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The Botox Face-Lift : One of the most exciting uses of Botox is one I pioneered in
1997, when I discovered that by injecting Botox into the cords of a patient's neck, I could get results that resembled
those from a face-lift. Allow me to explain. A face-lift, despite its name, treats conditions that are exclusive to the lower half
of the face, such as loose skin on the cheeks, a softened jawline, thickened neck bands, and a crinkled neck. Those who have a significant amount of sagging fat in the face and neck would get great results from
a face-lift, not for people who aren't yet at such an advanced stage of aging. For them, Botox
in the neck would be the procedure of choice. This use of Botox is so instantly and dramatically effective
that you truly have to see it to believe it. A few quick injections of Botox in the cords of the neck, and presto, the bands
in the neck become less prominent, the lines there disappear, the jowls are diminished, and even the outer corners of the
mouth get picked up slightly. Another plus: there's practically no pain associated with injecting the neck. It's a wonderfully
satisfying way to use Botox, and patients, even those who are initially skeptical about treating the neck, are thrilled with
the results. I must stress, however, that because the muscles on the lower half of the face are not as clearly defined as those on
the upper part of the face, it might be difficult for an inexperienced practitioner to deliver good results in this area.
Nothing will stop aging permanently, not even plastic surgery, so it's not uncommon for me to see patients who've
already had a face-lift (or two) and would like to get a slight lift without having to undergo surgery again. When they hear
that Botox will save them another trip to the plastic surgeon's office, they're very relieved. They're also being smart.
Constantly pulling the face back will not make you look any younger and will only give you that dreaded wind-tunnel
effect. (You know the look. It's the one that keeps people whispering after the person has left the room.)
The Bofiox Brow-Lift : The eyes are said to be the windows to the soul, and while this
is a cliche, it might explain why nearly every patient is concerned with the appearance of his or her eyes. Even patients in
their twenties will ask me if a plastic surgery procedure, such as an eye-lift, is the answer to their particular problems. Before I answer this, I first hand them a mirror and ask them to point
out what it is about their eyes that is bothering them. If the problem is excess skin above the eyelid or bags below the eyes,
then surgery can definitely help, but so can Botox. When the muscles over the brows are injected with
Botox, that area immediately lifts, bringing with it any excess skin that is hanging over the eyes. Suddenly, the eyes seem bigger, more
open, and brighter, almost as if a light had just been turned on overhead. I refer to this phenomenon as a nonsurgical brow lift.
After the patients are handed the mirror again to observe the results on one side of the face, they happily exclaim that they
had no idea they could have such a result without surgery. It's not too far-fetched to predict that Botox could someday replace
surgical brow-lifts-it's hard to dispute such dramatic benefits, reaped with so little pain and zero downtime.
"Age-Less" by
Frederic Brandt
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