Treatment for Dynamic Facial Lines and Wrinkles

We are proud to offer BOTOX® Cosmetic injections to improve the appearance of frown lines between the eyebrows.  The use of BOTOX® Cosmetic was recently approved by the FDA.   

Frown Lines

Frown lines are caused by the bunching of skin from facial muscle contraction. When we frown, the skin between our eyebrows is gathered into a fold, which eventually causes a chronic furor. This gives our face a frustrated, discouraged, angry look, which is distracting to others and a bother to ourselves.

Now you can soften and reduce these frown lines without surgery and without scars, by a simple treatment with BOTOX® Cosmetic.  

What is BOTOX® Cosmetic Cosmetic ?
BOTOX®  Cosmetic is the trade name of Botulinum Toxin Type A; a purified toxin produced by bacterium Clostridium botulinum.  In large amounts, this toxin blocks the nerve impulses to muscles, causing a form of paralysis called botulism.

Now - FDA Approved!!!

BOTOX® Cosmetic in extremely small does, is injected directly into the specific muscles that cause frown lines. Only the action of that isolated muscle is paralyzed by the BOTOX® Cosmetic, and can longer contract. Therefore the problem that muscle causes, like a twitch, spasm or frown line, will be stopped.

Where do you put the BOTOX® Cosmetic?
The frown line between the eyebrows is caused by the action of a muscle called the corrugator. You can feel this muscle as a thickening just below the inside of your eyebrows, when you purposefully make yourself frown.

Injecting BOTOX® Cosmetic directly into the corrugator muscle stops your ability to draw your eyebrows together when you frown. Once the muscle is paralyzed, it cannot contract, and frown line gradually fades away.  

When does BOTOX® Cosmetic start to work, and how long does it last?
The results of BOTOX®  Cosmetic treatments start to appear in three to four days. Gradually over three to five months the BOTOX® Cosmetic effect will fade, and the muscle action will return.  When the frown line starts to reappear, a simple repeat treatment is all that is necessary to maintain the desired results.

Can BOTOX® Cosmetic be used for other wrinkles?
BOTOX® Cosmetic has also been shown to soften and reduce crows feet and forehead wrinkles. BOTOX® Cosmetic can reduce the appearance of some lines that are caused by other hyperfunctional facial muscles such as nose creases, neck lines and neck bands.

Before BOTOX® Cosmetic, at rest Before BOTOX®, Cosmetic frowning Before BOTOX® Cosmetic, raised forehead
After BOTOX® Cosmetic, at rest After BOTOX® Cosmetic, frowning After BOTOX® Cosmetic, raised forehead

Who can perform BOTOX® treatments?
BOTOX® Cosmetic therapy should only be performed under the direction of a licensed physician experienced and trained in the use of BOTOX®.

How Has BOTOX® been tested?
BOTOX® Cosmetic has been used since 1980 for the treatment of strabismus (lazy eye), and blepharospasm (uncontrolled eye blinking). The use of BOTOX® Cosmetic for forehead wrinkles was pioneered in 1989 by Dr. Carruthers of Vancouver.  A major study of this technique was completed in 1995, and  reviews published in The Journal of American Academy of Dermatology (1996; 34: 788-97) and Dermatologic Surgery (1998; 24 1168-1254).

What are the side effects?
The side effects of BOTOX®  Cosmeticare related to the local injection of the solution.  there will be a slight discomfort from the needle entering the skin, and a small chance of a bruise at the site of the injection.  There are no reports of damage to the eye.  There have been no permanent side effects from the use of BOTOX® Cosmetic.  Approximately 1% of patients will develop a slight lowering or ptosis of one eyelid.  This is temporary and may not even be noticed by the patient. 

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Drs. Herdener,  Marino, Trent Lengl, PAC and Kerry Dasovich, R.N.
Medical Center Building
820 South McClellan Street, Suite 426
Spokane, WA  99204
(509) 456-8444
Fax (509) 455-9227


PUVA Treatment Center
509-455-8614
Spokane, WA 99204

Copyright (c) 1999 - 2006 Advanced Dermatology & Skin Surgery
Spokane, Washington
Revised: January 23, 2006

Advanced Dermatology & Skin Surgery Physicians specialize in diagnosis and treatment of skin cancers, Mohs micrographic surgery, and cutaneous laser therapies,microdermabrasion, parisian peel, cancer, skin cancer, dermatology, laser therapy, laser treatment, cutaneous laser therapy, mohs micrographic surgery, surgery, laser, Dr. David Cryan, Dr. Richard Herdener, Dr. Joel Sears, skin surgery, skin, warts, lesions, port wine stain, telangiectasia, rosacia, lupus, scleroderma, spider vein, cherry hemangioma, solar lentigo, liver spots, nevus of ito, nevus of ota, tattoos, tattoo, wrinkles, wrinkle, wrinkle lines, scars, scar, stretch marks, basal cell carcinoma, malignant melanoma, melanoma, squamous cell carcinoma, liposuction, male baldness, Propecia, premature male baldness