Wrinkle-smoothing botulinum toxin type A injections are the most common non-invasive aesthetic procedure in the U.S. While they are commonly called “Botox,” there are actually four different injectables. The four neurotoxins FDA-approved for cosmetic use are Botox®, Dysport®, Jeuveau®, and Xeomin®.

While each neurotoxin is slightly different, some patients respond better to one over the other. Knowing this, I keep all 4 on hand in my office and choose the best one based on the patient and their goals. Most doctors and patients refer to neurotoxins as “Botox,” much like we call adhesive bandages, band-aids and tissues, Kleenex even though there are the 4 different companies that now manufacture botulinum toxin type A.

As an Oculoplastic surgeon, I have a deep understanding of the anatomy of the eyelids and how the muscles around the eye work. This knowledge of the anatomy of the eyelids, eyebrows and upper face allows me to expertly use botox to achieve my patient’s goals.

When I meet with a new patient who is requesting Botox, I first evaluate their entire face. We then discuss the specific areas that brought them to the office, and what they would like to do to correct them. Then I realistically explain what Botox can achieve.

The main areas I treat with Botox are the forehead, glabella (from lines), around the eyes (crows feet), masseter muscle (jawline) and mouth lines. Botox can be used to smooth dynamic wrinkles, lift the eyebrows, and smooth mouth lines. I also use it to relax the masseter muscle which can help with teeth clenching, migraines and improves an overly square or thick jawline.