- Glabellar wrinkles - the vertical lines, often called the "11s" netween the brows
- Forehead wrinkles - the transverse lines of the forehead that result from eyebrow elevation
- Crow's feet - the fine lines at the corners of the eyes
- Bunny lines - the lines at the bridge of the nose
- Vertical lip lines - the wrinkles above and below the lips
- Corner droop - the slight descent or frown of the corners of the mouth
- Platysmal bands - the muscle bands of the neck
The Art of Botox®
Botox is a cosmetic injectable treatment that can enhance youthful beauty by softening, reducing, and occasionally eliminating fine lines and wrinkles due to muscle action. Counted among the three main groups of nonsurgical facial rejuvenation techniques, Botox and other modulators will "relax" muscle action to reduce wrinkles.
Most people think Botox is just about getting an injection. Not true. Dr. Kolker knows exactly how much you need, where you need it, and how to make you look as natural as possible. Dr Kolker knows how to achieve the result of a surgeon while using the art of discretion.S.S. / New York
To preserve anonymity and to protect the confidentiality of all of his patients, Dr. Kolker maintains a comprehensive gallery of before and after photographs that can be viewed in the office for this procedure.
The three cornerstones of nonsurgical minimal downtime approaches to facial rejuvenation are:
- RELAX - softening and smoothing lines and wrinkles by reducing the effects of muscle action with Botox Cosmetic, Dysport®, or Myobloc®
- REFILL - restoring volume to areas where soft tissue has been lost or to deeper lines and wrinkles with injectable facial fillers, including Restylane®, Juvederm®, Voluma, Belotero®, Sculptra®, Radiesse®, fat grafting, and others
- RESURFACE - improving tone and texture of skin, and resurfacing with laser and light modalities, chemical peel, or dermabrasion
Botox Cosmetic relaxes muscle action to diminish wrinkles, and is used primarily for the treatment of glabellar lines (the "11's" of the forehead, between the brows), transverse forehead wrinkles, and crow's feet (the fine wrinkles at the corners of the eyes). Botox can also be used to treat "bunny lines" at the bridge of the nose, vertical lines above and below the lips, to correct the droop of the corners of the mouth, and to improve neck contour due to the activity of the platysma neck muscles. A "chemical brow lift" can also be achieved with Botox Cosmetic.
Treatment with Botox is extremely effective, quick, and easy, and there is no downtime. Botox has been used for decades and has an impeccable safety record following tens of millions of treatments. First safely used in children and young adults as a direct relaxer of muscle action, its indications and FDA approvals have expanded to include the treatment of facial lines and wrinkles due to muscle actions among others.
Botox Treatment with Dr. Adam Kolker
The most natural and beautiful outcomes with Botox Cosmetic treatment require meticulous attention to detail, technical finesse, vast experience and aesthetic talent. As a double-board certified plastic surgeon with a deep understanding of facial anatomy, Dr. Kolker brings tremendous experience in the art and science of facial rejuvenation and achieving refined, natural results. As Botox treatments are almost ubiquitous, and elsewhere are performed by a wide variety of physicians of almost every discipline and varied training, physician extenders, nurses, and even non-medical personnel, it is important that you are aware of the credentials and experience of the individual who treats you. In his Park Avenue aesthetic plastic surgery practice in NYC, Botox treatments are performed exclusively by Dr. Kolker himself. As no two injectors are the same, the physician you choose for Botox treatments absolutely makes a difference.
The best Botox treatment is one that is personalized to your anatomy, your particular areas of concern, and your unique desires. Reducing, rather than removing, muscle action with Botox, subtly and naturally balancing a softer and more rejuvenated appearance while maintaining natural expression is always the goal. The duration of action of Botox for treatment of facial lines and wrinkles is approximately three months. First treatments are always conservative, as it is preferable to start gently, and it is a simple matter to slightly increase a Botox dose or expand treatment areas at a later date.
