Botox Blog
Please feel free to use the blog below to share information about the subject, or to ask Dr. Ringpfeil a question that might be of interest to others.
Philadelphia | Main Line | Pennsylvania - Dermatology | Cosmetic Surgery | Laser Surgery
Uncompromised quality through
Unmatched experience | Focus on patient satisfaction | Advanced technology
Unmatched experience | Focus on patient satisfaction | Advanced technology
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Wrinkle Reduction
| Wrinkle Reduction |
Botox | CO2 Laser | Restylane/ Juvederm |
Radiesse | ActiveFX | TCA Peel | Fractional Laser |
| Results | +++ | +++ | +++ | +++ | ++ | ++ | + |
| downtime(*) | None | 7-14 days | 3-4 days | 1-2 days | 3-6 | 5-7 | 1-6 |
| # Treatments | 1 | 1 | 1 | 1 | 1 | 1 | 4-8 |
| Lasting results | 4-6 months | 10 years | 6-9 months | 12-18 months | 10 Years | 2 Years | Unknown |
| Avg. total cost | $15/unit | $3000 | $600/syringe | $850/syringe | $3000 | $500 | $7000 |
Botox
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after
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before
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after
Treatments (Wrinkles): Dynamic: Botox; Static: Fillers, TCA peel, CO2 laser, fractionated lasers and devices.
Facial lines can be categorized as those that we use for expressions (angry, surprised or happy) and those that occur because of a volume shift on the face due to intrinsic aging, because of repeated use of muscles and because of exogenous factors such as sun exposure or cigarette smoking. Injectable botulinum toxin A (Botox) is best for dynamic lines on the upper face but can also decrease a pebbly chin as well as unsightly vertical bands that form on some aging necks. It lasts between 3-6 months and the number of units needed is determined by the strength of the muscle to be weakened.
Static lines can be corrected with a variety of injectable fillers and volumizers. The area to be treated determines which filler is suitable. TCA peels and fractionated lasers and devices treat fine and medium depth wrinkles, whereas a complete CO2 laser resurfacing may even eradicate deep lines.
10 Responses to “Botox”
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| 2010-04-14 11:19:33 | I have been to many dermatologists and the service here was exceptional. |
| 2010-04-08 16:25:27 | The Dr treated me as a Person, not a commodity. She talked to me so I could understand what needed to be done and what possible courses of actions needed to be taken. I enjoyed the fact that the Dr. took time to listen to me & took action considering my desires as well. |
| 2010-04-08 15:28:24 | The thorough exam that Dr. Ringpfeil gave me. The professionalism of the entire staff. Everything from the ambience to the music. |
I am interested in a Botox treatment for my frown lines. What is your fee for this procedure? Thank you.
We charge $15 per unit (As of July 2009, price might change in the future). The number of units required varies. Everybody’s muscle tone is different and therefore an examination in the relaxed and animated state is necessary to determine the number of units needed to relax dynamic frown lines. The number of units needed is directly related to the years the muscles had to create these lines. Women often require a lesser number of units than men. E.g., the average dose in the area between the eyes (glabella) of a 30 year old woman is approximately 15, whereas a man in the same age often requires 20 units to relax the muscle complex. If glabellar lines are no longer dynamic (very deep lines that are present in the relaxed state), a filler may be needed to help achieve the look you are aiming at. The forehead frown lines require between 8-15 units in a woman or 10-18 units in a man, and rarely require the use of a filler.
I am looking for a package that includes Botox & Artefil. I had some Artefil about 5 years ago, but the effect has diminished. I am hoping you offer a combination package.
I need forehead frown lines Botoxed; a line just above each brow Botoxed & filled; glabellar lines Botoxed & filled; Botox & some additional Artefil in the nasalabial area; Botox & filler in the corners of my mouth. Most important to me is the area below my mouth. I had a mini face lift known as the LifeStyle Lift about 6 years ago. As a result, I have areas on both sides of my face, under my mouth that are sunken in & need filler to add volume. Of course, finances are a concern, so if you could let me know approximately how many units/syringes of each product you estimate I would need & an estimated cost I would appreciate it. Thanking you in advance. J
Botox and/or fillers including Artefill in the areas described are very reasonable and can be performed as you outlined. However, a description does not allow to estimate the amount of filler or Botox needed to achieve your desired goals for facial volume restoration and rejuvenation. A consultation in the office provides you discussion about types of fillers suitable for the areas in question, assessment of units/syringes needed for your goals including a price quote. We customize all our treatments and charge only for the units/syringes actually used. Our pricing structure rewards those who have multiple procedures performed during the same visit.
I am interested in using facial fillers for volume restoration in my jaw and cheeks and perhaps around m nose. Is this able to be done, is it safe and have you done many procedures like this? Is one syringe usually enough or do you often use many more? Thank you.
The areas you indicated can easily and very safely be restored using a number of facial fillers and these procedures are performed in our office daily. The volume needed depends on the depth of the lines or volume loss to be corrected. Just to give you an idea, most people will require one syringe for the nasolabial fold alone and another syringe for the jaw. Evaluation is crucial for an estimate on the number of syringes required.
Is there anything you can do to improve the bags under the eyes without surgery?
Loose skin under the eye is a concern for many. Treatment options depend on the degree of laxity which can be assessed on examination. They include a customized eyelid care regimen, laser treatment and/or surgery.
how many syringes of restalyne do you estimate you would use for minor Nasolabial folds? I’m in my early 20s
In a young person, nasolabial folds are not expected to be very deep. On average, one 1 ml syringe of Restylane is sufficient for both sides.