Dermatologist Explains Botox: When to Start, What to Expect During a Treatment, Results & More

[@cindysharp4466]

I get Botox every 4 months and it makes me look less tired/stressed. My dermatologist does it and it always comes out great. I’m 58 and started at 56. Never had any issues with it at all.

[@saraelizabeth0318]

This was super helpful! I’d love a video about uses for Botox (brow lift, face slimming, etc) thank you for sharing!!

[@elizabethonstage]

I just wanted to take a second to say how absolutely stunning you look in this video (you always look fantastic, but your hair is gorgeous and your skin is glowing!) Thank you for always providing amazing educational videos 💗

[@jessicahellmer]

Awesome video, Sam! ❤ I'm 38 and just over a year ago, started getting Daxxify and Botox for a lip flip, eyebrow lift (for my lovely hooded eyes) and to treat crows feet and the glabella. I'm that person that said I should have started doing it 10 years ago (at least for the lip flip!) It was one of those things where I looked in the mirror one day and decided I was tired of looking, well, tired and stern lol - I have a very expressive face. It's one of the best things I've ever done for myself!

[@irairod5160]

I've never had Botox. I'm turning 57 next month, and it's taken until now for the tiniest lines to appear between my eyebrows. I have zero lines (etched) around my eyes. What I DO have is sagging jowls and prominent naso-labial folds. I appreciate you explaining Botox (and its "family") in detail because I'm a little scared to start, but want to begin with less invasive procedures until I'm fully prepared to go for a face lift.

[@christyboyle2570]

Love these educational videos! Especially love the part I learned about letting the Botox wear off so your don’t get atrophy

[@MaiKayxo]

I'm 28 and had my very first baby botox session last week! I did between the brows, a tiny bit in the forehead, and a low dose in the masseter muscles for slimming and to reduce teeth grinding. It was a great experience and I'm so glad I went through with it. And for baby botox, it's quite affordable!

[@kelleykunkel5778]

I have just discovered your channel, and I am loving your videos! You are so knowledgeable and give straightforward advice! 😊

[@GH_SW]

Super helpful, thank you. I'm 56 and just got botox for the first time ever as I have a big event coming up - not sure why I didn't watch this before, though 🤔

[@sarahmoody8085]

Is there anyone who is NOT a candidate for Botox for health reasons/if they have preexisting conditions? People who should not get it? Great video!

[@april4125]

My mother in law has been in recovery for about 5 years from lupus but she is not a candidate so I assume people with autoimmune issues wouldnt be, but I could be wrong.

[@marywittman8248]

Your hair is looking extra shiny and beautiful in this video!!

[@debster7100]

I started getting Botox about 6-7 years ago for my "eleven." Wish I had started sooner and glad I am doing it now. I actually go to a nurse practitioner for my injections. What are your thoughts going to a nurse vs a dermatologist/cosmetic physician? I have not had a problem (she used to work in a very prominent cosmetic surgeon here in Houston). I have one deep line at the very top of my forehead, which is covered by a few wispy bangs. I have asked about getting Botox in this area to smooth it out, but she said it would most likely cause drooping of my eyelids. I really appreciated this advice and honesty because she could have just injected it. It really does pay to go to a professional who has had training and is knowledgeable. Thanks for this very informative video!

[@Melissa-cy9se]

Which eyeshadows are you wearing in this video? It looks beautiful!

[@jlw1524]

I've been on the fence forever about getting botox and feel much more informed because of your video. Thank you!

[@zsofipapp]

Thank you for the video, Dr. Ellis, it was very educational! I started getting botox a couple of years ago for my migraines. And I must say, I enjoy the aesthetic outcome as well. It was so interesting to learn that my brows were asymmetrical, and I'd gotten so used to them that I didn't even notice anymore. It was really interesting to learn about how injectors may differ in terms of aftercare instructions. I am to stay vertical for 6 hours, avoid working out (I'm a runner) for 4-5 days (!!!), and skip massages or facials for 2 weeks. At my 2 weeks control I usually get a few extra units (my doctor charges for area, so I don't pay for the extra).

