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Botox® Cosmetic Treatments

Botox® is one of the most widely known cosmetic treatments. This treatment has a variety of applications in the health field. In addition to its use as a wrinkle reducer, it is also used to treat different muscular conditions and migraine headaches.

What Is Botox?

Botox is made from a neurotoxin, botulinum, that is produced by the Clostridium botulinum bacterium. If you think it sounds very similar to botulism, you are correct. While Botox is a powerful poison, it also can be useful when used in correct proportions.

Dr. Khosh and Michele Rivard, PA, have extensive experience working with Botox and other neurotoxins that are used to enhance features of the aging face. They get desired results with carefully calculated doses applied to the specific areas where needed.

Botox temporarily paralyzes the muscles that cause wrinkles. These include muscles between the eyebrows and those that produce lines in the forehead and around the eyes. It is also used to relax the muscles that cause marionette lines, which go from the corner of the mouth on either side of the chin down to the jaw line. It does have its limitations, though.

Certain conditions cannot be treated with Botox. For example, wrinkles caused by sun damage do not respond to treatment with Botox, nor do those caused by gravity. For situations where Botox is not indicated, other injectables may be used to create the desired look. Botox can be used along with facial fillers.

Non-Surgical Treatment for Wrinkles

There are several cosmetic applications for Botox. It is a long-lasting treatment that works well for wrinkles and lines in the upper face and forehead. Over activity of the muscles in the forehead and around the eyes contribute to wrinkles and lines in these areas. Botox produces a temporary relaxation of these muscles, which softens the lines and wrinkles and may eliminate them completely. The muscles will stay relaxed for up to four months. You can expect to see results of your Botox treatment within three days. Botox is used to address:

Botox works on wrinkles and lines as a neuromodulator. This means it affects the transmission of signals from the brain to the muscles. Contractions of facial muscles in the targeted areas are limited by the Botox injection, reducing the effects of wrinkles from excess muscle movement.

Ongoing use of Botox in strategic areas can reduce the formation of wrinkles. Continued treatments keep the muscles in a state of relaxation. The wrinkles that would normally form and deepen with muscle use either do not form or they do not develop as quickly or severely as they would without treatment.

Natural Results

Botox treatments are used to produce a look that is not only refreshing and youthful but also one that is natural-looking. Ideally, your look will be one in which you look rested and rejuvenated. You should be able to maintain your ability to show expressions on your face.

Botox for Migraine and Jaw Pain

Primarily, Botox is used for cosmetic treatments. However, Dr. Khosh and Michele Rivard, PA also use it to provide treatment for migraine headaches. Patients suffering from TMJ disorders and migraine headaches may benefit from Botox injections.

This FDA-approved treatment is preventive and is recommended for adults who have 15 or more 4-hour recurrent migraine headaches within a month. Botox injections are generally administered every 12 weeks for these patients.

Botox has also been proven to help with the pain caused by temporomandibular joint disorders. TMJ disorders often have related tension headaches along with jaw pain. Clenching and teeth grinding are often a source of TMJ disorders. Botox is used to relax the associated facial muscles, which then inhibits the jaw muscles from making the excessive movements and generating the extra pressure that triggers TMJ disorder symptoms. Botox is an off-label treatment for TMJ disorders currently, but the high success rate of relief from symptoms is promising.

Dr. Khosh and Michele Rivard, PA, can help you achieve a smoother, less serious or worried look with Botox treatments. Contact Creative Facial Aesthetics today, and schedule your appointment for a consultation to find out if you can benefit from Botox injections or one of our other injectable facial treatments.

What our patients are saying

4.9 / 5.0

Based on 106 reviews

Stephen P.

I've been to Michele for a numbers of years for various procedures and she's fantastic, a true artist. Michele never pushes procedures, always takes her time and the final results are superb. I'm in the entertainment industry and need to look my best. I'm thrilled that she's now moved offices and I was able to track her down, I wouldn't trust my face to anyone else. My advice, put yourself in her hands and trust and you'll be amazed at the results: not only is her work exceptional but very natural.

Robin M.

I have gone to Michele for more than 10 years, following her to her new location. It's so long ago but I think I heard of her expertise in a magazine article or blog. I trust Michele completely and have done botox and filler on many occasions during this time, The results are always perfect, so natural.

Scott S.

As someone who was very hesitant to try Botox, as I am a performer/dancer and expression is a huge part of my career, I could not be happier with the treatments I have received from Michele! I have gotten so many "You look so young!" and "You skin looks incredible!". Michele took her time to explain to me the benefits of different treatments and was very responsive to my concerns. I have recommended friends to her who are so grateful to me! As a person who came to aesthetic medicine through an incredible journey of her own, Michele is unparalleled in her compassion, skill and knowledge. Go see her! You will be in the BEST hands!

Melodie D.

Michele Rivard is the best I have had for my injections of botox and fillers. She is meticulous, exact and knows what needs to be done to make my face be the best it can be. I highly recommend her for whatever you want done and you will be happy with the results.

Meredith G.

Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!

Jackie C.

Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results

Kaitlin M.

Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.

Leah G.

Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!

Creative Facial Aesthetics

245 5th Avenue, Suite 334
New York, NY 10016

Phone: (332) 223-6655

Monday & Tuesday 8:30 AM – 7:00 PM
Wednesday & Thursday 8:30 AM – 5:00 PM
Friday 8:30 AM – 2:00 PM