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March 2010
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Botox

Botox Philadelphia

Overview: A bacteria-derived toxin is injected into specific muscle groups to specifically relax them and restore a worry free, youthful appearance. Only Botox, the US approved grade of botulinum toxin A, is used in our office.

Expected Results: Relaxation of dynamic face and neck rhytids (wrinkles).

Preparations: None

Post treatment instructions: Avoidance of aspirin and ibuprofen for 1-2 days.

Time to desired results: 1-2 weeks

Duration of desired effects: 3-6 months. Most people who like the effects will pursue injections every 4 months to maintain their results.

Contraindications: Myasthenia gravis, allergies to egg white and kanamycin, pregnancy and breastfeeding.

Downtime: None



Patient comments (source: Patient Satisfaction Report)
2008-11-06 11:53:03The doctor was excellent - really explained the issues and approaches very clearly. I would recommend this pratice to others!
2008-08-05 18:07:45The doctor was extremely attentive and I did not feel rushed at all. This is by far the best experience I have had at the dermatologist
2009-11-30 10:51:29The doctor was very clear and extremely thorough along with being pleasant. She makes her patients comfortable.


Botox Blog

Please feel free to use the blog below to share information about botox, or to ask Dr. Ringpfeil a question that might be of interest to others.

6 Responses to “Botox”

  1. anonymous says:

    I am interested in a Botox treatment for my frown lines. What is your fee for this procedure? Thank you.

    • Dr. Ringpfeil says:

      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.

  2. JD says:

    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

    • Dr. Ringpfeil says:

      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.

  3. Rebecca says:

    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.

    • Dr. Ringpfeil says:

      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.

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