Botox Basics with Nurse Kelli

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Hello! Nurse Kelli here to chat about some Botox basics. 

Patient education has always been an exciting part of nursing. From teaching my newly diagnosed cancer patients to liver transplant patients, I enjoy the conversations that come along with it.

My joy in education these days has been about skin aging and prevention! The main way our skin ages is with time, but mostly through photoaging (sun exposure).

Skin will naturally lose volume as dermal collagen, hyaluronic acid and elastin diminish. This is ACCELERATED by sun exposure, wear your sunscreen!

Hyperdynamic facial musculature also contributes to visible wrinkles. This is initially seen only during dynamic or active expression, and over time, these lines will be permanently etched – resulting in static lines (at rest).

One way we can pause wrinkle development is by the use of botulinum toxin (Botox, for example).

What is Botox (botulinum toxin)?

It is a purified neurotoxin protein that temporarily blocks nerve/muscle communication. This results in the smoothing of wrinkles that are caused by muscles contracting. Skin’s natural state is smooth, so if we can relax the muscles, the wrinkles won’t form!

Where do we use it?

It is mostly used in the hyperdynamic muscles in the upper third of the face. These make up the following most common “problem” areas:

– Frown lines between the eyes = glabellar region (procerus and corregator)

– Crow’s feet = sides of eyes (lateral orbicularis oculi)

– Horizontal forehead lines (frontalis muscle)

Botox is also used to treat common, chronic medical conditions, and works by relaxing muscles that cause:

– Headaches (temporal muscle)

– Bruxism (teeth grinding due to overactive masseter muscles)

Who are the best patients for Botox?

Patients with dynamic wrinkles and minimal static wrinkles will have the most dramatic improvement. It is also a great preventative treatment against wrinkles!

Patients with static wrinkles (wrinkles at rest) can have good outcomes, but this may require several consecutive treatments for significant improvement.

For patients with deep static lines, a combination of treatments, such as fillers and resurfacing procedures (chemical peels and microdermabrasion), will provide the most satisfactory outcomes.

An important thing to remember is that we still want the face to have animation. The days of “frozen” faces are over. This is ensured by seeing a skilled injector, selective placement, and appropriate dosing.

In general, Botox will last around 3 months. The more consistent you are with treatment, the less treatments you will eventually need.

Ready to schedule your appointment with Nurse Kelli? Email us at or call our office at 616-345-LBMD for more information.

(Kelli is now taking appointments for Botox at our Douglas office!)

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