Botox®

Enjoy a More Youthful Face by Smoothing Wrinkles Caused by Facial Movements at Chicago’s Iteld Plastic Surgery

Enjoy a More Youthful Face by Smoothing Wrinkles Caused by Facial Movements at Chicago’s Iteld Plastic Surgery


Facial wrinkles can take years to form but only days to smooth out with BOTOX® from Chicago-based plastic surgeon Lawrence Iteld, MD—and, since we’re counting, the injections themselves take only minutes to administer.

Every expression you make to communicate with others and other facial movements from chewing and talking during day-to-day life contribute to what are known as “dynamic wrinkles.” These lines form as muscles pull your facial skin this way and that way as you smile, frown, laugh, pout, and even squint.

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Each expression may last only seconds, but consider the multitudes of expressions you make every day, every week, every month, every year, for your entire life. Youthful skin has enough elasticity to remain in a smooth state despite each grin or wink, but after your 20s, you may start to see evidence of those expressions. The solution? Give certain hard-working muscles a break with BOTOX®.

How Does BOTOX® Work?

Surveys published in 2021 have shown that an increased number of people accept BOTOX® as a normal part of their overall skin care routine—but despite that, many people still wonder about how BOTOX® works. One of the most common questions Dr. Iteld and his team get from patients is: “What does BOTOX® do to your body?”

BOTOX® injections contain a purified form of botulinum toxin, which is known as a “neuromodulator” for its ability to keep nerves from successfully triggering muscle contractions that stretch the skin. Since muscle activity is the culprit behind dynamic wrinkles, reducing that activity can prevent the wrinkles from showing. That means when BOTOX® is injected in just the right place in just the right amount, the targeted muscles gradually relax—even if you try to make them work.

Within a few days of a BOTOX® treatment, you will be able to make whatever expression you like, but the injected muscles will stay at rest. BOTOX® is mostly used for the upper third of the face, on the forehead area, and around the eyes, where motion-related wrinkles are likely to form. BOTOX® is approved by the FDA to address horizontal forehead lines, frown lines between the eyes, and crow’s feet.

Younger patients in their 20s and 30s are also now getting “preventative” BOTOX® in the earlier part of their life in order to delay or prevent fine lines from becoming deep, etched-in wrinkles. Routine injections may even be able to “train” active muscles so they stay more at rest, even when not under the influence of BOTOX®. This can help to stop additional wrinkles from appearing because you know what they say about prevention versus cures.

Finding an experienced BOTOX® injector who has extensive knowledge of facial anatomy is the best way to optimize the effects of successful treatment. Because it is such a powerful and effective option, only Dr. Iteld, Nurse Injector Desirée Martinez, and Nurse Practitioner Nadia Shirani administer BOTOX® at Iteld Plastic Surgery. They have undergone rigorous training to maximize patient safety along with excellent results.

Am I a Good Candidate for BOTOX® Injections in Chicago?

BOTOX® has become the most frequently requested cosmetic treatment in the world because it works, with literally millions of injections performed each year around the globe. Considering that, just about anyone who wants a nonsurgical solution for the problem of dynamic wrinkles may be a good candidate.

People with certain allergies and conditions should avoid getting BOTOX®, but these specifics will be discussed at a personal consultation. For some patients, a different neuromodulator—Dysport® or Jeuveau™, or one of the newer products may be recommended.

Brides, in particular, make good candidates for BOTOX®, as the treatment can be done in the weeks before the wedding and requires no recuperation or downtime afterward. Treatments are so quick, they can easily be scheduled between dress fittings and visits to the florist.

How Do I Prepare for BOTOX®?

The BOTOX® procedure is simple, low-risk, and doesn’t require much preparation. It’s important, however, to be careful about the types of medications and supplements you use prior to your injections, as these can affect your recovery and results. During your consultation, ask about what you should not do before BOTOX®. Blood thinners— like aspirin, antioxidant supplements, and anti-inflammatory medications— may be generally avoided for a few weeks before having BOTOX® injections, as these can increase the risk of bruising and bleeding by making blood vessels more fragile.

But don’t sacrifice health for beauty! If you are taking any blood thinners for medical reasons, please keep taking them! Talk to your primary care physician about your options and bring up your condition at your consultation at Iteld Plastic Surgery. We can work out what the best plan of action will be to get the results you want.

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Results and Recovery After BOTOX® Injections

It usually takes just a few minutes for a BOTOX® procedure to be completed. Injections can be done during your lunch break, and most patients are able to resume their regular daily activities without needing to take any time away from work.

Injections of any kind typically result in some sort of minor reaction, which may include tenderness, redness, bruising, or discomfort. These side effects resolve on their own in a matter of days—if not hours—as the active ingredient gets to work. It’s important to remember that BOTOX® results aren’t typically noticeable for a few days. Even then, it can take a little longer for the full effect of BOTOX® injections to be apparent.

