BOTOX® Cosmetic

Get Wrinkle-Smoothing Injections in the Hingham, Quincy, and Braintree Area

Do you see wrinkles when you raise your eyebrows or frown? Are you bothered by the "crow's feet" next to your eyes? BOTOX® for Hingham, Quincy, and Braintree-area patients at the South Shore's South Coast Dermatology may be right for you!

This injectable has minimal risk when administered by trained physicians who are intimately familiar with facial anatomy. If you live in the Boston area, our doctors can help you achieve a more youthful, refreshed appearance.

Send a message online today to set up a consultation to discuss BOTOX® for Hingham, Quincy, Braintree, Weymouth, the South Shore, and all of Massachusetts at South Coast Dermatology. Call 781.335.9700 for more information.

What is BOTOX®?

BOTOX® is the trade name for a purified protein used in extremely small doses for particular cosmetic procedures and medical conditions. One of a family of injectables known as "neuromodulators," it is a mainstay of wrinkle treatment and prevention.

Neuromodulators are especially useful for eliminating specific wrinkles—known as "dynamic" wrinkles—that develop after years of repeated facial movements. Injections can also prevent such wrinkles in the first place.

Dynamic wrinkles often exist as the frown lines found between the eyebrows, horizontal forehead creases, crow's feet around the eyes, lines on the upper lip caused by pursing the lips, and downturned corners of the mouth.

BOTOX® treatments are also useful for what are known as off-label uses, which include relaxing a gummy smile, marionette lines, platysmal bands, and bunny lines. On the medical side, injections can help reduce the symptoms of hyperhidrosis (excessive sweating) and relieve tension or migraine headaches.

How Does BOTOX® Work?

BOTOX® works by blocking the release of a neurotransmitter, acetylcholine, which signals nerves to contract muscles. By blocking the signal from the nerve to the muscle, the muscle will relax, which causes wrinkles above the contracting muscle to soften.

Results appear four to seven days after the injection and typically last three to four months. However, for those who get injected at regular intervals over time, the results can last a little longer.

Are BOTOX® Treatments Preventative?

Even if you don't have many "wrinkles" yet, you could benefit from BOTOX®. Wrinkles are caused by years of movements like squinting, frowning, and raising eyebrows. If the muscles that cause the wrinkles are relaxed, then wrinkles form much more slowly or not all.

Dr. Heidi Anderson-Dockter

Meet Our Physicians

Heidi Anderson-Dockter M.D.

Dr. Anderson-Dockter is a highly trained dermatologist in general, surgical, and cosmetic dermatology. She is also a faculty member at Roger Williams Medical Center.

Meet Dr. Heidi Anderson
Dr. Susan D. Decoste, M.D.

Meet Our Physicians

Susan D. Decoste, M.D.

Board-certified dermatologist Dr. DeCoste practices general, medical and surgical dermatology with a strong background and interest in laser and cosmetic dermatology.

Meet Dr. Susan D. Decoste
Dr. Teresa DeGiacomo, M.D.

Meet Our Physicians

Teresa DeGiacomo, M.D.

Dr. DeGiacomo is a longtime fellow of the American Academy of Dermatology, with a strong interest and experience in cosmetic dermatology.

Meet Dr. Teresa DeGiacomo
Dr. Courtney Csikesz, M.D.

Meet Our Physicians

Courtney Csikesz, M.D.

Board certified in dermatology and pediatric dermatology, Dr. Csikesz practices general, pediatric, and cosmetic dermatology with clinical interests in acne, pediatric surgery, and lasers.

Meet Dr. Courtney Csikesz

Who Shouldn't Get BOTOX®?

BOTOX® is safe and effective for a majority of people. That said, patients who are pregnant, trying to get pregnant, or breastfeeding should not receive the treatment. Patients with neuromuscular conditions such as Myasthenia Gravis should also avoid BOTOX®. Be sure your doctor knows your medical conditions, medications (including supplements), and allergies.

What Are the Risks of BOTOX®?

If performed by a skilled dermatologist, major risks are minimal. BOTOX® has been studied for decades, and was first used cosmetically for forehead wrinkles in 1989.

The most common risks include temporary pain and/or bruising at the injection sites, or mild headache. More rare, but more serious, risks include facial asymmetry, eyebrow droop, vision changes, or allergic reactions. However, there have been no known reports of permanent side effects with BOTOX®.

How Will I Look After My Treatment?

Immediately after a session, there may be a mild amount of redness at the injection site, but this should resolve in a few hours. Bruising is very uncommon. We encourage patients to use the muscles more for the first hour after injection to maximize the wrinkle-smoothing effects of BOTOX®. Some patients worry about looking "frozen," but with our experienced physicians, such a result is very unlikely. Our goal is to relax muscles to minimize wrinkles, and make you appear naturally refreshed, more awake, and youthful.

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What Should I Do Before My Treatment?

Prior to getting BOTOX® injections, stop taking medication that can thin the blood (unless you absolutely must as directed by a doctor). This can minimize potential post-BOTOX® bruising. If you must take pain medications, Tylenol/Acetaminophen is OK.

If possible, stop taking aspirin, ibuprofen (either generic or Advil, Aleve, or Motrin), Excedrin, St. John's wort, vitamin E, fish oil or Omega-3s, ginkgo biloba, ginseng, and garlic supplements. Also, avoid drinking alcohol a few days before your BOTOX® injection session.

What Should I Do After a BOTOX® Session?

Do not rub your face for any reason, as doing so can move the injectable into unwanted areas and potentially cause eyebrow drooping or decrease the effectiveness of the treatment

Keep your head up for four hours. This means you should avoid napping, yoga, and even hair drying that would involve tilting your head.

As much as possible, don't sleep on your face.

Avoid exercise or strenuous activities for a couple days, as an increase in blood pressure can increase bruising.

Are There Options Aside from BOTOX®?

Other injectables in the neuromodulator family include Dysport® and Xeomin®, which have the same basic active ingredient and also serve to relax wrinkle-forming muscles. Since there are subtle differences between each injectable, a dermatologist can help each patient decide on the ideal treatment, based on unique needs.

BOTOX® and other neuromodulators can also can be combined with injectable fillers for enhanced wrinkle correction.

Botox patient before and after photo Botox patient before and after photo Botox patient before and after photo
*Patient results may vary.

Interested in BOTOX®? Hingham, Quincy, and Braintree-area patients—and more—can call the South Shore's South Coast Dermatology at 781.335.9700 for a cosmetic consultation with one of our dermatologists. You can also send a message online.

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