man getting botulinum toxin picture id514880097

Are You New to Botox? We’re Not! We’ll Walk You Through an Easy Rejuvenating Treatment!

man getting botulinum toxin picture id514880097 Botox Cosmetic. It’s a brand name that most adults have heard of and one that is sought by millions of people every year. Botox was first introduced in the early 2000s. At first, people were somewhat skeptical. Providers were a little green around the ears, having only been introduced to this new injectable wrinkle-reducer at the time of its FDA-approval. There may have been a few surprised-looking faces and more than a few jokes about freezing the face in that expression. We’ve come to see that Botox is capable of achieving outstanding results; results that look natural and beautiful without requiring much in terms of investment or downtime. No wonder so many people get Botox injections every year! Here, we walk you through what you can expect when you have your first appointment.

Your Consultation

You cannot and should not get Botox injections without first talking with your provider about your concerns and goals. How else can we determine that Botox is the right approach to reach a successful outcome? Even if you are fairly certain that your wrinkles are a job for Botox, we will begin your appointment with a brief discussion about your medical history and what you wish to achieve. Some of the improvements that Botox can achieve include smoothing frown lines and horizontal forehead lines, reducing crow’s feet, and lifting a drooping brow.

Your Treatment

After we understand your expectations from treatment, we discuss how we can achieve that. It may be Botox alone or Botox with other injectables. In some cases, it’s neither. Remember, as safe and effective as injectables are, they do have limits to how much they can refresh the skin. If injectables are the right solution for you, we can administer treatment immediately.

Botox injections are quick and virtually painless. Many first-time patients worry that their injections will hurt. They don’t. No anesthetic is necessary. A tiny needle is used to administer treatment. If you’ve ever had a tuberculosis test, you know about how small a Botox needle is. During treatment, several injections are given. Each feels like a small, momentary pinch. Within a few minutes, the entire process is complete.

Recovery and Results

One of the reasons Botox is so popular is that it is possible to go right on about your day after your appointment. However, it doesn’t hurt to schedule your first Botox appointment at a time when you don’t have to. You might experience minor swelling and redness around injection points that disappear within an hour or two. You might have these side effects for a little longer. You may also develop a headache or mild body aches. These are all normal side effects. None will take you out, causing you to retreat to bed. The reason some suggest to go home to rest after that first Botox appointment is to see how the body does respond and to do so as comfortably and discreetly as possible.

The results of Botox are evident within about a week. After that time, touch-ups may be scheduled as needed to maintain smooth, youthful skin. Some people schedule touch-ups every 3 months, some every 6. The timing is up to you!

Get your first Botox treatment now to start the new year right. Call our Louisville, KY office at 502-425-5200.

Why Botox May Not be the Ideal Brow Lift for Every Person

Years ago, we knew Botox as the formidable foe of frown lines. That’s what the drug was initially approved to correct. That was in 2002. Now, in 2020, Botox is the go-to injectable for frown lines, forehead lines, downturned corners of the mouth, migraines, excessive sweating, and the aging brow line. As we age, the muscles that are commonly used in facial expression become tense, this can affect the eyebrows, causing them to drop lower than the upper orbital rim. When this happens, Botox is often the first treatment that comes to mind. But is it always the right treatment? No.

How Botox Lifts the Eyebrows

Referring to injectable treatment as a Botox brow lift may be slightly misleading. Botox does not physically lift the eyebrows. The way that this drug works is by diminishing muscle movement. The corrugator and the orbicularis oculi muscles, in particular, pull the eyebrows down. There is another muscle, the frontalis muscle, that pulls the eyebrows up. These two groups of muscles work in opposition to each other. By injecting Botox, what we do is weaken the downward pull of the contracted corrugator and orbicularis oculi muscles, stopping the opposition to the frontalis muscles. The result is a lifted brow line. Sounds easy enough, right?

The Potential Problem

The use of Botox as a brow lift assumes that the frontalis muscle that pulls the brow upward is strong. If the muscle is strong and loses its opposition, it works to hold the brow line higher. If the frontalis muscle is not strong, the effects of Botox injections will be limited if at all noticeable. This is not a matter of needing more Botox. You can only weaken the orbicularis oculi and corrugator muscles so much without causing unwanted effects. In this instance, what may be needed is a surgical brow lift.

