One of the more common procedures at Cosmetic Surgery Specialists are BOTOX injections. 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. At a more advanced level, Botox is not a wrinkle eraser, but rather a way to shape the face. We can use Botox to elevate brows and corners of the mouth, strengthen the jawline, thin the face, raise the tip of the nose, and sculpt the neck. To evaluate how this powerful modality might be of benefit to you, please schedule a consultation with our experienced, highly-trained staff.
"I wanted to have my eyelids fixed as it was impairing my vision. I had a few doctors approved to me through my insurance, as it was a real medical issue. I opted to not let my insurance pay and I googled the top surgeon in the Philadelphia area. I found Dr. Brackup. Dr. Brackup insisted that there was no way to fix my eyelid folds without doing a temporal lift. I was so upset and also scared to do this procedure but I trusted and believed I’m him. I went ahead and paid the extra $3,000 dollars to do as he said and I was so upset about the results. Not only was this temporal Lift incredibly painful, my forehead is now full of sagging and loose skin that I never had before. My eyelid fold did not get repaired as he had suggested, but now I have one saggy eyelid and a saggy forehead and temporal sagging the hat never existed before. I went back to the office shortly after surgery and Dr. Brackup was not available due to his own health issues and I saw another doctor that specializes in Botox. He had suggested to me that I get a brow lift. The nurse quickly looked at me with concern as she had been in the operating room with me during my eyebrow/temporal lift just months prior. My heart fell to the ground as I had just been through so much pain in recovery, as her heart fell to the ground knowing that I had an Los Angeles specialist tell me I needed the very thing I was given. I felt so betrayed at that moment. I was lied to, a huge expense and now I actually do need an eyebrow lift when I didn’t need I e at all prior to this surgery. Matter of fact before this surgery, my forehead had not one wrinkle. I was suppose to get my “after” photos done, but the doctor is not interested in doing so. When I addressed to him that my forehead looks really bad since surgery, he said, “let me give you Botox to fix the problem” , “come back in a month and we can do your “after” photos. I look at myself everyday in the mirror and I want to cry at the fact that he didn’t fix my eyelid fold, and the fact that I now have 5 scars on my head, numbness in those areas and permanent hair loss. I wanted to write this review because I don’t want to his to happen to anyone else. Dr. Brackup specializes in eyes, not forehead lifts. If he tries to talk you into plastic surgery......say NO! I wish I did!"- Google User / Google / Feb 03, 2021
"I had botox. He did a wonderful job. He was so kind and patient and graciously gave me referrals to other surgeons for other body concerns. His staff is lovely."- H.S. / Google / Jul 08, 2021
"I recently switched to Dr Brackups practice, and I am finally 100% satisfied with my botox. I drive 45 minutes from the city just to come here. Stacey is professional and extremely talented. She knows exactly what she's doing, and has helped me achieve a natural yet completely smooth appearance. I can't say enough great things about Stacey and this practice as a whole. HIGHLY RECOMMEND"- S.F. / Google / Jan 07, 2022
"The entire office is wonderful, knowledgeable and truly has the best intention for each patient. Stacey is extremely thorough and will review all of your questions during your consultation. She is excellent and talented with her skill, no one quite knows skincare like she does! I have had multiple appointments with her for skincare and Botox over the years and I couldn't say enough about her. 10/10 recommend this facility. You leave there feeling beautiful and refreshed every time!"- K.R. / Google / Jan 07, 2022
"Younger and much more refreshed version of me - A few years ago I started researching an upper blepharoplasty. Once I found Dr. Brackup, I knew without a doubt I had the right doctor. I only needed to find the right timing. Fast forward a few years, I went to see him again for an upper bleph only, then asked to come back and discuss a lower bleph, then asked to come back in again to ask his opinion about an S Lift. He was kind, supportive and very willing to see me each time despite his busy schedule. At 45, I felt my face was suddenly aging quickly and I wanted to catch things before too long and make the most of it. I decided to do all three procedures and as scary as it was, it was the best decision I could have made. I still feel that way a year and a half later. Dr Brackup, his nurses (Michelle included), couldn’t have made the process any easier for me and I never imagined I’d be this happy with my results. I look like myself only a younger and much more refreshed version of me. Dr. Brackup is known for creating a natural look and he achieved that. He was also able to even out my very uneven eyebrows with light Botox. When I went back in to see him for one of my follow ups and I asked about any other treatments, he very politely told me I don’t need to do anything else. That’s just one example showing that it’s clear that his goal is what’s best for the patient and not his bottom line. As it turns, out my neighbor went to him 10 years ago for surgery and my mother loved my results so much she had an upper bleph done too. He has a great reputation in the area there’s no question as to why. I trust him implicitly and am now a patient for life. I can’t imagine trusting anyone else."- C. / RealSelf / Sep 08, 2022
Tiny doses of BOTOX are injected into the skin. The procedure is done right in our office and can last from 15-30 minutes. The number of injections and dose amounts administered varies by patient depending on the severity of wrinkles and the effect desired. Patients will be able to go home right after treatment with minimal to no downtime from their normal routine.
What to Expect
After treatment, mild swelling where the BOTOX was injected may appear and fade within the next hour. Mild bruising is also possible. Patients are advised to limit exercise and to stay in an upright position for a few hours the treatment. The results from a BOTOX treatment take 10 – 14 days to appear.
Plan Your Procedure
- Procedure Recovery Location
How Safe Is It?
When administered properly, BOTOX rarely causes any complications. Too much of the product can cause an undesirable outcome. A skilled practitioner will use just enough of the medication to effectively diminish undesirable expression lines and sculpt the facial architecture. Botox is NOT an all-or-nothing treatment. In the most talented hands, your face does not have to appear frozen or unnatural. It is the understanding of where to treat, and how much Botox to deliver, that separates ordinary from exceptional. 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).
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 is another variant of botulinum toxin that is well-established with a result profile similar to Botox. Each has unique characteristics that may serve some patients better than others. Sometimes, a combination of the drugs is used to treat various areas.
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. 40-50 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles.
How Long Does It Last?
A BOTOX injection will typically last 3-6 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.