Sam Speron, M D, F A C S

Board Certified
Plastic & Reconstructive Surgeon

Call for a free consultation847.696.9900

BOTOX®

Botox Treatment - Injection Technique

Technique: The patient is asked to contract the muscles in the area being treated so the surgeon can determine the proper location for injection. In most cases, BOTOX® Cosmetic is injected directly into the muscle with a tiny needle. It takes a few days to realize the effect of BOTOX® Cosmetic injections.

Benefits:

  • No downtime. Patients can immediately resume normal activities.
  • Long experience has proven BOTOX® Cosmetic to be safe. To date, no systemic complications associated with BOTOX® Cosmetic injections have been documented. Botox Treatment - Ulitmate Benefits
  • Treatment is reversible within several months.
  • May be beneficial for treatment of migraine headaches.

Other BOTOX® Considerations:

  • BOTOX® Cosmetic injections are a temporary solution for the treatment of wrinkles. The effects last from 3-4 months and require repeat treatments.
  • Possible BOTOX® Cosmetic side effects include local numbness, swelling, bruising, or a burning sensation during injection. Some patients have reported temporary headache and nausea. Most complications are of short duration and can be avoided with proper injection techniques.
  • A small percentage of patients are reported to experience no improvement at all.
Testimonials:

"I'm glad I finally tried this...what a difference!" - R.D., Chicago, IL

"My wrinkles are gone!" - P.R., Northbrook, IL

"I can't imagine who wouldn't want to try this!" - M.B., Lake Forest, IL

"Tell all your patients: you must do this immediately!" - D.B., Hinsdale, IL

The Truth About BOTOX®Cosmetic - Dr Speron Gets Interviewed:

Q. Why is BOTOX® Cosmetic so popular?

A. For anyone who thinks frown lines, forehead creases or other facial expression lines are preventing them from looking as good as they feel, BOTOX® Cosmetic is a wonderful option. The results are pretty dramatic and there is no down-time. Working people today definitely prefer the techniques with no down time so they do not have to sacrifice much time away from their busy schedules.  In 2004, there were 2,837,346 BOTOX® Cosmetic injections, up 25 percent from 2003.  With its recent FDA approval in 2001, BOTOX® Cosmetic has become even more popular because now people assume it’s safe. 

Q. Is BOTOX® Cosmetic really safe?

A. Definitely.  If performed by an adequately trained physician, the risk of complications is very low.  The FDA is responsible for ensuring the safety of anything it approves.  With its recent FDA approval, the public now knows about the extensive studies verifying its safety and efficacy.  It does makes a difference to some people who needed reassurance from the organization charged by the government to promote and protect public health.  However, it has been used since 1989 and its safety record has been excellent!

Q. What are all the bad things that can happen?

A. Well, it is a shot so bruising and swelling are a possibility but usually very minimal.  Even though BOTOX® Cosmetic is now used to treat migraines, there is about a 10-13% chance of getting a temporary headache.  About 2-3% of patients get flu-like symptoms or nausea.  The one complication everyone worries about is getting a droopy eyelid.  The risk is quoted as between 1-3%.  If it does happen, usually there are some eye drops we can give you to help stimulate one of the other eyelid muscles to help out until the BOTOX® Cosmetic wears off.  Usually the drops are needed for only about 2-3 weeks. 

Q. Does it hurt?

A. Most people tolerate it well.  However, I always try to make things as painless as possible for my patients.  The first thing I do is give all of my patients a prescription for LMX, a topical numbing medicine.  Putting this on about 20 minutes before the injection helps eliminate the pain from the needle stick.  The second thing I do is mix the BOTOX® Cosmetic with salt water and a preservative, which takes the sting out from the actual injection.

Q. How long does the procedure take?

A. It depends on the areas treated but usually 2-10 minutes.

Q. When does it start working?

A. BOTOX® Cosmetic typically starts making a difference within a day or so.  By one month after the injection, the maximal benefit is usually present.

Q. How long does it last?

A. For facial wrinkles, it lasts 3-6 months.  The first few doses need to be repeated at about 3 months.  With more injections, the muscle gets thinner so it typically spaces out the interval for injection to 6 months.

Q. What areas can it be used on?

A. The best options include the forehead, frown lines, crows feet around your eyes, lip wrinkles, neck bands and also for excessive armpit sweating.