Please don’t assume that because we are a plastic surgery office that we don’t believe in the power of Botox. We use this product routinely, as well as several other effective injectables. Additionally, our patients can explore other nonsurgical options for facial rejuvenation, such as ThermiRase. But it’s also important to review anatomy and understand how various treatments get the results they do. We intend to get the best results for each of our patients by tailoring treatment to their needs.

Explore your options for a surgical or non-surgical brow lift at 502-425-5200.

Botox® or Fillers? Your Non-Surgical Options

If you’re looking at your non-surgical options for refreshing your holiday look, then injectables can be a great solution. If you don’t have any experience with injectables, however, it can be a little overwhelming. Injectables are generally categorized into two types: dermal fillers and neuromodulators. There are pros and cons to each, so here’s an overview to help guide your choices.


Botox, Dysport®, and Xeomin® are all classified as neuromodulators that are derived from botulinum toxin. This means that it can block signals from the brain that cause facial muscles to move. This can have many benefits, including that it can prevent muscles in the face from further causing wrinkles and relaxing their wrinkle-causing position. Botox is one of the most popular cosmetic treatments available because it only requires and quick and easy treatment session and produces results for around 3-6 months. It’s most effective in smoothing wrinkles in the upper face, including frown lines in the forehead and crows’ feet around the eyes.

Dermal Fillers

There are many different types of dermal fillers available, but they can all accomplish different results for different areas of the mid and lower face. Most fillers are made with hyaluronic acid, a protein naturally found in the skin that is responsible for moisture and elasticity. Fillers can also be made with other substances which are carefully placed underneath the skin to restore volume. A loss of volume is responsible for many signs of aging, so fillers can smooth out wrinkles or augment the features. Fillers can last from a few months to a year, depending on the brand.

Which one is best for me?

Fillers, neuromodulators, and even skin treatments can be performed in the same session for additional rejuvenation if you want the best of both worlds. However, if you’re looking at one option, then the best way to determine your ideal injectable is through a consultation with our expert injectors. As a general rule, Botox can benefit the upper face while fillers can benefit the mid and lower face. This is an important thing to consider when thinking about your results and your options.

To begin getting ready to make a big impression this holiday season, be sure to schedule a consultation at Salzman Cosmetic Surgery and Spa by calling or filling out our online form. We can recommend the best options for you and your goals to boost your confidence and refresh your look.

All the Things Botox Can Do for You

When it comes to plastic surgery, there are many different procedures out there that help people with a multitude of concerns such as excess fat, excess skin, wrinkles, scar tissue, breathing problems, back pain, and more. If you pay attention to popular culture, then you have heard of Botox. It is one of most popular nonsurgical treatments available, helping thousands of people each year around the world. Actually, Botox is so popular that it is administered in 98 countries around the world. Botox initially was created to help people with crossed eyes; it was created to help relax the muscles around the eyes to straighten them out. Nowadays, it is most popular for helping to rid people of facial wrinkles. But that is not the only thing that Botox can be used for.

The Different Uses of Botox:

When you begin researching Botox, you will find that there are so many ways that it can help you out. It is not only used for wrinkles and cosmetic issues, but it can be used for multiple problems. The different uses are:

  • Cross Eyes
  • Wrinkles
  • Eyelid Spasms
  • Excessive Sweating
  • Headaches/Migraines
  • TMJ
  • Drooling
  • Bell’s Palsy

As you can see from this list, there are many uses for Botox outside of just getting rid of wrinkles and crow’s feet. The toxin is able to help prevent muscles from contracting , essentially freezing them, which helps to take care of a lot of issues associated with the neck and head. If you are suffering from any of these problems, then Botox is a great way to help care for it.

