Botox

Daniel Mosel, MD, FAAD -  - Dermatologist

Greater Nebraska Dermatology Clinic

Daniel Mosel, MD, FAAD

Dermatologist & Medical Aesthetics Specialist located in North Platte, NE

Botox Specialist
When done correctly, Botox® injections can significantly decrease the appearance of fine lines and wrinkles on your face. When done incorrectly, however, you may find yourself looking oddly wooden and expressionless rather than younger. Dr. Daniel Mosel is a board-certified dermatologist at the Greater Nebraska Dermatology Clinic in North Platte, Nebraska. He has the medical skill necessary to deliver Botox injections the right way. Call the clinic today to make an appointment or take advantage of their patient-friendly online scheduling service.

Botox Q & A

by Daniel Mosel, MD, FAAD

What is Botox?

Botox is a neurotoxin (Clostridium botulinum) that’s specially formulated for cosmetic purposes. It’s been used by doctors for years to treat migraine headaches, muscular disorders, and other medical conditions.

In 1987, Dr. Jean Carruthers noticed that her patients receiving injections of this neurotoxin for unrelenting muscle spasms of the eyelid (blepharospasm) also had fewer wrinkles. She and her physician husband, Dr. Alastair Carruthers, researched the treatment and related their news to the medical world in 1991.

How does Botox stop wrinkles?

The truth is Botox doesn’t actually work directly on your wrinkles. It relaxes the muscles just under your skin that create frown lines, crow’s feet and other facial lines/wrinkles.

These muscles react to signals from your brain, which tells them to move when you laugh, frown, smile, or otherwise express yourself.  The muscular actions cause the overlying skin to wrinkle in response.  

Botox disrupts the communication between your brain and muscles, which gently relaxes their movement enough that creases don’t form in your skin. It works so well that about six million skin care patients receive Botox injections annually.        

Is Botox safe?

Botox has been used for decades at very high rates with very few long-term side effects reported. It is very important, though, that you see an experienced physician for your Botox injections. Too much Botox leads to that wooden, mask-like appearance late-night comedians sometimes joke about. Because Botox is temporary, however, even “mistakes” eventually fade away.

Dr. Mosel is an experienced dermatologist who is careful to administer a dose that keeps your wrinkles at bay but allows your expressiveness to shine through.

How many injections for a Botox treatment?

The number of injections required during a session depends on your area of concern. Crow’s feet require three injections in different locations in your outer eye area. For frown lines, expect two injections above each eyebrow and one between the brows to stop both the horizontal and vertical lines that form when you frown.

Dr. Mosel may suggest you have several areas treated at once to maintain symmetry. Individual responses vary but Botox typically lasts 3-4 months and injections can be repeated about once every four months.

Does it hurt?

The needles used for Botox injections are very small. Most patients note only minimal, if any, discomfort at the injection site.

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