Surprising New Ways to Use Botox | Dermatologist Explains

[@marinaalba1707]

I’m lucky enough to have Dr Ellis as my cosmetic and medical dermatologist. I’m 54 years old, and Dr Ellis has been doing my botox and fillers for almost three years now. She makes me look my best while still looking like “me” … but ten years younger 😊 Thank you Dr Ellis for another great informative video, you are the absolute best! 💖

[@lisahide706]

I’d LOVE Dr Ellis to be my cosmetic dermatologist. Sadly I’m in the UK. Great informative videos x

[@rashmashedpotatoes]

Where is she located?

[@primareina]

I just got my first ever Botox from her at age 45!! She made the whole procedure so easy and I loved the results so much!! Blessed to have her in the Bay Area🙏

[@Baycydney]

I speak for everyone who follows her channel when I say we are so so jealous!

[@marinaalba1707]

@@Baycydney❤

[@breezyxm]

Botox for my TMJ changed my life for the best.

[@sharonshastid7483]

Botox helped my clenching, but it caused facial drooping.😑

[@emilyboyer9211]

​@@sharonshastid7483how long did the dropping last?

[@sharonshastid7483]

The drooping stopped progressing once I stopped using the Botox. I feel that some laxity has remained. I know there are ways to counteract the drooping with fillers, but I wasn’t prepared to make that commitment.

[@lyzabethlopez]

Please do a makeup tutorial. I love your no-makeup look. It actually looks like you're not wearing makeup. It is absolutely stunning!! ❤

[@KyubinSlay]

this was soooo informative! could you do the same for filler? i would just love to arm myself with as much knowledge as possible before going to a dermatologist 💘

[@kristinemcsweeney5839]

I agree. Yes, please do a informative video on filler.

[@Squid893]

Thank you for being honest about the Barbie tox and the importance of the FUNCTION of those muscles!!

[@kimpariso6765]

Thank you for taking the time to film such an informative video. At 53 years old, I thought that I knew everything about Botox. Your video taught me a few things about my smile, natural frown, and dimpled chin. As a previous commenter asked, "What questions do we ask to ensure that we are seeing an experienced injector"?

[@DrSamEllis]

Thank you! I think asking an injector questions is a challenging way to assess whether or not they are actually good. However, feeling comfortable when talking to them in general, and feeling like your concerns are heard and that you both have aligning goals for your treatment is important. Although this can be tricky, I think the best way to find an injector is through trusted word-of-mouth. There is no substitute for seeing someone’s work in person.

[@heathergasol569]

Thank you so much @DrSamEllis for this extremely informative video on Botox. This was great. I’m 60 & have never had any cosmetic procedures done. However, I do have a little bit of the frown face but I think 2 things caused this. One thing I noticed was when I fell flat on my face on concrete. I broke my nose. I noticed when my nose got larger after being fractured the skin started pulling away from my nose making nose to mouth lines more prominent especially on one side. I’ve also lost volume b/c my temples are hollow. Menopause didn’t help matters. I have neck bands too. Thanks again.🙌🙌🙌🙌❤

[@christinemack2153]

Thank you for the great education and letting yours wear off to demonstrate. I've had it in my glabella and strayed away for a bit due to eye drooping (looking for a new injector).

[@ashleyheggi]

This was so helpful - thank you Dr. Ellis! I would love a video (or even short-form content) with your top recommendations for those of us that want to lessen the appearance of our lateral forehead lines but also unfortunately don't like the heavy brow we get with neuromodulators.

[@moev29]

This was extremely informative Dr Ellis. I think I speak for all of us when I say we really appreciate the detail you put into this video

[@melissavidic2895]

Jelly rolls,bunny lines, and Barbie tox. I had no idea but I don’t know much obviously about Botox. Good for anyone who wants to do it! Myself no never and I can say never. I know they say never say never. I’ve only had two surgeries in my life, and they were medically imperative, to save my life and I’m 58 years old I’m fine with the way my skin looks. I could never just voluntarily do that especially with some of the side effects, but thank you for the information Dr. Ellis as always love your posts and your skin care PREQUEL is lovely!❤

[@SarahMcAshan]

I agree. I have chronic illnesses and for me any medical procedure must be absolutely medically necessary to balance the risk. My mentalis dimpling when I contract it doesn't make the cut! Add in the fact that these procedures must be repeated in order to maintain the effect, and that there is a small but real risk every time injections are done (no matter how competently). That risk stacks up. Thanks but I'll stick with sunscreen + hat, skincare, and a healthy lifestyle.