[@howbradknew]

This was great. Far better than the info and consultation I got from the Board Certified Derm who does mine. Much appreciated!

[@DeLaDank1]

I wish you can talk about side effects and how long it would last. I had Botox done and had a very bad reaction to it and it has been about three months and I still have some effects of droopy eyelids, I will never get it again.

[@iamsoborrred]

Same here!!! Except it’s been 16 months for me. 😞

[@Xyllia]

​@@iamsoborrred 16 months, oh my god, what happened?

[@iamsoborrred]

@@Xyllia Hi there! I had extreme dizziness. Constantly lightheaded. I lost all feeling in my body. I had a hard time swallowing. My entire body had pins and needles, my ears constantly ring. I could not drive for over three months. Every time I showered and had period, I thought I was going to pass out. I couldn’t sneeze, swallow, blinking was difficult. It has been 19 months and I’m getting better. Except my ears still ring and I still feel slightly lightheaded once in awhile. It was Dysport that ruined my life. It sucks! ☹️

[@deej1015]

Thank you for this video Dr. Sam! I get botox for my migraines every 3 months. I just gotten botox in my masseter muscles to reduce jaw pain. I'm looking foward to seeing a reduce in pain but also the way I look

[@_xMC]

I was looking through comments to see if anyone had info on botox for migraines and if that actually has cosmetic benefits as well - presumably, it'd be dependent on where the injections happen. Would you mind sharing your experience with your injections on the masseter and corrugator muscles?

[@lynneburrell676]

I got bruising both times in the crows feet area. Lasted a good five days. I mentioned it on round two and it wasn’t as bad but it still happened. Same injector. He said it’s common but you never mentioned it? Should I change my doctor?

[@Melissa-cy9se]

Dr. Ellis, I’m new to Botox and wanted to know if you knew what the research says regarding long term effects of Botox. I’m sure you get that question a lot. Are there any side effects to using Botox for years every 3-4 months?

[@caseywhiteley2371]

Would absolutely love to hear further thoughts on Botox parties!!!

[@violas.86]

I had botox done about half a year ago. And there was one spot above my eyebrow that had a small bump and itched like crazy until the botox wore off. No problems elsewhere. With the exception of not being completely happy with the results.

[@chantalM3340]

Hello dr Sam! Could you please talk about botox resistance?

[@AnaBorgesSousa]

I was thinking about that too.

[@ixchel231]

Yes. I've tried xeomin and Botox brands and my 11 muscles still moved.

[@lisa9916]

I did Dysport several times w/ no problems, by a reputable clinic then all of a sudden at one of my visits I had developed terrible muscle weakness and pain w/ awful anxiety that took quite awhile to get better! Anyone else had a scary experience like this?!

[@Maggie_Mayhem]

What are the possible side effects?

[@barbarar5869]

How do I know that I am going to a good clinic? What questions should I ask? What should I look for?

[@grat2010]

Is it okay to have microneedling done if you waiting a few weeks after injection? Does microneedling affect how long Botox/Dysport work?

[@wesoley93]

I want Botox for my forehead so bad but I think it’s so hard to find the right person & I’m terrified of getting someone bad

[@user-hk6ow4cv9p]

thoughts on Botox vs. Dysport? Thank you for this video!

[@scottcrable4966]

You never mentioned... WHO is allowed to be an "injector"?

[@annap3753]

Can someone get botox when you are breastfeeding?

[@reneeburich9497]

Uh…I definitely need numbing for around my mouth. If I could have Versed, I’d take it 😅 I’ve had it with and without and wow, it’s not pleasant with numbing…it’s worse without.

[@DrSamEllis]

That is definitely a very sensitive area! I find that ice actually works the best!

[@cindysharp4466]

Do they use the little vibration tool? It seems to help a little for me. That area definitely is more sensitive.

[@reneeburich9497]

@@cindysharp4466 yes, I’ve had the vibrating thing and ice, and I feel the numbing cream and ice works best, but STILL…

[@gingertoste540]

I’ve been doing Botox in my crows feet for about 15 years, it doesn’t get rid of the lines below my eyes just the side of my eyes, it does help though, interested in coming to you for some filler possibly, I went to your site and see that your only 1 1/2 hours from me!

