BOTOX® Cosmetic

THE WRINKLE ERASER

Miami Aesthetic Nurse Practitioner Danielle Smith performs Botox injections for a wide range of aesthetic and medical needs at her Miami Beach office.  Botox injections are the most commonly performed cosmetic procedure used to reduce or eliminate the appearance of facial wrinkles through minimally invasive injections.  Danielle Smith NP's Botox Cosmetic injections are made from botulinum toxin A, a therapeutic muscle-relaxing agent approved by the FDA for several different uses. When injected into the skin, it can block the nerve muscles responsible for the repetitive actions that cause fine lines and wrinkles, smoothing them away for a younger and more refreshed appearance.

Miami Aesthetic Nurse Practitioner Danielle Smith uses Botox Cosmetic for wrinkle elimination in areas such as crows feet, between the eyes - glabella (aka the 11's), smoker-lines or lip wrinkles, laugh lines, neck wrinkles (bands), and many others.  Danielle Smith NP will also use botox to decrease the contractility of certain facial muscles to “open” specific areas.  The best example is using botox injections to open the eyes. 

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The main 3 areas where botox is most commonly used are the Forehead, Frown Lines, and Crows Feet.

HORIZONTAL FOREHEAD LINES

If you have a forehead and you make expressions, then you have forehead wrinkles.  Some of us are blessed with amazing skin and a lack of sun exposure and don’t require a neurotoxin to freeze away our wrinkles, but we need some botox for the rest of us.  Forehead wrinkles are most commonly caused by frequent expressions, such as raising our eyebrows with a surprised expression.   The best way to tell if you need botox in this area is to stand in front of a mirror, raise your eyebrows, then relax them.  Are the lines still there?  Once you resume a relaxed expression, the lines should fade without a trace; if yours do not, it’s time to start using botox.  As with other areas, botox relaxes the frontalis muscles on your forehead, which minimizes their movement and, thus, the wrinkles they create.  Danielle Smith NP, is an expert at taming forehead wrinkles.  Some individuals prefer very little movement in this area, providing a very smooth appearance, while others like to maintain some level of expression; whichever your preference Danielle Smith NP has the skill to meet your needs.  She will discuss your preference in your pre-procedure consultation; as with anything, the concentration can be adjusted, so if you prefer a little less or a little more on the follow-up visits, she can certainly give you what you want. 

 FROWN LINES | THE 11'S | THE GLABELLA | BETWEEN THE EYEBROWS

Danielle Smith NP, can easily treat the worst of frown lines with botox.   Patients can enjoy a drastic difference in softening their wrinkles with as little as one simple treatment.  The 11's or frown lines result from furrowing your eyebrows (the glabellar and corrugator muscles).  The 11's is one of the most common treatment areas for botox injections.  Some patients have very deep 11s, requiring a few treatments before the wrinkles are fully lifted.  Another factor that worsens the severity of these wrinkles is a patient’s amount of sun damage.

CROW'S FEET | SIDE OF THE EYES

In Miami, the sun is bright, causing frequent squinting.  This continued contraction of the muscles around the eyes causes the delicate skin to fold and crease, leaving us with some cute wrinkles.  For some of us, these wrinkles are not so pretty and play as a "tell" for our age or excessive sun exposure.  A simple botox treatment is the easiest way to get rid of these wrinkles.  Within 3 to 7 days, your wrinkles will drastically fade.  These results will last for 3-4months.  As you continue to get botox treatments, the muscles will become weaker and weaker, requiring less botox or longer intervals between treatments.   Even 1 or 2 treatments a year can drastically slow your skin's aging and help prevent needing a facelift.  

Other Areas where botox can be used

LATERAL BROW LIFT

Botox can help to lift the lateral brow to give the eye a more open appearance.  This can be accomplished in a few different ways, typically in conjunction with forehead lines, frown lines, and crow’s feet.  Deepening your overall goals Danielle Smith NP will help figure out the best way to accomplish this for you with or without addressing the other areas.

BUNNY LINES
Botox helps block the muscles that cause the nose to wrinkle up, creating “bunny lines.”

NOSE TIP LIFT

Botox blocks the muscle that pulls down on the nose when you smile, helping to create the appearance of a lifted nose tip.

GUMMY SMILE

Botox helps to prevent the upper lip from rising above the gum line when you smile.

LIP FLIP & SMOKER LINES

Botox helps prevent the top lip from rolling under when you smile.  It also helps prevent the lip lines above the lip (smoker lines).  This is a popular procedure because it helps show a little more pink of the top lip, making it look a little fuller.  The result is very subtle and only last 6-8 weeks.

DAO | DOWN TURNED SMILE

Botox helps lift the corners of the mouth by blocking the muscle that pulls down on the corners of the lips.

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CHIN

Botox helps relax the mentalis (chin muscle) from dimpling and creating a pebbled texture.

 JAWLINE BOTOX | NEFERTITI LIFT

Botox helps relax the muscles along the jawline that pull down into Jowls when you smile or smirk.  This helps give the appearance of a tightened, smoother jawline.

PLATYSMAL BANDS | VERTICAL NECK BANDS

Botox helps to relax these muscles, so they don’t pull forward.  When these muscles pull forward, they take the skin with them and eventually can stretch it, creating skin laxity. Additionally, laying these muscles flat helps give the appearance of a smoother, tighter neck.

HORIZONTAL NECK BANDS | “TECH NECK”

Botox can help lift these lines.  The result is subtle and is not a foolproof solution, as no treatment can provide a complete correction at the moment, but it is the best aesthetic treatment we have to soften them.  Most patients love this procedure because it helps, but you notice it more when it wears off than when it sets.

MASSETERS | FACIAL SLIMMING

Our masseters are the main muscles in our jaw for clenching our jaw and teeth.  This causes them to bulk up in size and strength; even when we are relaxed, we still grind our teeth or clench.  By botoxing these muscles, we can relieve a great deal of the tension and work to de-bulk the muscles.  Aesthetically this leads to a slimming effect in the area, resulting in a more contoured and slimmer appearance to the face.