[@melissavidic2895]

@@SarahMcAshan I absolutely agree with you. Definitely I’ll stick with sunscreen, hat, proper diet or what I like to call a way of life and just let the years take its toll in the best way possible. 😎

[@melissavidic2895]

@@SarahMcAshan I don’t know if you got my comment that I just sent a few minutes ago I don’t see it must’ve been deleted?

[@Stephanie_M]

Botox in my masseters has been life changing! My face is now oval & slim when it used to be square & masculine. I hated my jaw & face shape before!

[@mariaoh7171]

Do you notice any new fatty pockets or deeper looking marianette lines?

[@Stephanie_M]

@@mariaoh7171 you know that’s hard to say because I’ve been adding Botox to my masseters for a few years now, as I’ve aged. I have felt I’ve aged more than ever (in many ways) in the past 1-2 years but I can’t directly correlate the two. I’m now 41. Marionette lines have been there & have deepened some but I can’t positively say it’s directly related, or not.

[@jaymieblossom]

I absolutely loved this video!!! You’re truly a professional! I wish you had an office here in Chicago!!! ❤❤❤

[@Baycydney]

I’m 73 and my skin looks great (no sun damage, sunscreen always, red light therapy, tretonin, and all your prequel products). However my vertical neck bands make me nuts! Your vid about Nefertiti is just what I wanted to Know! TYVM!

[@user-bm3ss9wf6k]

I did Botox few times and still find this video helpful and enlightening

[@DrSamEllis]

Happy to hear that! Thank you for watching!

[@shawnahare4299]

Thank you for the details. Makes a huge difference in my understanding of Botox.

[@icutwitch3333]

Thank you. You are a wonderful dermatologist! I love this video. very informative. Thank you for your time.

[@lydiawerner1906]

Thank you for the awesome and informative video! You are the best! ❤ I laugh every time I hear of trap Botox, as a woman who lifts weights, I am super proud of the muscular upper body I've worked for. Hopefully one day the word "feminine" won't be correlated with being fragile and tiny.

[@NaturalMama85]

I wish that you lived in my area. I feel like you have such a healthy attitude toward cosmetic procedures!

[@DrSamEllis]

Aw thank you!

[@nikkineedstoknow]

My jaw has gotten so wide as I’ve aged (I’m 33) and so I’m looking forward to consulting with an injector about my options! I’ve already done my masseters once in the past and loved the results, but didn’t want to do it too frequently because of potential jowling. I’m hopeful that going in and being open to a full-face approach will be helpful for best results! Thanks for another informative video!

[@jsuefnp]

Learned how the lip flip works…botox is a mainstay for me. As an NP, I like knowing where the botox is working to do what!

[@chickenjools]

I’ve just found your channel and I LOVE it. This was a really useful and informative video. I’ve been having the usual ‘3 areas’ of Botox for quite a few years, and occasionally for in my masetero for teeth clenching, but I hadn’t realised just how extensively Botox can be used. I would love to see a video on treatments for people in their 60s and beyond. what works on older skin…Botox, filler, injectable hylauronic acid, micro needling with and without RF etc. There seems to be a lot of information for people in their 40s and 50s but not so much for 60s and beyond. Thank you again for a great channel. I am now going to binge watch your videos. 😊

[@brooks6348]

Great video! I can’t wait to try the neck lift!

[@user-sv9eu5pn6t]

Thank you! Could you please also explain more about the Botox and pores?

[@LilytheFilly]

Amazing thorough video!!!

[@mrsdick138]

I started working for a Derm and Aesthetic clinic 9 months ago. I've never done botox and I hate needles, but I am considering doing it for my jaw clenching. Thank you for making all your videos because they help educate me to make me better at my job, and better at making the decisions that are right for me! ❤❤❤

[@ggr9068]

So informative! Thanks for taking the time to make this video. Lots to think about and consider. Some areas I didn’t know about and might benefit from injecting.

[@user-tp7gd4cm3m]

You Said It, Absolutely Right 👏 The only way to address the SAG is A SMAS. ❤

[@cs-yq5ed]

Thank you. Very informative.

[@nancypadilla3509]

Great video! Thank you for all the information about Botox👏🏼

[@kristinemcsweeney5839]

This was so informative and helpful. I had no idea the lower portion of the face could get help from Botox. Thank you, Dr. Ellis!