Make It Work for You

Botox is well-known for helping to achieve firmer, younger looking skin, but it can also help with so much more. If you are struggling with an issue such as sweating, drooling, headaches, or eyelid spasms, then talk with Dr. Salzman, and he will help to find the best treatment for you. Botox isn’t only for wrinkles, but it might be an added benefit to the care that you need. Contact Dr. Salzman today to make an appointment and get ready to find a way that Botox can help you.




3 Things You Might Not Know About Botox®

Botox has become a wildly-popular cosmetic injectable over the past couple decades, but there are still a lot of myths and misinformation about it— this could be because most people most closely associate Botox with cosmetic treatments. In fact, Botox has a long and unique history of use before it became a popular cosmetic option! Here are a few interesting things to know about this injectable as you plan your consultation.

It Was First Used to Treat Strabismus

Strabismus, which is the term for misalignment of the eyes; and can sometimes require surgery. However, Botox became the preferred solution when it was first used in the 1970s to relax the eye muscles causing it. After FDA approval and clinical testing, it was sold to the pharmaceutical giant Allergan who developed it into the injectable widely used today. However, it still maintains its medical roots, since it’s used to treat many different conditions like migraines, muscle spasms, urinary incontinence, hyperhidrosis, and bruxism.

It’s Made with a Modified Form of Botulinum Toxin

Botulism is a serious condition that affects the nerves and thus the muscles in the body, and it can be caused by contact with toxins that can be produced by certain bacteria commonly found in foods or infections. However, paralyzing certain muscles can be beneficial to certain conditions, and so Botox is made from heavily-diluted botulinum toxin type A, which is one of the many types that exist. This means that Botox is safe and effective when administered by a licensed and experienced provider.

Virtually Any Medical Provider Can Administer It

Because Botox is so widely used for many different reasons, there’s little requirement for credentials when it comes to who can provide it. All physicians, no matter what specialty, can administer neurotoxins such as Botox. Nurses, nurse practicioners, and PA’s, depending on state laws may inject botox. You should beware that some counterfeit products also exist in order to undercut prices. You should always verify your chosen provider’s credentials, ask for before-and-after photos, and use common sense when it comes to cheap prices to make sure your injections will be safe and effective.

If you’re interested in seeing what Botox can do for you, contact our office in Louisville or fill out our online form to schedule a consultation with board certified plastic surgeon, Dr. Salzman.

What Happens When You Get Botox

These days, most everyone has heard of Botox, the “magical” treatment that can eliminate lines and wrinkles with just a few injections. In fact, according to ASPS, Botox was the number one minimally-invasive procedure in 2016. However, do you know how Botox actually makes those wrinkles disappear? Read on to learn about how Botox really works.

The Specifics

Throughout our lives, we make many facial expressions. When we make these expressions, we are contracting our facial muscles. And when facial expressions are made often and muscles are constantly being contracted, lines and wrinkles begin to form. Botox is made up of botulinum toxin type A, a neurotoxin that works to temporary relax these muscle contractions so that wrinkles and lines are softened or completely eliminated. Botox can be used to relax the muscles that cause forehead wrinkles, crow’s feet, lines between the eyebrows (the 11 lines), diminish neck bands, improve skin dimpling on the chin, and soften a square jawline.

Who Can Benefit?

Adults who are looking to smooth dynamic lines and wrinkles can often benefit from Botox. However, those who are pregnant or breastfeeding, or have certain nerve conditions should not receive this treatment.  A consultation with a board certified plastic surgeon can help to determine if this treatment is right for you. Plus, because Botox results are temporary (lasts 3-6 months) Botox can be great for those who are not looking for permanent outcomes.

Are you considering Botox for a more youthful appearance? If so, take your first step towards a new you by contacting Salzman Cosmetic Surgery and Spa in Louisville today. We would be happy to schedule your initial consultation!

Introducing Vivace!

The Holy Grail it seems in plastic surgery, at least over the last 15 years or so, is skin tightening without surgery. We know that a modern facelift can restore a youthful shape of the face as well as tighten the overlying skin of the face and neck. Because a facelift necessitates making of incisions, some type of anesthesia, as well as the perceived downtime away from work or family, there are a multitude of patients who would opt for a noninvasive or minimally invasive modality to accomplish the same goals. While we do have neurotoxins such as Botox, Dysport and Xeomin, which can paralyze underlying muscles rendering the overlying crease less deep, as well as a plethora of different fillers, either made from hyaluronic acid or other substances, to make the face more youthful, none of these entities will tighten the overlying skin or improve upon fine lines for texture.

