The most common procedures at Cosmetic Surgery Specialists are “lunchtime” injections of Botox. Decades of smiling, laughing, frowning, and crying begin to leave a visible imprint on your face with dynamic wrinkles. Typically seen in the forehead between the eyebrows as furrow lines or in the corner of the eyes as crow's feet, dynamic wrinkles used to disappear when you relaxed your face, but are now becoming visible all the time. To treat these unwanted lines, Dr. Alan Brackup, a double board-certified cosmetic surgeon and ophthalmologist with training in oculofacial plastic surgery, can artfully injected BOTOX wrinkle relaxer treatment to soften and smooth specific facial muscles. Once the muscle is temporarily relaxed, the skin will also smooth and soften to reduce or eliminate dynamic wrinkles. If you are beginning to notice expression lines that don't go away, schedule a consultation with Dr. Brackup at Cosmetic Surgery Specialists in Langhorne, Bucks County, PA to learn more about BOTOX injectable wrinkle relaxer treatments.
"My search was over after being referred to Dr. Brackup!!!. My son's wedding was coming up in August, 2016. My eyes were horrible .When I smiled you saw know eye's. I met one surgeon that was scared to remove the lower bags. How would that look? Didn't make sense. With Time running out by chance I when to a new hairdresser, that had her eyes done and look beautiful. Even though Dr. had a busy schedule,he made it a point to fit me in for June 28th. I was assured my eye's would look beautiful by August 20th. Dr. Brackup was right. I had Upper and lower procedures done. Dr. sculpted my eyes to compliment my high cheek bones. They are beautiful. At 60 years old I look twenty years younger!! Dr. Brackup and his entire staff were kind and honestly the best experience I ever had. He is gifted with hands of gold. He only works from the neck up and is a oculoplastic surgeon. My confident's is through the roof. I walk with my head high for the first time in a very long time. Thank you, Dr. Brackup for setting this butterfly free!! Before pictures click on Rosemarie P. Thanks"- R.P. / Yelp / Apr 06, 2017
"Great experience - Mid May I had upper and lower lid blepharoplasty and I have not had anyone ask me if I were tired since! Dr. Brackup and his team were warm and professional from the first visit. The staff at the surgery center were equally wonderful. I knew I was in good hands. The recovery was not bad at all and the results are fantastic!"- D. / RealSelf / Oct 01, 2018
"Best Doctor and Staff - 100 percent amazing. Dr. Brackup is extremely calm,cool, and confident. He knows what he is doing, explains clearly what needs to be done, and I am thrilled with the results. I had a facelift and a strong chemical peel above my lip 4 months ago, and I look completely natural, not pulled too tight, and my-upper lip has no lines!!! I couldn’t be happier with the results....I can’t say eno..."- H. / RealSelf / Sep 26, 2018
"Two Good Reasons to Choose Dr Brackup - The two main reasons I chose Dr Brackup to 'freshen up' my eyes were:1) 3 friends had cosmetic surgery by Dr Brackup over 10 years ago, all still look great. 2) Dr Brackup is the first doc to have duel board certifications in both ophthalmology and facial plastic surgery.I've found Dr Brackup and his team to be compassionate and highly competent."- W. / RealSelf / Sep 17, 2018
"Great Choice - Dr. Brackup - Excellent. Just completed my second followup appointment following lower eyelid surgery with excellent results. The entire experience was positive. The staff is pleasant, organized and very competent. Instructions both pre and post op are clearly explained. Dr. Brackup's curriculum vitae is most impressive. Additionally, he's a very nice guy, who is an excellent surgeon. I am very glad..."- M. / RealSelf / Aug 30, 2018
Tiny doses of BOTOX are injected into the skin where wrinkles are noticeable. It is normally done in the doctor’s office and the procedure can last from 15 to 30 minutes. The number of injections and dose amounts administered varies by patient depending on the severity of wrinkles. Patients are first marked with ink prior to the injection so that the practitioner can accurately inject the areas in need of wrinkle softening. This procedure does not create any discomfort other than a normal prick that comes with a small needle. A numbing cream may be applied to help with any discomfort. Patients will be able to go home right after treatment with no downtime from their normal routine.
What to Expect
After treatment, mild swelling and bruising may appear on the injection spots. Patients are advised to limit exercise and to sleep in an upright position the same night as the treatment. The redness and swelling will only last for a few hours, but some patients may experience bruising for several days. There are bruising medications, such as Arnica, that patients can take a week prior to treatment to help minimize bruising. The results from a BOTOX treatment take 5 – 7 days to appear. When they do, the face will look smoother and brighter, and patients will feel rejuvenated by their fresh appearance.
Plan Your Procedure
- Procedure Recovery Location
How Safe Is It?
When administered properly, BOTOX rarely causes any complications. With that said, it is still very important to find someone who has experience in handling this medication. Too much of the product can cause an undesirable outcome. A skilled practitioner will use just enough of the medication to effectively freeze the facial muscles that cause wrinkles while leaving nearby muscles unaffected. BOTOX is one of the most popular cosmetic treatments on the market today. It is safe and effective, and approved by the Food and Drug Administration (FDA). BOTOX is also used to treat other medical conditions such as squints, excessive sweating, uncontrollable blinking and migraines.
Same As BOTOX?
In recent years, BOTOX has seen some competition as other drugs have been approved by the FDA, and introduced to the aesthetic market. Dysport and Xeomin are muscle relaxers similar to BOTOX. Each has its specific trending function that can be addressed during the initial consultation. Sometimes, a combination of the drugs is used to treat various areas. For example, BOTOX for frown lines, and Dysport for crow’s feet.
Are Fillers Better?
BOTOX and fillers are both popular cosmetic treatments with the ability to decrease wrinkles and smoothen facial areas. The difference with each is the way the substances function to create the rejuvenating effect. Injectable fillers add volume under the skin to fill hollow areas and decrease the appearance of wrinkles on the surface. BOTOX, on the other hand, relaxes the muscles underneath the skin so that the muscles cannot contract, allowing a softer effect on the surface. It is very common for patients to undergo treatment using both a muscle relaxer and an injectable filler to attain optimal results.
Today, practitioners are treating patients of all ages with BOTOX. For some individuals, for example those as young as 30, BOTOX is considered a preventative way to prevent facial wrinkles. For others (i.e. 40 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles. Older individuals (55 and up) will still receive great benefit from having BOTOX injections, but for some, a facelift technique might be a better option to consider.
How Long Does It Last?
A BOTOX injection will last between 3 – 4 months. The treatment can be repeated every quarter and for most patients who receive this treatment, they usually come back for more. BOTOX is an effective, easy and safe way to minimize the appearance of facial wrinkles. Patients consider it a part of their normal beauty routine.