Coolsculpting patients are thrilled about Zeltiq


Michigan patients avoid the Botox frozen look

Our Michigan botox patients visit our office because they are seeing the signs of aging which are inconsistent with how old they feel. These patients are interested in looking younger through safe simple and non-invasive ways. Typically, the top concerns for new Michigan Botox patients are:

1. Is this procedure safe and effective? (Yes)

2. How much does the procedure cost? (b/w $250 and $500)

3. What is the recovery time or time off from work? (none. you can have it done on a lunch hour)

4. Will I look natural? (more on how to avoid this later)

When we are seeing new plastic and cosmetic surgery patients for a consultation for Botox, our practice really sees that patient as seeking what simple cost effective things can they do to look younger, brighter, and less worn. This first consultation is the perfect time to review simple skin care regimens (i.e. retinoic acid and sunblock), fillers ( restylane, juvederm, or perlane to fill the hollows under eyes, folds around the mouth, liquid facelifts etc,), and Botox injections to relax the wrinkles between the eyebrows, the horizontal worry lines in the forehead, and smile lines or crow’s feet. Then we can develop a plan for that patient that reflects their goals, and respects their budget. I often like to tell patients what treatments will give them the “biggest bang for the buck” and are the simplest.

Our new Michigan Botox patients have botox gone “bad” in the tabloids and on the networks like E t.v. and frankly they are a bit scared of Botox. If you research Botox complications, you will see it stated that the number one issue is the chance of your eyelid drooping (which is 1% in expert hands and can be treated with eyedrops). In reality, an overarched eyebrow is the most common issue, although it is not considered a medical complication by strict definitions. I consider it a complication because it doesn’t look good! You may have seen this in your neighbor, on celebrities (Kate Gosselin – sorry Kate!), or on friends. This typically happens when patients bounce from provider to provider not allowing a single surgeon to get to know the patients’ musculature. An overarched eyebrow really is not the plastic surgeon’s fault and can happen to any provider, unless it keeps occurring! It also can be helped fairly easily with some additional micro injections of Botox placed very precisely. Surprisingly, it is not corrected as often as it should be, and I am forced to shake my head in dismay everytime we visit family in Los Angeles.


Dysport is abobotulinumtoxinA commercial name, a derived form from the botulinum toxin that causes local muscle paralysis where it is applied. In nature the botulinum toxin is produced by a bacterium called Clostridium botulinum, but the drug is produced in the laboratory in a controlled biochemical process.

Dysport is not only used to prevent and treat facial lines and wrinkles on the forehead, between the eyebrows and around the eyes, but also in several other conditions such as excessive axillary sweating, hyperactivity of the superficial muscle in the neck (called platysma), excessive blinking, migraines, joint pain of the jaw, muscular contractures and others.

Dr. Malhotra
Malhotra Center for Plastic Surgery
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