Q. Does it really work on the armpits?

A. Some of my happiest patients have been the ones with excessive armpit sweating.  A BOTOX® Cosmetic session will typically reduce the sweating 60-90%!  And we’re talking about patients who have tried everything else including medical grade deodorants.  There really is no other option that comes close.

Q. How many people can you use one bottle of BOTOX® Cosmetic for?

A. For most sessions, one bottle lasts for 2 patients.  That is one of the inconveniences with BOTOX® Cosmetic.  Once you open it, you need to use it within 4 hours so scheduling can sometimes be difficult. 

Q. Do some offices use one bottle for more than 2 patients?

A. This is a frequent problem I have seen is some centers using one bottle for 4 or 8 patients.  They then come to my office complaining that it didn’t work that well or last that long.  For example, I have seen several patients who had a BOTOX® Cosmetic injection performed elsewhere that lasted a few weeks and was not that beneficial.  I offer to treat them at my office.  They are usually amazed to see it be very effective and last 3-6 months.  I can only assume that the problem was the BOTOX® Cosmetic was overdiluted.

Q. Why would they do that?

A. The only reason I can think of is to make more of a profit.  I really can’t think of any other reason.

Q. Can only board certified plastic surgeons do BOTOX® Cosmetic injections?

A. Certainly not.  I think there are some very well trained eye doctors and dermatologists out there.  The one problem seen more frequently, unfortunately, is more and more doctors want to do the easy cosmetic stuff and make fast money without dealing with insurance companies.  I think patients need to be very careful!  Check the physician’s credentials. How many BOTOX® Cosmetic injections have they done?  One last thing to remember - To a plastic surgeon who performs forehead lifting and eyelid rejuvenation, an injection is easy, straightforward and the easiest case of the day.  I would also tell people to be cautious of getting BOTOX® Cosmetic at a salon or at a BOTOX® Cosmetic party.

Q. Why don’t you agree with BOTOX® Cosmetic parties?

A. I think the environment is not appropriate.  I do not think I could do a complete patient evaluation in this setting.  Usually people at these parties are drinking and the social atmosphere is very conducive to peer pressure.  In my opinion, the informed consent is not valid.  The last issue is OSHA safety and ensuring proper disposal of medical waste and needles.

Q. Only doctors do BOTOX® Cosmetic injections, right?

A. I wish that were true.  Unfortunately, in today’s environment, practices only look at the bottom line.   Since there is not that much profit with BOTOX® Cosmetic, a doctor might not feel it’s worth his time to do the actual injection.  It is not uncommon to let someone else do this – whether it is a nurse or aesthetician.  In my practice, I probably do about 70% of the injections.

Q. What makes you think you are more qualified than a nurse or aesthetician to do BOTOX® Cosmetic?

A. When performing surgery, you know where all of the facial muscles are.  The injection is easy and pretty straightforward.  There are many years of training involved in becoming a plastic surgeon.  I work with nurses and aestheticians all the time.  Just as they are more qualified to talk to people about skin care products, I think I am more qualified to talk to people and evaluate them for BOTOX® Cosmetic as well as perform the actual injection.  I think patients need to start asking themselves – who is at the other end of that tiny needle coming at my face!  Most people have no idea.

Q. Do you personally perform all of the BOTOX® Cosmetic injections at your office?

A. No.  Injections are easy for me to do and do not take me very long.  The patient chooses, but the pricing varies depending on whether or not the injection is done by the nurse or the doctor.

Q. How can I get more information on BOTOX® Cosmetic?

A. Feel free to call my office at 1-847-696-9900 and schedule a consultation with me - Dr. Speron.  I will go over your options with you after a comprehensive history and physical examination.  You can also email me through our web site at prplastic@yahoo.com.

ASPS & ASAPS Position: The American Society for Aesthetic Plastic Surgery (ASAPS) maintains that BOTOX Cosmetic injections for aesthetic purposes appear to be very safe and effective. Patients who show early signs of aging, as well as those who may not be suitable candidates for more extensive aesthetic facial surgery, may be good candidates for this procedure. Certain medications (some antibiotics, anti-inflammatories, or aspirin) and even some vitamins and herbs may increase the potency of BOTOX Cosmetic and may increase bleeding and bruising at the time of injection. Therefore, patients should be candid with their surgeon about all medications and supplements. Pregnant or nursing women should postpone undergoing this procedure. It is not known whether injection of BOTOX Cosmetic has any effect on a fetus or whether it is found in breast milk.

What do our Chicago Botox Injection patients say?

