Although we don’t think about it, many of our expressions involve contraction of facial muscles. Over time this repeated muscle action to create certain expressions may result in wrinkles, creases and deep furrows that remain visible even when our faces return to a more neutral state.


Facial rejuvenation by injection with botulinum toxin (commonly abbreviated as BTX or called by the product name Botox®) inhibits the action of the muscles that create certain expression lines through a process called denervation. Botox® is a purified therapeutic agent used for facial rejuvenation, wrinkle reduction and softening of:

  • Frown lines, the horizontal crease or vertical wrinkles that develop between the eyebrows
  • Forehead furrows, or creases that extend horizontally across the forehead
  • Crows feet, or winkles that develop in the outer areas around the eyes
  • Cords in the neck, called platysmal bands

Botulinum toxin therapy also has non-cosmetic uses that include treatment for:

  • Eyelid or eye spasm
  • Facial or neck muscle spasm
  • Spastic muscles that result from conditions such as cerebral palsy
  • Migraine headaches
  • Excessive perspiration

Following treatment

Once your Botox® procedure is completed, certain physical activities may be restricted for an hour or two. This precaution is necessary in order to avoid dispersing the injected agent and diluting its action in the injected muscles.

Occasionally, initial treatment with Botox® does not produce the desired relaxation of muscles. In such cases, you may need to return to the office within 7 to 14 days for an evaluation and additional therapy. Otherwise, follow-up will be required within 3 to 6 months to maintain the result of your wrinkle reduction therapy. Over time, the treated muscles may gradually weaken and you may find maintenance treatments last somewhat longer than in the past.

You may find yourself surprised at how such a relatively quick and non-invasive in-office procedure can produce a marked improvement in the appearance. But don’t be mistaken in believing that facial rejuvenation by injection is, by any means, simple.

Feel free to visit the “Botox Cosmetics” website to learn more about Botox and how it works.


Sculptra® Aesthetic is a facial injectable treatment that is intended for use in people with healthy immune systems as a one-time treatment regimen of up to 4 injection sessions that are scheduled about 3 weeks apart. It corrects shallow to deep nasolabial fold contour deficiencies and other facial wrinkles in which deep dermal grid pattern (cross-hatch) injection technique is appropriate. SculptraAesthetic works gradually to replace collagen that is lost during the aging process. Feel free to visit for more information.

Restylane® is a natural, cosmetic dermal filler that restores volume and fullness to the skin to correct facial wrinkles and folds. Restylane is made of natural hyaluronic acid which already exists in the body. Restylane is a clear gel that is completely bio compatible with human hyaluronic acid. Restylane is injected in small amounts underneath the skin with a small needle to fill in lines, creases, wrinkles and folds. To aid in comfort a topical anaesthetic is applied before the injection. There is generally no downtime and it is very safe. Restylane injections lasts six to twelve months, however, multiple treatments may be necessary to optimise results. Feel free to visit for more information.

Juvéderm™ is a smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. Your healthcare professional eases Juvéderm™ injectable gel under the skin to provide a smooth, natural look and feel—so everyone will notice (but no one will know)! In fact, studies show superior results of Juvéderm™ compared to a collagen-based dermal filler.* And, almost 90% of all study volunteers who were treated with both Juvéderm™ injectable gel and another dermal filler* preferred Juvéderm™! In addition, Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color. Feel free to visit for more information.

Perlane® restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, and bruising. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If you have had herpes before, an injection can cause the herpes to return. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use Perlane if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding, or under 18, you shouldn’t use Perlane®. Feel free to visit for more information.

Radiesse® is a safe, next generation cosmetic dermal filler that lasts longer than the former leading filler. It is setting a new standard for the correction of facial lines and wrinkles, restoring a natural, youthful look in an easy, convenient treatment. Numerous medical studies have shown that Radiesse is a safe, longer lasting treatment to fill and correct smile lines, Nasolabial Folds and wrinkles around the nose and mouth. Feel free to go to for more information.

LATISSE® is a prescription treatment for hypotrichosis (inadequate or not enough lashes) to grow eyelashes longer, fuller, darker. LATISSE® more than doubles your lashes fullness in 16 weeks. Ask Dr. Pound is you are a candidate for LATISSE®

Voluma is a safe hyaluronic acid based filler designed for use in the midface area. It lasts for up to two years and can aid in replenishing lost volume to the midface while also lifting the area.