[@Idk-do4db]

Although I don’t plan to get Botox I thought this video was interesting and educational. I’m too chicken to try. 😂

[@mlocey9]

I’m 24 with forehead wrinkles and a frown line :(

[@alexandritta23]

Is it true that you need less botox over time? Asking specifically for Masseter botox

[@babsr8479]

I wish you had a NY office.

[@user-sv9eu5pn6t]

Thank you! So as I understand, if Botox is done too often, you can get muscle atrophy. This means it’s not looking good anymore?

[@heyboo9728]

I just had Botox done on my neck last week.. Will it be an issue if I start using the Omnilux LED light around my neck?

[@nunu9417_]

I’m 26 and i’d love to start getting botox soon, the thing is i don’t really have that kind of money right now😂 I’ll definitely do it once i start making more money🤦🏽‍♀️

[@jennadavis3070]

Hi Dr. Ellis! Can you tell me if a patient has ever had an allergic reaction to Botox?

[@Printed73528]

I have a very bad eczema on my lips its was started before corona and ended after a year permanently but now it reoccur in previous years in November it was winter here , i suffered for almost 7 or 8 months i changed my doctor at last he give me a tacrolimus ointment it helped me a lot my eczema got over in just few days but not permanently it was temporarily he also told me to use petroleum jelly but the problem is i don't know but its reoccurring very frequently now days and i have notice in eczema my lips get swellon and a white liquid starts to secreate from my lips and when my lips get normal if i squeeze my lips i saw a white something that is. Present in my lower lip also my lower lip get more frequently violent then upper lip . Please tell me a solution should i eliminate my diet or use some medication or should i go for homeopathy. I also want to tell that when i eat mango, or i think spices on my lips remain cause me eczama but for some months the reason is unknown for me but eczema is occurring though i am not eating any of this

[@isolinaaustin1108]

Yes I’ve had Botox. I’m taking a break from it right now, because every time I get Botox I get puffy under my eyes. This usually goes away after the Botox starts wearing off. Have you seen this in your clinic? I’m curious is this a allergic reaction?

[@Rose-lz2et]

could be an allergic reaction or it could be high dose of botox, it's also possible to have excess skin making your eyes droop after botox depending on where it's getting injected

[@amandasydney7515]

How long does masseter injections take to settle in? I wish insurance covered masseter injections! I grind my teeth when I sleep so this helps with headaches from that but it is so expensive!

[@DrSamEllis]

Some insurances cover masseter Botox, but often when injected by ENT physicians or dentists! Usually people notice an improvement in tension within a week!

[@amandasydney7515]

Thank you! Good to know!

[@gp4708]

Do you tip your injector?

[@DrSamEllis]

Never! Think of it like a doctor’s visit.

[@ainakunigelyte]

Dr Sam, please please help me, I have been researching this for weeks... Can I layer Copper peptide serum (1%) with Matrixyl 3000 serum (8%) without the potential of them itneracting in some way and reducing their efficacy? ( I started worry about this after I read on Timeless skincare website that the don't recomment layering their MAtrixyl 3000 serum with their MAtrixyl Synthe 6 serum due to potential interaction between peptide signaling activities (headbang). I want to layer copper with MAtrixyl because they work in different ways. I don't want to alternate days because all research is done on ingredients used daily, so maybe they are not effective used every other day? Please please help, this drives me to agony:D

[@prophysix]

for what it's worth there are several products using all of these peptides together (e.g. the ordinary copper peptide serum).

[@Rose-lz2et]

you can use one in the morning and the other at night

[@Instkarma9765]

I’m worried about botox, particularly if i had a Bell’s palsy episode. Botox is neurotoxin or as you say…neuromodulator. Would it trigger another Bells episode?

[@teleshyam26]

Really nice video! i was wondering if i could help you edit your videos and make them more engaging as well as create short content out of them