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| Dr. Joel Aronowitz |
Dr. Joel Aronowitz: “Okay, so I want to use the wonderful Asla as a model to explain some basics about Botox. Botox basics. Right. Botox causes a muscle to be paralyzed. That's what it does. It's different than a filler that fills in like a dent in your car. Fills it in. So I'm going to fill in a line here. That's filler. That's a completely different thing. Botox causes wrinkles to disappear by relaxing muscles. So can you scrunch your eyes together? So Asla is very intense. When she's studying, go ahead, she gets a line here. If we paralyze the muscles here that are bringing her skin together, she won't be able to get a line. So this area has two muscles, the proseris and the corrugator muscle, but basically those are muscles that bring the brows together and that's one of the main areas we're going to use Botox for. And Botox early on before you have the line is a good idea. The other area that Botox is commonly good for, can you raise your eyebrows? So do you see the little folds that occur? Naturally, there you go, really big. So if we keep doing that over and over and over again, we will get lines forming on the forehead. So this muscle is called the, what's that muscle called? Frontalis. Frontalis right in the front, that's the frontalis muscle. It's lifting up the eyebrows and that muscle, we can paralyze a portion of it and still have expression so we can show surprise and disbelief, etc. But we can also paralyze a portion of it so we don't get the line up here. Also a good area to do before you actually have the line. Another area, can you turn to this side? Can you scrunch your eyes?
So these little areas that we call crow's feet, these little lines that we get that Osla doesn't have yet, scrunch real good so people can see. So eventually we'll get lines there and if we paralyze that little portion of the muscle that goes all the way around the eye, then we can prevent that line also. What's that? Orbit. Orbitalis. Obicularis. Obicularis. Orbitalis. Very good. So now what other areas of the face can we use Botox on that are not sort of the first line? The ones I've outlined are the first line, we can use it for the chin to prevent those little irregularities, rippling in the chin. Like that, there's a little square muscle there, that's it. That little pouty muscle right here. That muscle can be paralyzed with Botox typically without causing any problems. We can do some little tricks like put a little Botox out here to lift the lateral brow, you'll get a little spasm of the muscle that causes it to lift. It can also work down here in the lip area. So there are other areas, the muscle, the flat muscle in the neck that causes these lines. What's this muscle called? We've got one here and one here that comes down sort of like a man's necktie on this side and on this side. Can you do that? You can see the edge of it here on either side. Do you remember what that's called? The platysma. Platysma. That's why she got into a very good medical school incidentally. As we age, if we paralyze that muscle or we paralyze that muscle when it's becoming spasmodic in some facial paralysis or Bell's palsy cases, we can cause that muscle to flatten out and we don't see that line.
So those are other areas that Botox is very good for. So we could go on all morning on areas that Botox is useful for, but those are some standard areas and that's the rationale for using Botox. The good thing about Botox is the same thing as the bad thing about Botox. Do you know what that is? No. Tell me. That it doesn't last that long. So if you like it, too bad. It's only going to last three, four months at the most. If you don't like it, hooray, don't worry about it. It's going to go away in three to four months and you won't have any lasting effects. So there you go. Quickie on Botox. Anything else I left out? It must be something. The lip flip. Bridget just explained that to me. We're going to get Bridget to explain the lip flip. That's an advanced technique and I'm not old enough to do it, so we'll let her explain that.”
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