BOTOX^® Cosmetic is a natural, purified protein approved for cosmetic use by the FDA. Injected directly into overactive facial muscles, in very low doses, it relaxes the muscles so they do not contract. This causes the skin to become smooth and unwrinkled.

BOTOX^® Cosmetic is injected directly into the wrinkle-causing muscle with a tiny microneedle temporarily blocking nerve impulses to the area. This causes the muscle to remain in a resting state giving your face a relaxed, more youthful appearance.

BOTOX^® Cosmetic is used to soften frown lines between the eyebrows, horizontal forehead lines, and crow’s feet around the outer corners of the eyes. It is also used to raise eyebrows, treat horizontal lines on the bridge of the nose, and soften lines around the mouth.

In addition to its cosmetic applications, BOTOX^® Cosmetic has been proven safe and effective for the treatment of hyperhidrosis (excessive sweating). BOTOX^® Cosmetic helps control this condition by temporarily blocking the chemical signals from the nerves to the sweat glands thus inhibiting severe sweat production. The FDA has approved BOTOX^® Cosmetic for the treatment of severe underarm sweating that is not adequately managed with topical agents.

Hyperhidrosis typically affects the underarms, palms, and soles of the feet and is a source of great psychological and social distress for those who suffer from this condition. Dr. McAnalley is experienced with the treatment of hyperhidrosis and is a member of the International Hyperhidrosis Society. Prior to treatment with BOTOX^® Cosmetic, she will perform a thorough evaluation to rule out secondary causes of excessive sweating.

For more information on hyperhidrosis visit www.SweatSolutions.org and www.botoxseveresweating.com.

Patients see results from BOTOX^® Cosmetic in 2-5 days with maximum effects typically visible in 10 days to two weeks. You can expect to maintain your result for 3-4 months. Results last significantly longer when BOTOX^® Cosmetic is used to treat hyperhidrosis.

All of the above products are synthetic hyaluronic acids and are FDA-approved to improve the appearance of facial lines and folds. Hyaluronic acid naturally occurs in our skin to provide volume and fullness. Hyaluronic acid also binds water molecules, which furthers the youthful plumpness it provides our skin. As we age, our skin loses some of its hyaluronic acid as well as soft tissue volume. This loss of volume and hydration causes our skin to appear sunken and wrinkled. Synthetic hyaluronic acids such as Restyalne, Perlane, and Juvederm can mimic the benefits that our own naturally occurring hyaluronic acid provides adding volume and thickness to our skin.

Synthetic hyaluronic acid is injected with a tiny needle into the treatment area. It then binds with water in the tissues to fill creases, lines, wrinkles, and folds restoring volume to the skin for a more youthful appearance. All of the above products are non-animal-based and completely biocompatible with human hyaluronic acid; therefore, no allergy test is necessary.

Hyaluronic acid is effective for lip enhancement, shaping facial contours, and for smoothing out folds and wrinkles. The most common areas treated are the nasolabial folds (the parentheses from the base of the nose to the outer corners of the mouth) and lips.

Most patients see immediate results that last six months to a year. The longevity of treatment is dependent on many factors including the product used, age, skin type, lifestyle, activity of the muscle, and injection site. The lips may require retreatment sooner due to frequent use of the muscles of the mouth. Rarely, individuals may absorb it more readily. Over time, hyaluronic acid slowly absorbs into the skin in the same way the body metabolizes its own natural hyaluronic acid.

Sculptra^™ is an injectable product that is intended to correct the signs of facial fat loss by restoring fullness to the face for a more natural appearance. It has been clinically proven safe and well-tolerated. Sculptra^™ is composed of poly-L-lactic acid, a synthetic product requiring no skin test. Poly-L-lactic acid (PLLA) is biocompatible (does not harm the body) and biodegradable (able to be broken down by the body) and has been widely used for many years in dissolvable stitches, soft tissue implants, and as a vehicle for several sustained-release injectable medications.

Sculptra^™ is injected below the surface of the skin into the areas of soft tissue loss. It is a sculpting agent that restores volume to correct the signs of facial fat loss. It provides a gradual and significant increase in soft tissue and skin thickness improving the appearance of folds and sunken areas. Multiple treatment sessions may be required to attain the desired fullness. Most patients require 1-3 treatments approximately 3-6 weeks apart.

Lipoatrophy is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra^™ has been clinically proven to significantly increase the appearance of all of these areas. Though Sculptra^™ is FDA-approved for the treatment of lipoatrophy in patients with human immunodeficiency virus, it is also effective in patients with facial fat loss secondary to normal aging. Excellent results can be achieved with Sculptra^™ when treating all parts of the face including the forehead, around the eyes and lips, between the mouth and nose, and the cheeks. Sculptra^™ can add volume to the cheeks, to folds around the chin, and to rings around the eyes. Facelift-type results have been observed for sagging jowls with significant lifting and tightening of the jaw line, neck, and chin.

The effects are long-lasting and have been shown in clinical studies to last up to 2 years after the first treatment in most patients.

Artefill^® is the first and only FDA-approved non-resorbable wrinkle filler for the correction of smile lines. ArteFill^® contains PMMA microspheres and purified bovine collagen gel with an anesthetic for comfort during injection. ArteFill^® is a dual-acting injectable wrinkle filler that provides immediate and long-lasting results.

Artefill^® is injected with a tiny needle into the treatment area. First, ArteFill^® visibly corrects the wrinkle. The microspheres then provide the permanent support your skin needs for enduring wrinkle correction. Before your initial treatment with ArteFill^®, a skin test must be administered four weeks prior to screen for an allergy to bovine collagen.

Artefill^® works beautifully on smile lines around the mouth and nose. Depending on the depth of wrinkles and folds, most patients get the results they want with one or two treatments.

Artefill^® is different from other fillers on the market in that the unique microspheres in ArteFill^® are not absorbed by the body and thus provide the permanent support your skin needs for long-lasting wrinkle correction. Studies have shown lasting results at five years.

Radiesse^™ is a new generation injectable filler that offers a non-surgical approach to shaping and contouring the face. Radiesse^™ is made of very tiny, smooth calcium hydroxylapatite (CaHA) microspheres suspended in a water-based gel carrier. The unique composition of Radiesse^™ provides immediate visual improvements common with other fillers, along with the benefit of long-lasting results.

Radiesse^™ particles act as a scaffold for new tissue development. Over time, surrounding tissue infiltrates the microsphere structure and stimulates the creation of the body's own collagen which provides longer lasting results.

Radiesse^™ can be used for facial contouring and filling in the nasolabial folds, marionette lines, and along the jaw line to diminish the appearance of jowling. It is an excellent product for cheek augmentation, chin augmentation, non-surgical rhinoplasty, and filling of facial lipoatrophy.

For the first three months after injection, Radiesse^™ initially performs as a filler substance by plumping up the skin. Then thanks to its collagen-generating properties, Radiesse^™ actually stimulates new tissue development for extended correction for up to 12 to 24 months.

In facial applications, Radiesse^™ should provide a correction that lasts around one to two years (with an occasional touchup). Individual results may vary, affected by age, metabolism, skin type, lifestyle, and muscle activity.