Dr. Kolker's Message to Those Considering Botox Cosmetic treatments
Botox Cosmetic treatments are safe, simple, and effective for restoration of natural, youthful beauty and softening the effects of aging. The popularity and ubiquitous availability of Botox can unfortunately trivialize the process; the best Botox results are achieved through the understanding of facial anatomy and natural expression, delicate technique, experience, artistry, and an appreciation of your unique goals and desires. Botox can have an amazing effect on not just how you look, but how you feel.Dr. Adam Kolker
The different "types" of Botox
Botox Cosmetic is the trade name of the botulinum neuromuscular modulator that is used most commonly today. Other modulators that smooth fine lines and wrinkles as a result of muscle action include Dysport and Myobloc, both of which have onset, duration of action, and effectiveness that is similar to Botox Cosmetic.
The many uses of Botox
Botox has been used for decades, with the initial application in pediatric groups with muscle issues, and has been shown to be extremely safe and effective. As a coincidence of early Botox treatments, softening and reduction of facial lines and wrinkles was noticed, next leading to Botox use for facial rejuvenation, followed by a cascade of other effective treatments:
Botox Cosmetic for Facial Rejuvenation
Botox for Migraine Headaches
In patients who were treated with Botox for wrinkles of the forehead and face due to muscle action, in those who coincidentally previously suffered from migraine headaches, a large number experienced a reduction or complete resolution in migraine headaches. Botox for migraines is now an FDA-approved indication for the treatment of headaches.
Hyperhidrosis - Botox for Sweating
While the effects of Botox on lines and wrinkles has been well known, another effect noted initially in regions that were treated with Botox was a reduction in sweat production. This has led to treatments of other areas where excess sweating can be problematic. Treatment of the underarms, palms, and feet with Botox can dramatically reduce or completely stop sweating for the duration of Botox action in the treated area, which may last for approximately six months.
Hear From Dr. Kolker's Patients
Most people think Botox is just about getting an injection. Not true. Dr. Kolker knows exactly how much you need, where you need it, and how to make you look as natural as possible. Dr Kolker knows how to achieve the result of a surgeon while using the art of discretion. S.S. / New York
Botox Cosmetic Preparation and Procedure
Dr. Kolker recommends that any nonsteroidal anti-inflammatory medications (medications including Advil, Motrin, ibuprofen, aspirin, Aleve, etc.) are avoided for approximately five days before Botox treatments to decrease the possibility of a small bruise at an injection site. Botox injections are performed exclusively by Dr. Kolker in his office in New York. Botox injections are performed after the identification of anatomic landmarks and muscle activity, and the injections take only minutes to administer. There is no downtime after Botox, and one can return to work and most social activities within 30 to 60 minutes. The effects of Botox Cosmetic become noticeable in about two to three days, the full effect in about seven days, and the duration of action about three months. Botox effects generally last about three months, however this may be shorter or longer depending upon the individual, the areas treated, and the Botox treatment dose.
Exercise after Botox Cosmetic
Return to light exercise (walking, elliptical, treadmill, stationary bike) is immediate, and unrestricted activities are resumed after four hours.
Dr. Kolker's website and other web-based resources can be useful in providing information about facial cosmetic treatments including Botox Cosmetic. Given a wide array of individual concerns and unique desires, there is no substitute for a personal consultation with a board-certified plastic surgeon experienced in facial rejuvenation methods including Botox Cosmetic treatments. Dr. Kolker will recommend a treatment strategy and options that are specific to your anatomy and goals. The popularity of Botox may trivialize or oversimplify a process that requires understanding of anatomy, meticulous technique, experience, and artistry. Not all Botox treatments are the same; the best Botox treatments require careful customization to achieve the most beautiful and natural outcomes, and the physician you choose makes a difference. We invite you to schedule a consultation to discuss Botox in NYC with Dr. Kolker, and look forward to warmly welcoming you to our practice.