Gary Salovon, MD
Dr. Salovon is a board-certified anesthesiologist at Lake Health System, where he was chairman of the Anesthesiology Department from 2014 – 2018. He got his medical degree at the Medical College of Ohio, and did his residency at the University of Michigan. He has lived in Cleveland most of his life.
How does Botox® work?
Botox and similar drugs do one thing and one thing only. They prevent a muscle from contracting, thereby relaxing that muscle, for a finite amount of time (generally 3-4 months). Botox can help us esthetically in a couple of ways:
- As our facial muscles contract during expression (smile, frown) they contract the skin of our face creating wrinkles. When Botox relaxes our selected facial muscles, the overlying skin ceases to wrinkle, creating a smoother more refreshed appearance. It is important to realize that Botox will only treat wrinkles that form when you make an expression. If there is a line on your face when you have a neutral expression, Botox will not immediately help.
Some of our facial features which are caused by the pull of these facial muscles can be subtly altered when these muscles relax via Botox. For example, downturned corners of the mouth can be subtly elevated; eyebrows can be slightly raised, the facial contour can be gently slenderized by injection into the jaw muscle.
Areas most commonly treated by Botox
- Forehead wrinkles: These are the lines that form when we raise our eyebrows in surprise. These lines can be treated to varying degrees according to the patient's preference.
- The “elevens”: The vertical lines that form between our eyebrows when we are angry.
- Crow’s feet: The lines forming at the corners of our eyes when we smile or squint.
- Lipstick lines/smoker’s lines: The vertical lines formed around our mouth when we pucker.