[@RiseandSHINEdailyinspiration]

I had Botox in my neck, front & back, for migraines and couldn't keep my head lifted. It was awful. It did work for the migraines but no longer get it in my neck

[@amy83079]

An NP in Sandusky, Ohio injected Botox in my forehead so much that my eyebrows were high like a 1950s film star. However, the frown lines between my eyebrows were still prominent. I went in specifically to address these frown lines. She didn’t even study my face before she started injecting. She just said, lay your head back and she started injecting my forehead. She was rude and unapologetic. Didn’t even wipe my forehead with an alcohol swab before she started. I tried to explain that I did not want raised eyebrows but she just got angry. Someone like this NP should not be in medicine.

[@alexandraallen9960]

Out of all the places listed, what are the hardest/ highest risk spots to inject? What questions should we ask to know if someone is a good injector?

[@DrSamEllis]

I would say the “ highest risk” spots are anywhere in the lower face because of the overlapping muscles there, and actually the forehead because it’s very sensitive/finicky and people can easily get an asymmetry or unwanted brow heaviness. I don’t think there are any particular questions that really help illuminate whether or not an injector is good, it’s more about the overall feel you get when you are with them having your cosmetic consultation. You can always look at their credentials as well to get a better understanding of their background training. Also, I think any injector should be happy to see any patient back in follow-up if any issues arise after treatment.

[@Lola_nella_Roma]

Such an informative and honest video, thank you Dr. Ellis 😍😍

[@sandysilvee8737]

Good and informative video. I think all these procedures are good to have in our arsenal for aging, but we should all still look natural for our age.

[@allthethingswithmandyandwh8226]

Loved this video! Super helpful!

[@sussannekeith5676]

Very thorough explanation… now I know what to ask for.. thanks❤

[@beautycrush_5]

Great video, very informative! Would you say there are any big differences in how long Botox lasts per area? I know overall it varies from person to person, but in general, do certain areas retain the effect longer? For example, crows feet vs forehead, platysma vs jelly rolls, elevens vs masseter? Or does each area last about the same amount of time for that specific person? Thank you!

[@DrSamEllis]

Much of the duration of Botox has to do with the dose used, and there are certain areas where you generally shouldn’t use high doses because it can change the aesthetic outcome. For example, in the forehead, we typically don’t use high doses because we don’t want to make someone’s brow or eyelids look or feel heavy. Therefore, many people will notice that their forehead Botox wears off faster than in other areas they got treatment. The same goes for around the mouth. We don’t want to use high doses there because we don’t want to affect the functional movements of the lower face so this may start to wear off a bit sooner. Otherwise most Botox last 3 to 4 months in the average individual. But I always remind my patients that every person is different and we need to meet them where they are at.

[@beautycrush_5]

@@DrSamEllis Thank you so much for the detailed answer! You are truly a gem and a wealth of knowledge.

[@SS-wi4tm]

Would be interested to know about overlap between Botox for migraines and cosmetic Botox

[@lauda579]

Amazing video! So informative!

[@leeannlowery5064]

Loved the video! I use Botox but had no idea about some of these other uses. Thank you!!

[@DrSamEllis]

Thank you! So happy to hear that you have some new insights now!

[@kcloveonaleash]

I love this very indepth explanation!! I started Botox 30 yrs ago but couldn't afford to keep it up( I'm now a young 71) can I still do forehead and a few other areas? Most bothered by 11s which are now 22s I swear😂

[@DrSamEllis]

It certainly is an investment and prioritizing the things that matter the most to you is the way to go! And thank you-really glad you found this insightful!

[@kcloveonaleash]

​@@DrSamEllisThank u!! Wish I still lived in Castro Valley😂

[@Erica-bh1hi]

Loved the video! Thank you! Can you do a video on different facial laser treatments with photo examples? It’s overwhelming .

[@AbstractMindsThinkAlike]

Are there any key questions to ask another doctor to know if they are good injectors? I had one injector recommend botox on the corners of my mouth because I mentioned it, but in your video it is saying that if you cannot pull your corners down you're not a good candidate. I couldn't pull my corners down the way you showed in the video so I'm unsure why the other injector didnt tell me that. She seemed really knowledgeable but now that I'm watching your video I'm questioning her knowledge on a few things. I wish I knew how to scout a good Botox specialist.

[@rachelk9124]

Love all of your videos. You have a lovely way of communicating clearly and warmly. Wondering if you find there is a difference in the brands. I've tried Botox, Dysport and Xeomin and found the Botox to be most flattering (did not like Xeomin). To be honest, I went to different injectors as well. Do you have a favorite neurotoxin? Thank you!

[@JayelletheSwell97]

Super super interesting! I only get Botox for my insane forehead wrinkles, but this is useful information. I might consider the neck muscle one in the future!

