LEARN, SHOP & CHAT ABOUT PLASTIC SURGERY, BEAUTY AND ANTI-AGING
You're here: Home > Message Boards > Ask A Plastic Surgeon, Doctor, Expert > Non-Surgical Cosmetic Procedures: Dr. Alex Rivkin

Plastic Surgery, Beauty, Skin Care Message Boards & Blogs

Our message boards are for all of us who want to talk, listen, share, and support fellow women and men interested in discussing plastic surgery, beauty treatments, pregnancy, gynecological concerns, aging, and various health conditions. You can read messages without logging in. To post a message, please log in or register. It's free...and being a member gives you access to important information. By using the Message Boards, you agree to the Message Boards Policies.

SUBSCRIBE: Sign up to get newsletter with weekly popular topics discussed on the boards  
 

Botox for marionettes

Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.

Botox for marionettes

Postby GeminiJay » Mon Jun 09, 2008 1:57 am

Hi Dr Rivkin,

My doctor has recommended Botox in the dao muscle to help lift my marionette area. I've been having Perlane for both marionettes and n/l's, which works reasonably well, but I have a rather unsightly wrinkle on the right side of my chin that returns after about 12 weeks post Perlane, that has formed from a lifetime of having a very stong dao muscle/

My doctor feels that having the Botox, in addition to the Perlane, will help keep this wrinkle at bay. She has it herself and likes the effect is has for her.

Do you think she is right? If so,

1) What are the chances that surrounding muscles could be effected after the injection that could result in a drooping mouth? Have you heard of this happening?

2) And, if that were to happen, how long do you think the droop would last?

3) How many units should be used for this procedure?

And lastly, are there any other potential complications that I should be aware of before I proceed?

Thanks for you advice.
GeminiJay
 
Posts: 50
Joined: Fri Mar 16, 2007 12:45 am



Postby AlexanderRivkinM.D. » Mon Jun 09, 2008 5:59 pm

hi,
botox in the dao works really well.
i use a total of 8 units (4 on each side) in 2 injections per side.
i have not had any issues with mouth droop and i don't think you'll have a problem as long as only 8 units are used.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
User avatar
AlexanderRivkinM.D.
 
Posts: 497
Joined: Mon Nov 19, 2007 3:40 pm
Location: Los Angeles, CA



Re: Botox for marionettes

Postby ktel » Sun Sep 27, 2009 6:27 am

I recently had injections to the DAO muscles

After no effect at the 10 day mark my injector added more units a couple of days ago

He rightly wanted to start conservatively and assess the effect

How often have you seen patients for whom this does not work?
ktel
 
Posts: 9
Joined: Tue Oct 24, 2006 4:18 am



Re: Botox for marionettes

Postby AlexanderRivkinM.D. » Tue Sep 29, 2009 9:27 am

hi,
this works for most people, if it is truly the dao that is the issue.
sometimes, you just need to fill the area with filler because the issue is volume loss, not an overactive dao.
hope that helps
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
User avatar
AlexanderRivkinM.D.
 
Posts: 497
Joined: Mon Nov 19, 2007 3:40 pm
Location: Los Angeles, CA




Return to Non-Surgical Cosmetic Procedures: Dr. Alex Rivkin

 

Featured Specialists









Top Cleveland Plastic Surgeon
Look Young Again!
Experienced & Compassionate
www.DrBramKaufman.com

Miami Plastic Surgery
Board Certified Surgeons
Breast Augmentation $2800
coralgablescosmetic.com