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Facial muscles create wrinkles and lines when we animate. The more they contract over time, the more ingrained the lines become in our skin. Some lines, such as smile lines, are quite beautiful, while others that result from scowls, frowns, and consternation we can often do without. By relaxing or weakening some of these contracting muscles, frown lines, worry lines, crow’s feet, and wrinkles can be softened, and sometimes even erased.

Need more information? 

If you would like to learn more about having Botox that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.


Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment. You may also fill out our contact form to make an appointment.

What is Botox®? 

Botox® Cosmetic is a treatment that blocks nerve impulses to muscles. When used in small doses in the muscles that cause wrinkles of the forehead and face, Botox® Cosmetic can smooth existing creases, and can even prevent the formation of new wrinkles.


• Lines and wrinkes between brows, on forehead, and crows feet due to muscle action

• For Woman & Men

• No cut-off starting age ( in their 20s)


• Relaxes muscles that cause frown lines

• Softens and smooths wrinkles


• Between brows, forehead, crows feet

• fine “muscle action” lines above lip, neck bands

• underarms for hyperhidrosis


• Length of Treatment: 15 minutes

• Botox Duration: 5 months

• Back to Work: Same day

• Return to Exercise: 4 hours

What should I expect from my consultation? 

During your consultation, you will learn about Botox and discuss your needs and concerns. Dr. Nabil Fakih will carefully examine your frown lines, worry lines, crow’s feet, and wrinkles and he will determine how much Botox you need.

After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. It is important to provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take.


Why use Botox®? 

Dynamic facial wrinkles are caused by contractions of the delicate muscles of the face every time you express emotions. The more expressive you are, the deeper these wrinkles and lines are likely to be. These lines may be misinterpreted as anger, anxiety, fatigue and, of course, aging. Fillers can plump up these areas and surgical procedures such as browlift and blepharoplasty that can tighten the skin and muscles around these lines, but neither can address the underlying muscle pull, which eventually deepens the facial wrinkles. So for dynamic facial lines from overactive muscles of the upper face, Botox is usually the best treatment.


Botox is now more than just treating wrinkles. For example, the face can be “sculpted” by raising or lowering eyebrows to enhance your look. Botox is an excellent complimentary procedure to overall facial rejuvenation. It can be used alone or in combination with facial fillers and skin care from home treatments to laser resurfacing. Most Botox-related problems are overly sensationalized when reported by the media; complications are rare and generally more common with inexperienced physicians. The number of applications is ever increasing. However, glabellar lines (those between the eyebrows) are the only cosmetic use currently approved by the FDA. Any other places are at the discretion of the treating physician and patient.

Botox® treats dynamic facial lines and overactive muscles:  

• Glabellar lines: Deep furrows between the eyebrows.

• Horizontal lines on the forehead

• Crow’s feet

• Platysma bands–the thick bands of muscle in front of the neck, botox may help stave off a facelift

• Dimpling of the chin from overactive muscles

• Raise drooping of the corners of the mouth

• Fine lines around the lips

• Fine wrinkles under the eyes

• Browlift: Botox can also be used to raise your eyebrows to create a more pleasing shape and even mimic a browlift without surgery.

• Excessive perspiration(hyperhydrosis)


How is Botox® used? 

Botox treatments typically have minimal discomfort. We use the tiniest needles available; some are hair-thin. These needles are so fine that patients rarely feel the need for topical anesthetic cream. Botox usually lasts for 5 months. Patients may elect to repeat Botox treatments when it fully wears off. However, if the face is re-treated as soon as the muscles start to move, the facial muscles never regain their “memory”. After a number of re-treatments the interval between may become longer.


How old do you have to be to start? 

There is no cut-off or starting age for Botox®. Generally, we treat younger patients (in their 20s) when they have forehead or brow lines at rest.


Who should do my Botox® treatment? 

Make sure a qualified doctor is performing your treatment. Experience matters when considering who will perform your Botox treatment. Dr. Nabil Fakih has over 10 years of experience treating patients with Botox. Anyone in the medical field can inject Botox (nurses, physician assistants, interns and the like). In many cases, these practitioners have only taken a weekend course in Botox, have no experience in facial anatomy or facial surgery for that matter, and cannot treat any of the complications should they arise. It is your face – be sure an experienced facial surgeon performs your treatment. Experience matters.

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