Dr. Walrath offers cosmetic botulinum toxin A (Botox) for dynamic wrinkles in the forehead, between the eyebrows, and in the “crow’s feet”. He also has a great deal of experience treating patients with Botox for neurological disorders of the eyelids, tear glands, and face.
During your consultation, Dr. Walrath and his staff typically use a combination of techniques to keep you comfortable during the injections. The needle is very small, and though it does cause some discomfort without anesthetic technique, nevertheless it is bearable. Topical anesthetic cream is applied for 20-30 minutes liberally prior to the injection. A combination of ice or vibratory distraction techniques are utilized to lessen any discomfort, which is typically mild at this point.
The injection pattern for the face is developed together with the patient, using various techniques to simulate the effect of the injected botulinum toxin. The effect of the injections will start to become apparent after several days. In general, if the region treated does not respond completely, patients are entitled to return for complimentary Botox to attain full correction.
Botox injections are very satisfying for me as a clinician, and very satisfying for the patient as well. The most satisfying situation is when the clinician and the patient are the same person! Every now and again I plop down in front of the mirror and silence a few wrinkles in my forehead. I don’t use any anesthetic, not because I have a tremendous pain tolerance, but because the discomfort is not that bad. It takes about 5 minutes and leaves me with a little redness in my forehead for a half-hour, but I just sit in my office until it subsides. I will caution you though — the whole thing is a little addictive!