For the last 20 years or so we have had ablative lasers using wavelengths of carbon dioxide or Erbium, whether in a fractional or a full field coverage of the face that can produce skin tightening, these lasers need to deliver their energy to the deeper portion of the skin called the dermis and do not have the ability to spare the outer part of the skin called the epidermis. Therefore, when doing ablative laser resurfacing, when the outside layer of skin is removed, some downtime is necessary for healing and, until the outside skin has grown back, make up cannot be used during this healing process. This forced patients scheduling these more aggressive procedures during periods of time in which they could accept these downsides in order to obtain a result of skin tightening, correction of texture and fine lines, as well as the improvement in brownish discolorations.

Some of the newer technology, have used radiofrequency (RF) as a method of tightening skin. These radiofrequency waves, commonly used in telecommunications, have also been used in surgery for over 75 years, mostly in surgical or dermatological applications for both removal of superficial skin blemishes or cutting, and coagulation of blood vessels during surgery. RF works by rapidly stimulating the oscillation of molecules causing internal friction and thereby heat. The heat produced by RF is thought to ‘injure’ the deeper part of the skin causing an inflammatory response by the patient producing new collagen and elastin. Both of these entities, when increased, produce a more elastic and tightened skin appearance.

The first wave of RF devices applied the heat from the outside-in with some type of method of cooling to allow the heat to preferentially be absorbed in the dermis. Because of the human intolerance of outside-in heat of temperatures in excess of 43°C, there was some limitation in how much tightening one could get in a single session. Multiple weekly or biweekly treatments are necessary to produce the desired effect.

The next advancement in the application of RF was to place the heat under the skin using a long insulated needle. Here, using local anesthesia, higher temperatures at the bottom of the skin could be reached and still tolerable by the patient. The technique is called ThermaTyte and we have had this for several years now. It’s very effective for skin laxity around the belly button as well as neck. It does have some downtime, as a fair amount of dilute numbing medicine needs to be placed beneath the skin to make it tolerable.

The latest advancement in the application of RF for the tightening of skin utilizes the placement of this energy through the skin using tiny, hair size needles, known as microneedling. Microneedling involves, either with a roller or piston type stamping method, the insertion of an array of needles into the skin. No skin is removed and the hole simply closes within hours. While open, topical application of serums, that would otherwise not be absorbed, can be placed over the skin allowing them to gain entry to the deeper layers. The improvement in the quality of skin texture is limited only to the length of the linear hole that is made into the skin. Radiofrequency heat energy can be added to the end of the needle so microscopic injuries in the deeper portion of the skin can be made. We can control not only how much energy, but also how long the energy is applied, as well as the exact depth of its placement using a computerized screen. This new device is called Vivace.


Vivace uses an array of 36, 1/3000th of an inch wide, goldplated needles attached to a computerized mechanism that when placed on the skin can pierce the skin and deliver the radiofrequency energy in a fraction of a second. The technique does require the topical application of a numbing cream for about 45 minutes prior to the procedure. Because not all of the skin can be treated in one session, a series of treatments is necessary to produce the desired result. Multiple treatment depths can be done in the same session. We are commonly treating skin laxity of the face, stretch marks of the abdomen and legs, active acne as well as acne scarring using this new exciting technology.

So far, we have found this technique to be extremely useful in producing nice results in all the patients. Because the energy bypasses the outside layer of the skin, any skin color or amount of skin tan is amendable to this treatment regimen. After the procedure, we have seen that the skin is merely red or pink for a few hours. Makeup can easily be applied the following day. Some patients have found that there is a gritty feeling texture to their skin but is usually not visible under makeup. We recommend a series of at least four treatments at 4 to 6 week intervals. It seems we finally have a method to treat all patients in all seasons with issues of acne scars, stretch marks, skin laxity of different areas of the body.

