Some of the first signs of aging appear on the face as “dynamic wrinkles,” the lines and creases caused by repeated muscle contractions such as smiling and squinting. Safe and effective, BOTOX Cosmetic helps you look younger by fading dynamic wrinkles and preventing new ones from forming.
CONVENIENT LOCATIONS FOR BOTOX IN PHILADELPHIA AND CHERRY HILL
Board-certified plastic surgeon Dr. Sorokin offers two locations for BOTOX treatments, in Philadelphia, PA and Cherry Hill, NJ. Patients can receive treatment in either location at their convenience. Patients can also visit either office for surgical consultations.
BOTOX® Cosmetic Before and Afters
Benefits of Botox Treatments
Our patients choose Botox treatments to treat a variety of common trouble spots, such as:
- Small wrinkles or “crow’s feet” around the eyes
- Vertical “frown lines” between the eyebrows
- Botox is particularly good for areas in the upper third of the face
- Botox does very little for lines below the cheeks, in these areas fillers are the best option.
Botox treatments are effective on their own for smoothing out wrinkles.
How Botox Works
This treatment works by temporarily altering the facial muscles beneath the skin that form dynamic wrinkles on the surface. Once injected into precise areas of facial muscles, impulses from the nerves to the facial muscles are blocked. As a result, the underlying facial muscles relax and the skin gradually smoothes out. Most patients notice improvement within 3 to 5 days and reach the maximum improvement within a few weeks.
The effects of treatment will last approximately 3 to 6 months, after which many patients choose to return to Dr. Sorokin for a repeat procedure.
How much Botox is needed?
The product insert for Botox says that most people will require 20 units of Botox to treat between the eyebrows. In addition, 12 units is the recommended dose for the crow’s feet next to each eye. Another 20 units can be used to treat the frontalis or forehead muscle. This is a total of 64 units for the average patient according to the product insert guide published by Allergan. Some patients need more, and some a little less. Use too little Botox and either there will be little results or it will not last long enough. Botox is purchased by the unit, with cost per unit varying from doctor’s office to doctor’s office. We charge $12.50 per unit of Botox and on the Third Thursday of every month have a Botox Event where it is offered for $11 per unit.
Many people will ask to use less Botox. Perhaps they feel that they don’t need as much because they are sensitive, perhaps they are afraid of looking “overdone or plastic,” or perhaps budget is an issue. Using less than the recommended dose of Botox results in either Botox that does not last very long because too few units are being placed in too many areas, or areas that will not respond because not enough Botox was used. Still, we have many patients that use 20 units “everywhere” and are very happy of the subtle effect this provides so when you come in for consultation we can carefully discuss goals and options!
Botox® Cosmetic versus Dysport® versus Xeomin® versus Jeuveau®
All three of these products are neurotoxins used for facial rejuvenation. Botox is onabotulinumtoxinA. This is the most widely used product in the United States. Dysport is abobotulinumtoxinA. This is a similar chemical to Botox that also is used for temporarily minimizing wrinkles on the face. Xeomin is incobotulinumtoxinA. Jeuveau is prabotulinoumtoxin-A. These are all product used for cosmetic purposes to minimize small muscles in the face from producing wrinkling. They are all neurotoxins, and truthfully they are all similar.
So, which is better? Every physician that uses these products has their own preferences. Dr. Sorokin feels that Botox Cosmetic is the gold standard for other toxins to be compared. He has used it in thousands of patients and gets great, predictable results with Botox. He stocks Dysport and Jeuveau in the office as occasionally a patient will request one of the other products having used it elsewhere. He used to use Xeomin but found that it hurt more while injecting and didn’t last nearly as long. While Botox costs more to purchase from Allergan than the other products do, it is very predictable and produces a nice consistent result. Dr. Sorokin has used all three toxins on many patients and in his experience feels that Dysport diffuses somewhat more and results may not be as precise. Other docs may feel differently but this is his opinion. While profit margin is higher on Dysport, Jeuveau, and Xeomin, Dr. Sorokin does not feel that this is a good reason to use them. Thus, we use Botox unless specifically asked to use a different neurotoxin by a patient.
Our BOTOX treatments are so popular because they are safe, quick, and effective. Dr. Sorokin will place an anesthetic cream on your skin prior to treatment. He then injects a small amount of BOTOX into the area of the targeted wrinkles, and immediately applies ice when the entire process is complete.
You should avoid engaging in heavy physical exercise, applying cosmetics, or laying down flat for at least 4 hours after the injections. You should also avoid rubbing or massaging the injected area for at least 24 hours.
Dr. Sorokin and his nurse injector, Marla Liberatore, RN perform the Botox injections in both the Cherry Hill and Philadelphia offices. Marla has been working with Dr. Sorokin for the last 10 years, and Dr. Sorokin initially taught her the art of Botox injections. Years of assisting him doing the injections led to her interest in the area, and he began to slowly teach her the subtle nuances of safe, artistic Botox injections. She then took courses for Nurse Injectors from the industry to further enhance her knowledge. Dr. Sorokin trusts Nurse Marla enough to not only inject his patients, but to treat his forehead wrinkles! Rest assured, if you schedule an appointment with either Dr. Sorokin or Nurse Marla you will love the results that Botox offers!