The appearance of wrinkles in the aging forehead is directly related to muscular activity in the area. Many procedures including direct excision, dermabrason, chemical peeling and soft tissue implants have been used to remove these lines, but none have succeeded as permanent solutions to the problem. Botox injection (Clostridium botulinum type A exotoxin) treats the problem by temporarily paralyzing the muscles causing these forehead wrinkles. Using a very small 30 gauge needle, Dr. Pribitkin precisely injects minute quantities of Botox into overactive forehead muscles. After about one week, these muscles can no longer move and patients can no longer scowl, no matter how hard they try. The forehead does not feel numb or different in any way, but the improvement in the wrinkling lasts from three to six months. The best candidates for this procedure have relatively shallow wrinkles without dermal scarring as seen in these patient photos.

Botox is perishable and must be used within 4 hours of preparation.  Generally, two patients (Botox buddies) coordinate their visits, so that they may be treated from 1 vial.  The cost per person in this instance is $350.  Nore information regarding Botox is available at http://www.botox.com/