[@natalienetanya7401]

You forgot the Elvis snarl/ nasolabial fold muscle.

[@mayellaaa]

Hi! So I have a very prominent chin, is Botox anything that can help with this? Have insecurity but too scared for any type of surgery

[@debraray5786]

Great video!!!

[@jmbateman69]

I have deep set eyes and get Botox for my 11’s. I’ve had a very heavy brow and also the surprised look. I don’t know if it’s who’s injecting or if I just can’t win. My face actually loves Botox and last way longer than it should. I could use a Dr. Ellis in Florida🤗

[@kellydunworth3689]

Wow! What an amazing video... so thorough and informative... Do you have any recommendations for a great injector in the Charlotte, NC area... or advice on how to find one.... Thank you so much for all that you share!!!! Ordering some products from your skincare line... so excited to receive them ; )

[@60Airflyte]

5:39 That’s what has happened to me all but the first time. I’ve had Botox 4 times and the last two times I told them that my brow felt heavy and I could see that it fell after my second time. I don’t think they knew how to prevent that because it still happened and I haven’t had Botox in about 7 years because of it. My husband is getting it next week and I’m going with him to ask his doctor if he thinks he can do it without making my brow drop. Hopefully, he’ll know what I’m talking about. I’ll be 62 this year and admittedly, have very few wrinkles but would like to get my 11s taken care of.

[@kittenmamaadoptions8076]

I had never heard of hypochlorous acid prior to your video!

[@tennismm]

Hi i recently hear botox lip flip can over time make your philtrim longer. Is this true? I really dont want it to become even longer please help!

[@muse3241]

Can you tell us in detail what procedures you have had? Specifically under the eyes?

[@user-vk1qb9yi1w]

Thank you so much for your content!! Do you have any colleagues in London you would recommend for Botox?

[@Eirini-gg]

This was very informative! Would Botox help with hyperhidrosis of the face?

[@elizabethcampbell1642]

Great video and informative

[@georgiastewart4479]

Thank you for this informative video

[@Papeeshka]

Botox can also throw off your thyroid so that you have to take synthroid every day for the rest of your life! If you have older relatives on synthroid / hypo/ hyper / hashimotos maybe think twice about using botox! It is really irresponsible for dermas to not ask patients about family history of thyroid issues imho.

[@sussannekeith5676]

Definitely some nice lip filler here❤

[@jeanettestalmack2183]

Great video. LOVE Botox!!💕

[@jrrose4]

How do we find an experienced injector? Are there certain certifications we can look for or questions we should ask? Especially if we do not know what type of Botox we might need. Thank you

[@Mountainlife73]

I have been getting botox for chronic migraines for over two years, and I'm recently noticed that my eye lids have disappeared. I find myself having to think about opening my eyes wide enough to see. How can you tell if botox is the cause of this issue or just if I'm beginning to have droopy eyes due to age? Thank you.

[@deborah972]

Hello Dr sam ellis lovely vlog interesting skincare routine ❤ xx

[@user-tp7gd4cm3m]

I really enjoyed this ! The song sh you would have specified dosages for each area you referenced! Thanks again 😊😊😊

[@DrSamEllis]

Thank you! The doses will vary quite a bit based on the person getting injected and their unique anatomy!

[@cindyl9772]

Botox in my masseter depressed one side of my face and made my smile look lop sided. It’s finally wearing off and my smile looks normal again. Super bummed when a week after my injections were done my face looked so weird.

[@DrSamEllis]

So sorry that happened to you. There are always a risks associated with injections and even the best injectors can have patients with complications. It’s actually really nice that Botox is temporary so that if an issue does arise, you know that you will not be stuck with it forever. Regardless, when you are going through it personally it’s such a bummer.

[@BecomeHerbyLynnProulx]

Thank you for this video! So informative 😀 Could you also do a video on Botox to minimize sweating. I sweat from my face and back of my head and heard Botox can help with this 😀

[@debbieloes5903]

Such an informative video! Thank you. Now….can you relocate to Minneapolis?😜

[@megan3702]

Thank you so much! Can you do one on filler?

[@kathleenmcgee808]

Any advice for correcting the looking tired look? People often tell me I look tired! I do have smaller eyes with hooded lids. I thought maybe a brow lift to open my eyes more would brighten my face?

[@DrSamEllis]

A brow lift is usually a great place to start. Sometimes skincare plays a role here too - in terms of giving more of a glow or brightening effect.

