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Botox Cosmetic is a purified protein. It is a simple, non-surgical, physician administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. During treatment, very low doses of Botox Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes and no recovery time is needed. Within days, you may see an improvement that can last up to four months. Results may vary.

Botox Before & After

Botox Cosmetic works by blocking the transmission of nerve impulses to the injected muscles. This reduces the activity of the muscles that cause those persistent frown lines or wrinkles to form. Although the results are visible, a treatment with Botox Cosmetic will not radically change your facial appearance or make you look as if you “had surgery.” The muscle activity is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

If you choose not to continue treatment, the moderate to severe frown lines between your brows will gradually look like they did before you started treatment with Botox Cosmetic.

Eyelid Procedures

Common eyelid problems include excessive eyelid skin, droopy eyelids or eyelids that turn inward or outward. These conditions can cause eye discomfort and can limit vision and affect appearance. Fortunately, such eyelid problems can be corrected with surgery. Several of the more common eyelid conditions which we treat include:


Ptosis is a condition in which the upper eyelid droops due to eyelid muscle weakness. This condition can develop with age or can be apparent at birth. Surgery can restore the upper eyelid to its normal position.


Over time, many people develop excess eyelid skin, (dermatochalasis). Since the skin on the eyelid is the thinnest skin of the body, it tends to stretch. In the upper eyelid, this excessive skin may limit your side vision. This same problem may cause “bags” to form in the lower eyelids. The excess skin from the lids can be removed by a Blepharoplasty procedure to improve side vision and other symptoms.


In this condition, stretching of the lower eyelid due to age may cause the eyelid to droop downward and turn outward. Dry eyes, excessive tearing, redness and sensitivity to light and wind can be symptoms. This may be corrected by a brief surgical procedure. More involved cases caused by contraction or scarring of the skin surface may require a skin graft.


This condition also occurs as a result of aging. The eyelid turns inward causing the eyelashes and eyelid skin to rub against the eye. Symptoms can include redness and irritation of the eye, tearing, and sensitivity to light and wind. If this condition remains untreated, it may cause an infection of the cornea.

Eyelid surgery is performed on an outpatient basis using local anesthesia. Prior to the surgery, photographs of your eyelids and side-vision testing may be performed as this is often required by insurance companies. Bruising and swelling of the eyelids are very common side effects following any eyelid procedure.