It takes up to 7 days for the frowning, squinting and forehead muscles to relax after the initial injection. Although fine lines often disappear immediately, deeper furrows may take longer to fade away. In older patients or patient with deep wrinkles, lines will be improved but not completely eradicated.

Benefits initially last about 3 to 4 months. With continued treatments, the duration of muscle relaxation generally becomes longer. Some patients can eventually wait 6 months or longer between treatments.

Transient bruising at the injection sites can occur, particularly if you have taken aspirin or ibuprofen within 1 week, or alcohol within 48 hours of treatment. Occasional brief tenderness or headache may result for a few hours, and rarely longer. Mild, temporary eyelid or eyebrow drooping can last 2-3 weeks or longer and may occur in about 1% of patients. Extremely rare side effects include temporary double vision, reduced blinking resulting in corneal injury, allergy and development of antibodies which may decrease the duration of results for future Botox treatments. Although Botox contains purified human albumin, there have been no reported cases of viral disease transmission

You may not be treated with Botox if:

• You are pregnant or nursing
• You are allergic to benzoyl alcohol.
• You have neuromuscular disease (such as myasthenia gravis).
• You are taking aminoglycoside medications such as Streptomycin,

You are taking aminoglycoside medications such as Streptomycin, Neomycin, or Gentamycin.

Results are generally noted immediately, although mild swelling, bruising, and redness generally can take at least 48 hours to resolve. Makeup may be applied immediately after a treatment.
How long will the results last? Benefits last about 6 to 12 months, though results vary. (Juvederm Voluma XC lasts up to 2 years). Lip enhancement treatments may resolve more quickly, especially if you are a smoker.

The recent introduction of fillers containing lidocaine anesthetic has made the procedure much more comfortable. Numbing cream applied by the patient before the appointment or by us in the office can also improve the experience. There can be discomfort in sensitive areas such as the lips or near the nose.

Transient bruising at injection sites can occur, particularly if you have taken aspirin or ibuprofen within 10 days, or alcohol within 48 hours of treatment. Puffiness, tenderness and/or redness may result for 1-4 days, and rarely longer. Small areas of firmness may be palpable and rarely visible, but blend in with time. Extremely rare side effects include compression/occlusion of blood vessels leading to formation of a scab which can result in a scar or other damage. Other rare side effects include dizziness, headache, rash, visual disturbances, infection, or reactivation of cold sores.

You may not be treated with Botox if:

• You are pregnant or nursing.
• You have multiple severe allergies or history of anaphylaxis.
• You are taking a blood thinner such as Coumadin/warfarin or Aspirin..
• You have a bleeding disorder.
• You have had a previous allergic or severe swelling reaction with hyaluronic acid fillers.

Dr. Anwar will create a tailored treatment plan based on your chin profile. At each treatment, you will be given multiple small injections under your chin. You may receive up to 6 treatment sessions, spacedat least 1 month apart. Many patients experience visible results in 2 to 4 KYBELLA® treatments. 59% of patients received 6 treatments in clinical studies.

KYBELLA® can cause serious side effects, including trouble swallowing and nerve injury in the jaw that can temporarily cause an uneven smile or facial muscle weakness. In clinical studies, nerve injury in the jaw resolved on its own in a median of 44 days (range of 1 to 298 days), and trouble swallowing resolved on its own in a median of 3 days (range of 1 to 81 days). The most common side effects are swelling, bruising, pain, numbness, redness, and areas of hardness around the treatment area

When injected into fat under the chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After reaching your desired aesthetic, further treatment is not expected.

You may not be treated with Botox if:

• Have had or plan to have surgery on your face, neck, or chin
• Have had cosmetic treatments on your face, neck, or chin
• Have had or have medical conditions in or near the neck area
• Have had or have trouble swallowing
• Have bleeding problems
• You are pregnant or breastfeeding
• On blood thinners