4 Botox Myths, Debunked

Botox is one of the most sought-after non-invasive treatments for unwanted fine lines and wrinkles. However, there are also many misconceptions surrounding this popular injectable. Read on for popular Botox myths, debunked!

MYTH #1: You don’t need to think about Botox until wrinkles appear

More and more people are beginning to use Botox as a preventative measure instead of waiting for wrinkles and lines to appear. Once lines are fully formed in the skin, it is much more difficult to remove them. If Botox is used to prevent lines from ever becoming an issue, you are more likely to look younger, longer, and require less Botox in the future.

MYTH #2: Discontinuing the use of Botox will result in more severe wrinkles

This is a common misunderstanding about Botox. If a patient receives Botox injections, but decides to discontinue use, their wrinkles will simply return to the way they were before injections. When you stop receiving Botox injections, you are simply losing the effects slowly over time, resulting in the normal development of facial wrinkles. If you have been receiving Botox for a long time, results may last a little bit longer before wearing off.

MYTH #3: Botox is only for wrinkles

Although Botox is largely known for its cosmetic uses, can be used for issues that are not cosmetic as well. It can also be used to treat migraines, help block excessive sweating, and may even be able to help those who suffer from depression.

MYTH #4: Botox is only for women

The popularity of Botox for men is rising so rapidly, that it has been dubbed the name “Brotox.” Today, men want to look as young as they feel just as much as women do. Also, a younger looking appearance is often perceived as helpful in the workplace.

If you are located in the Louisville or Lexington, KY areas and are interested in Botox, do not hesitate to give us a call today. We would love to schedule a consultation for you.

Botox: Your Answer to Younger Looking Eyes

Most patients in the Louisville area are familiar with the injectable Botox, or onabotulinum toxin A. It is an extremely popular solution for the non-surgical correction of wrinkles and fine lines on the face. Botox can do wonders for the wrinkles around the eyes as well. Since the eyes are one the major focal points of the face, Botox can result in a noticeably more youthful appearance.

For those that do not want to undergo invasive surgery such as eyelid surgery, Botox could be a great option. By blocking the nerve impulses that cause muscles to contract, Botox can temporarily diminish the appearance of lines between the brows, crow’s feet, and lines that run horizontally across the forehead.

Patients with under eye bags may also benefit from Botox injections, though it depends on the severity of sagging. If eye bags are too severe for Botox or fillers to treat, eyelid surgery, or a blepharoplasty may be the best solution.

In order to achieve optimal results, patients should repeat injections to maintain their youthful appearance. Dr. Salzman will inject the substance expertly and meticulously to avoid unwanted side effects such as droopy eyelids.

It is important to understand that some forms of wrinkles around the eyes cannot be corrected by Botox. These include lines caused by sun damage or soft tissue shrinkage. Dermal fillers are often the best option for these types of lines because they can replace volume loss.

If you are interested in Botox for lines or wrinkles around your eyes, contact Dr. Salzman’s office today. We would be happy to set up a consultation for you.

Everything You Need to Know About Botox

As we age, lines and wrinkles can form in our face from constant use of our facial muscles. Every time we smile, frown, laugh, or furrow our brow, our muscles are contracting, which can cause these wrinkles over time. Botox is one of the most popular injectables used to date to temporarily smooth lines and winkles in the face.

Botox is made up of Botulinum Toxin A and works by temporarily interfering with the nerve impulses to the muscles, stopping them from contracting. Although it is popularly used in the face to smooth wrinkles, it can also be used to treat other issues. Those with spastic muscle disorders, imbalanced eye muscles, or suffer from excessive sweating can also benefit from Botox.

During a treatment, the Botox is delivered though a fine needle to the treatment area(s). Numbing cream may be applied if requested, though most patients can tolerate the injections fine without it. Patients can expect to see results in seven to ten days. Wrinkles that are very deep may also need to be treated with fillers to achieve optimal results. There is no downtime associated with Botox injections, so patients can return to everyday activities immediately after treatment.

If you are interested in Botox and are located in the Louisville area, contact us today to schedule your consultation.

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