[@AlexOnEarth777]

I have hated my jelly rolls since I was about 13 (though I think they're really cute on others) and was stoked to find out in my 20's that you can actually get Botox for them, but I never did it because I was worried about developing a resistance to it over the years. Is that something you would be worried about while treating younger patients?

[@DrSamEllis]

It’s always something I think about but in reality over the thousands and thousands of people I’ve treated I can only think of a few who have ever developed resistance, and it usually does not have to do with starting Botox at a young age, but rather other immune factors that are at play within the individual.

[@AlexOnEarth777]

@@DrSamEllis Thanks for your answer! Now I'm really considering it. If we didn't live on opposite coasts I would just come to you

[@lynneburrell676]

Dr Ellis, I have the chronic frowning. On your chart it shows the Depresser Anguli Oris muscle as being pretty far away from the sides of the mouth , more on the chin, so my doctor will inject on sides of my chin? Im due in may to do elevens and crows feet but I would Love to not be frowning all the time, people comment “ why are you frowning “ all the time. I hope you answer this!

[@JenniferPriceSmith]

Someone get this video to Chelsea from LIB 😅 all love ❤️‍🔥

[@user-sv9eu5pn6t]

Could you please share your opinion about sofwave? 🙏

[@zehras83]

Thanks for that informative video Dr Sam😊 I have a question about inositol;i recently found out about inositol and when i researched about it , apparently it is good for hair. Is it true? Also, if someone deficient in it, could it be the reason of thinning hair? Thsnks

[@carolleddy858]

I have deep 11’s. I’m 71. Could I eliminate them with just fillers???

[@jackih9682]

Thank you for this video. Can botox help with lines on the décolletage area?

[@rashmashedpotatoes]

Hi Dr. Sam Ellis! I recently bought a few of your products and love them. However the Vitamin C started changing color very quickly, but I have passed my return window. I am feeling little sad about that and wanted to share the feedback. I kept it in a cool, dark place, with the cap on and have had it about a month now. Wondering if you have anything to share. Thank you

[@DrSamEllis]

Hi there! Color change is not indicative of lack of efficacy and it’s normal for vitamin c to transition from pale yellow to deeper yellow over time. The Prequel vitamin C has undergone stability testing and we recommend using within 3 months of opening!

[@jessicahellmer]

Question: I get Botox for a brow lift and crows feet and was hoping it would help with my hooded eyes, but I haven't really seen that much of a difference. Is it the units I may need to increase or is there an additional area for Botox placement I could try to address that?

[@DrSamEllis]

Botox typically can only provide about about 0.5mm of lift to a lid or to a brow. Often times the best solution for a hooded eyelid is surgical.

[@jessicahellmer]

@@DrSamEllis I was afraid you were gonna say that! lol Appreciate the reply, Sam! 💗

[@Michelle-rt4ez]

Marionette lines info please!

[@sarahmj2291]

Do you have recommendations for expert injectors in the los Angeles area?

[@carolpowell2199]

Can Botox be used in the vocal cords to help a raspy voice?

[@Ilovedachshunddogs]

You should get checked by an ENT if you have had a voice change. I have seen vocal cord injections under sedation by an ENT in an operating room. That is something that you should not do in an office because of safety

[@fignpachy]

What do you recommend for a “triple” chin. 😢

[@veronicavega6265]

Can Daxxify help create a brow lift ? And price wise how much is that?

[@elissalesauvage8118]

Is injecting Botox to correct a nasal droop safer than using filler to correct it?

[@DrSamEllis]

Shouldn’t be an issue!

[@susank3986]

I caution against ANY off label use of neuromodulators, so please consider not doing it.

[@vhayek68]

Well this makes me wonder if using the Nuface all over you would r face which activates muscles is a bad thing if the goal is to relax muscles? Waaahh now I’m so confused!!

[@DrSamEllis]

I’ve personally never thought the Nuface was particularly helpful - would love if there was more data on its efficacy (especially longterm).

[@alexandritta23]

Is it true you should need less tmj botox over time

[@DrSamEllis]

Not necessarily. It’s very patient-dependent

[@ALT-vz3jn]

Dude your Botox has not worn off at all, you can barely move your forehead. Don’t be misleading. You could have left that out of the video or used a model that could move their face.

[@beatriceowusuachaw6210]

DR I WILL COME TO YOU FOR BOTOX IN DECEMBER I KNOW YOU WILL BE OKAY WITH ME GOD BLESS YOU YOU BYE

[@sestricaanutka]

Omg. You don’t need that botox in your neck…😅

[@user-js9gn2hw9s]

Carolyn Bessett kennedy doppleganger