Once you see the expected results, you may start wondering: When does BOTOX® wear off? Patients can expect their smoother-skinned appearance to last for three to four months. Some of the newer products that are pending approval have proven efficacy as long as six months! Anyone who prefers this newly youthful look to the furrows and folds associated with renewed muscle activity can schedule a new treatment.

MeetLawrence Iteld, MD


Board-Certified Plastic Surgeon
RealSelf VERIFIED doctor

Lawrence Iteld, MD, is certified by the American Board of Plastic Surgery, and a highly regarded Chicago based plastic surgeon, receiving awards from Chicago Magazine’s Top Docs, and Castle Connolly Top Doctors®.

LEARN MORE
Iteld Plastic Surgery

Meet Lawrence Iteld, MD


Board-Certified Plastic Surgeon
RealSelf VERIFIED doctor

Iteld Plastic Surgery

Lawrence Iteld, MD, is certified by the American Board of Plastic Surgery, and a highly regarded Chicago based plastic surgeon, receiving awards from Chicago Magazine’s Top Docs, and Castle Connolly Top Doctors®.

LEARN MORE

What is BOTOX® Aftercare and Maintenance Like?

Strenuous workouts at the gym usually aren’t advisable during the first day, and you should avoid bending over, lying down, or placing too much pressure on the injected areas for a few hours.

Maintain a normal heart rate and leave the part of your face where you had the injections alone, because the BOTOX® needs time to settle. The increased blood flow resulting from exercise could cause the BOTOX® to spread from the injection site and impact other surrounding areas, making the results appear less ideal. Additionally, muscle contractions involved in exercise may cause the active ingredient to be less effective, as well as make bruising more likely. You should also avoid having other skin treatments, using makeup, drinking alcohol, and exposing yourself to sunlight or heat for at least a day after your session.

Since results from BOTOX® are temporary, patients will eventually need to have additional injections if they want to preserve their smoother skin. However, there are some things patients can do to prolong their BOTOX® results and prevent further signs of aging or damage from occurring. A good skincare regimen is essential for patients because healthy skin responds better to treatments.

You may also need to make some changes to your lifestyle, such as stopping smoking, along with minimizing or cutting out excess sugar and other foods that cause inflammation. The overall goal is not to get rid of anything good and fun from your life, but to maintain strong skin.

Keep your skin hydrated with products containing hyaluronic acid or glycerin to help minimize wrinkles, and use powerful ingredients like retinols to stimulate collagen regeneration and vitamin C, which is an antioxidant that protects from solar/UV damage.

If you want to extend the lifespan of injections between BOTOX® appointments, make an effort to avoid squinting or scowling while you’re working out—or any time, really. Try relaxation techniques like yoga and meditation that can relieve stress, which is a contributor to premature aging.

Regularly taking zinc supplements before and after a BOTOX® treatment is believed to be a way of increasing the longevity of the injections’ effects. Wearing high-quality sunscreen, staying out of the sun during peak UV intensity hours, and wearing protective clothing will also be important in the months after getting BOTOX® injections, because sun damage is one of the primary causes of premature aging. With so many factors seemingly conspiring to age you beyond your actual years, aren’t you glad we have BOTOX® for facial wrinkles?

Can You ‘Undo’ BOTOX® Injections?

Most people are satisfied with results from their BOTOX® treatment, but if, by chance, you’re not fully happy with your outcome and are frantically jabbing the words “How to get rid of BOTOX® faster?” into your browser, remember that the effects do gradually diminish on their own within a few months. Yes, your muscle activity will fully return—which is good news for some, and a disappointment to others.

Unlike some fillers, it’s not possible to remove or dissolve BOTOX® once it’s injected. However, for patients who don’t want to just wait it out, the Iteld Plastic Surgery team can work with you to make adjustments that can help you better achieve the look you want.

Which Cosmetic Treatments Complement BOTOX® Injections?

The other botulinum toxin type A injections—Dysport® and Jeuveau™—are better suited for some patients. They all work in a similar manner to BOTOX®, but there are some differences in how they are formulated, and each has its own strengths. Dysport® diffuses a bit more easily, making it more suitable for larger areas, and has a faster onset compared to BOTOX®.

Relaxing facial muscles with BOTOX® does wonders for dynamic wrinkles, but not static wrinkles. These types of wrinkles occur due to the natural, age-related depletion of collagen, elastin, fat, and moisture from the skin. Skin damage from smoking, sun exposure, and other environmental aggressors or lifestyle habits also causes the depletion or breakdown of collagen. No muscle activity is required for static wrinkles to form, which is why they require their own solution.

Any of a number of dermal fillers available at Iteld Plastic Surgery may work in this case, with options that include Juvederm®, Restylane®, Sculptra®, and more. These fillers work differently from BOTOX®, as they are intended for volumizing the face and restoring the structure of the skin. Instead of reducing muscle contractions, the soft filler gels reduce the depth of wrinkles by thickening and filling out the skin itself. Some fillers, like Sculptra®, also stimulate collagen production in the skin. All of them can be used in combination with BOTOX® injections.