrows, the lines across the forehead — no one likes seeing them show up on their faces.

Botox relaxes the muscles that make these wrinkles. When it does so, this makes our face look younger, more relaxed, and less stressed. That’s why people use Botox.

A recent study at Northwestern University wanted to know why Botox is so popular, with well over 1.5 million Botox sessions in the U.S. in 2018. They asked 511 people who had received Botox injections about their reasons why. Here’s what they found:

        • Botox Injections in Beverly Hills, CA | Raymond Douglas, MD PhD70% said they wanted to improve their psychological well-being, i.e. they wanted to feel more self-confident and look younger
        • 61% wanted to treat themselves or celebrate an occasion
        • 59% wanted to look good for work, competing with younger counterparts
        • The vast majority said they got their Botox injections for themselves, not for a partner or spouse

Schedule BOTOX Treatment today and take the first step to be you again!

Our comprehensive knowledge of facial structure enables us to achieve excellent results using BOTOX Cosmetic. For more information or to schedule a consultation in our Beverly Hills office, call (310) 657-4302.

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