"I'm glad I finally tried this...what a difference!" - RD, Chicago
"My wrinkles are gone!" - PR, Northbrook
"I can't imagine who wouldn't want to try this!" - MB, Lake Forest
"Tell all your patients: you must do this immediately!"  - DB,

Chicago BOTOX® Cosmeticnjections Before and After Patient Pictures

Anti Wrinkle - Crows Feet
Anti Wrinkle - Improved Appearance

35 year old before and 2 months after Chicago BOTOX® Cosmetic injection.  Notice the improved appearance of the forehead wrinkles.

Anti Wrinkle - Men and Women

Chicago Botox, Chicago Botox Injections, Chicago Botox Cosmetic Injections, Chicago Botox Cosmetic

35 year old before and 2 months after Chicago BOTOX® Cosmetic injection.  Notice the natural result.  Notice the more open appearance of the upper eyelid (without any surgery)!  This is because of the slight "chemical brow lift effect" seen with BOTOX® Cosmetic (when injected in the right places).

Chicago Botox, Chicago Botox Injections, Chicago Botox Cosmetic Injections, Chicago Botox Cosmetic

39 year old before and 3 months after Chicago BOTOX® Cosmetic injection.  Notice the improved appearance of the glabella.

39 year old before and 3 months after Chicago BOTOX® Cosmetic injection.  Notice the improved appearance of her forehead wrinkles with her raising her eyebrows.

Chicago Botox, Chicago Botox Injections, Chicago Botox Cosmetic Injections, Chicago Botox Cosmetic

39 year old before and 3 months after Chicago BOTOX® Cosmetic injection.  Notice the improved appearance of her crows feet wrinkles with her closing her eyes tightly.

79 year old before and 2 months after Chicago BOTOX® Cosmetic injection of her upper and lower lips.  Notice the improved and natural appearance of her vertical lip wrinkles at rest.  She had no surgeries or resurfacing or collagen injections.

79 year old before and 2 months after Chicago BOTOX® Cosmetic injection of her upper and lower lips.  Notice the improved appearance of her lip wrinkles when puckering.  She is still able to suck from a straw without any difficulty.  BOTOX® Cosmetic is very advantageous because it not only helps with static wrinkles (at rest), but also helps with dynamic wrinkles (when animating)!  Collagen and resurfacing techniques only help with static wrinkles.

39 year old female before and 5 months after Chicago BOTOX® Cosmetic injection of her forehead.  Notice the improved appearance of her forehead wrinkles when raising her eyebrows on this close-up.

BOTOX® Cosmetic Chicago Before and After Patient Pictures

Botox Cosmetic - Forehead Lines

Botox Cosmetic - Smooth Result

32 year old before and 2 months after BOTOX® Cosmetic injection of her forehead.  Notice the smooth appearance of her forehead wrinkles with her raising her eyebrows.

Botox Cosmetic - Lip Lines

33 year old before and 2 weeks after BOTOX® Cosmetic injection of her upper lips.  Notice the improved and slightly lifted appearance of her upper lips at rest.  Notice the smoothing out of her mild upper lip vertical wrinkles.  She had no other procedures and no collagen injections.  AGAIN, notice the "lip lift" effect and cupids bowaccentuation achieved without surgery.

33 year old before and 2 weeks after BOTOX® Cosmetic injection of her upper lips.  Notice the natural look when smiling.  I doubt anyone can tell she had any BOTOX® Cosmetic injections.  That is what you should want!

33 year old before and 2 weeks after BOTOX® Cosmetic injection of her upper lips.  Notice the smoothed-out appearance of her upper lips with slight puckering.  Notice the maintained normal animation. 

32 year old model before and 2 weeks after BOTOX® Cosmetic injection of her glabella.  Notice the 80% reduction of her wrinkles while frowning.  It is important to most people (especially actors and models) to still be able to express themselves after getting a BOTOX® Cosmetic injection.  A natural result (without 100% wrinkle ablation) is very possible!

32 year old model before and 5 months after BOTOX® Cosmetic injection of her forehead.  Notice the smooth appearance of her forehead wrinkles when raising her eyebrows.  She did not want the lateral forehead injected for fear of lowering the lateral eyebrow. 

32 year old model before and 5 months after BOTOX® Cosmetic injection.  Notice the natural and smoother appearance of her eyes.  Notice the more open appearance of her eyes.  Notice the decreased creepy, loose skin achieved without surgery.

42 year old female before and 4 months after BOTOX® Cosmetic injection of her crows feet.  Notice the more open appearance of her eyes.  She had no other procedures.

42 year old female before and 4 months after BOTOX® Cosmetic injection of her crows feet.  Notice the more open appearance of her eyes without surgery.  Notice the decreased amount of crows feet wrinkles evident even at rest. 

42 year old female before and 4 months after BOTOX® Cosmetic injection of her crows feet.  Notice the more open appearance of her eyes without surgery.  Notice the decreased amount of crows feet wrinkles evident even at rest. 

36 year old female before and 3 months after BOTOX® Cosmetic injection of her forehead and crows feet.  Notice the gentle "forehead-lifting effect" achieved without any surgery.  The patient looks natural at rest. 

36 year old female before and 3 months after BOTOX® Cosmetic injection of her forehead and crows feet.  Notice the gentle "forehead-lifting effect" achieved.  Notice the nice reduction of crows feet wrinkles when smiling.  The patient looks very natural when smiling.  Many people mistakenly believe that once you get BOTOX® Cosmetic, you will not be able to animate normally.  Unfortunately, this is very true - but only if not done correctly!  Doctors need to remember the goal should be to look better while maintaining a natural appearance.  No one should be able to tell you had anything done!  You should still be able to express yourself.  All of these things can and should be able to be achieved in virtually every case.

Glabella - Botox for the Glabella

Glabella - Great Result

46 year old before and 2 months after BOTOX® Cosmetic injection of her glabella.  Notice the improved glabellar rhytides with forceful contraction.  You can always do more with collagen.  This is an average result.

Glabella - Botox Picture

52 year old before and 3 months after BOTOX® Cosmetic injection of her glabella. Notice the softening of the glabellar rhytid at complete rest.  You can always do more with collagen. 

Crows Foot - Botox for the Crows Feet

Crows Foot - Great Result

79 year old before and 2 months after BOTOX® Cosmetic injection of her glabella.  Notice the improved wrinkles.  This is great result for a first-time BOTOX® Cosmetic treatment in someone of this age.  When BOTOX® Cosmetic is started at a younger age, a better result can be achieved.  When started early, BOTOX® Cosmetic can also help with wrinkle prevention.

Crows Foot - Botox Picture

79 year old before and 2 months after BOTOX® Cosmetic injection of her crow's feet.  Notice the remarkable difference with closing the eyes tightly.  This is a great result in someone with so much skin laxity and without any surgical intervention.

79 year old before and 2 months after BOTOX® Cosmetic injection of her crow's feet.  Notice the remarkable difference.

79 year old before and 2 months after BOTOX® Cosmetic injection of her upper lips.  Notice the improved and slightly lifted appearance of her upper lips at rest.  She now has an obvious cupid's bow.  Notice the smoothing out of her upper lip vertical wrinkles.  She had no other procedures and no collagen injections. 

31 year old before and 2 months after BOTOX® Cosmetic injection of her glabella and forehead.  Notice the wrinkle reduction. 

26 year old before and 4 months after BOTOX® Cosmetic injection of her glabella.  Patient wanted to get rid of the rhytides 100% as opposed to the 60-70% I usually recommend so that they look natural). Notice the improved wrinkles.  Remember, the sooner BOTOX® Cosmetic is started (but not before one's 20s), the less is needed. Most physicians also feel that you are better off since it prevents one form getting the deeper wrinkles that are harder to treat or might also require fillers in addition to Botox.

Botox Before and After - Patient Results

Botox Before and After - Forehead Picture

39 year old female before and 5 months after BOTOX® Cosmetic injection of her forehead.  Notice the 80% reduction of her forehead wrinkles when squinting forcefully.

Botox Before and After - Age of Patients

67 year old before and 1 month after BOTOX® Cosmetic injection of her crow's feet.  Notice the remarkable difference with closing the eyes tightly.  She had no surgical intervention.

67 year old before and 2 months after BOTOX® Cosmetic injection of her upper lips.  Notice the improved and slightly lifted appearance of her upper lips at rest.  She had no other procedures and no collagen injections. 

67 year old before and 2 months after BOTOX® Cosmetic injection of her upper lips.  Notice natural and fuller look when smiling. 

32 year old female before and 1 month after BOTOX® Cosmetic injection of her forehead, glabella and crow's feet.  Notice the 80% reduction of her wrinkles when squinting and closing her eyes forcefully.

       

*BOTOX® Cosmetic is a registered trademark of Allergan, Inc.