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Botox® Cosmetic

Botox® Cosmetic is an FDA-approved treatment for the temporary improvement in the appearance of moderate to severe forehead lines, frown lines, and crow’s feet.  Botox® Cosmetic can effectively diminish signs of aging by relaxing facial muscles such as those around the brow, eyes, and lips which are notorious for causing dynamic wrinkles such as the “11 lines” also known as glabellar lines, crow’s feet, forehead wrinkles, and lip rhytids.  

How Does Botox® Work?

Botox® Cosmetic relaxes facial muscles responsible for creating dynamic wrinkles and is made from purified proteins.  Botox® Cosmetic is also known as a neurotoxin or neuromodulator.  When injected, Botox® Cosmetic temporarily blocks the chemical signals from the nerves that cause muscle contraction.  As a result of reducing muscle contraction the skin overlying the muscles relax, reducing wrinkles and preventing future lines or wrinkles from being etched.  This is why Botox® Cosmetic is commonly referred to as a “wrinkle relaxer.”  

FDA-APPROVED
Best Botox in Merrimack, NH

ANEWU Medical Spa is the premier provider of Botox injections in Merrim ack, NH. Our Medspa offers a range of cosmetic injectables, including facial fillers, advanced laser treatments, and more, tailored to help you achieve natural and youthful results. We are dedicated to providing exceptional care, using precise techniques to achieve refined and naturally beautiful enhancements. Trust ANEWU Medical Spa for the highest level of aesthetic excellence.

Treatable Areas

Treatable Areas with Neurotoxin:

  • Forehead (Frontalis)
  • 11’s (Glabella)
  • Crows Feet (Orbicularis oculi)
  • Smoker’s lines (Smooths vertical lines around the mouth)
  • Lip Flip (Orbicularis oris)
  • Gummy Smile (LLSAN)
  • Masseters
  • Bunny Lines (Nasalis)
  • Chin Dimpling (Mentalis)
  • Perioral/Marionettes (DAO)
  • Tech Neck, Neck Bands (Platysmal Bands)
  • Underarm Sweating (Hyperhidrosis)

Botox® For Lip Flip

The Botox® lip flip procedure is ideal for the patient who is looking to create a slight increase in the fullness of their lips rather than the expense or greater fullness that can be achieved with dermal filler. The Botox® lip flip treatment is also ideal for the patient who is bothered by “smoker’s lines” above the lip or for those looking to delay the formation of lines around the lips as injecting Botox®  at the lip line allows the muscles of the mouth to relax and evert a few millimeters giving a naturally slightly fuller lip.  

Botox® For Gummy Smile

Botox® for a gummy smile is the perfect treatment for anyone who wants to reduce the appearance of a gummy smile.  Often caused by overactive upper lip muscles the gummy smile treatment involves injecting Botox® between the upper lip and nose and temporarily relaxes the muscles responsible for elevating the upper lip.

Botox® For Bunny Lines

Bunny lines are the fine lines on the lateral aspect of the nose caused by elevation of the nasalis muscles.  Injecting a few units of Botox® to either side of the nose can relax fine bunny lines and prevent the formation of future lines.

DAO Botox®

Botox® for the DAO targets the depressor anguli oris muscle in the lower face.  This muscle is responsible for pulling down the lateral aspect of the lips contributing to frown lines.  When injected the muscle temporarily cannot pull the corners of the mouth down resulting in a more youthful appearance of the mouth and lower face.

Chin Botox® 

Chin Botox® treatments are used to reduce dimpling in the chin often referred to as “orange peel chin.”  A few units of Botox® in the chin can reduce wrinkles and dimpling of the chin creating a smoother chin.  

Masseter Botox® 

Masseter Botox® also known as “Jaw Botox” is an ideal treatment for patients with TMJ or chronic jaw pain caused by tight masseter muscles of the jaw.  Treating the masseters with Botox® helps to reduce tightness of the masseter muscles helping to reduce teeth grinding and clenching as well as jaw pain and headaches.  Routine treatment of the masseters can help to reduce damaging the teeth by chronic clenching or grinding.  When masseter Botox® treatments are consistently performed the width of the face can be reduced by up to 2 centimeters.

Botox® For Underarm Sweating

Botox® for hyperhidrosis or excessive underarm sweating is a treatment designed to temporarily block the secretion of the chemical responsible for activating the sweat glands.  By temporarily shutting off the sweat glands patients can experience relief from excessive sweating for up to 3-6 months.

Advantages Of Botox® 

Botox® Cosmetic offers several key benefits that make it a popular choice for reducing wrinkles and treating various medical conditions:

  • Non-invasive: Botox® is a minimally invasive treatment, requiring only small injections, with no surgery involved.
  • No downtime: Most patients can return to their daily activities immediately after the procedure.
  • Quick treatment: Sessions typically take 10-20 minutes, making it convenient for those with busy schedules.
  • Safe and FDA-approved: Botox® is FDA-approved for both cosmetic use and medical treatments like hyperhidrosis.
  • Proven results: Botox® has been extensively studied and used for decades, providing consistent, reliable results.

Contraindications

  • Pregnancy or attempting to become pregnant
  • Nursing
  • Allergy to eggs, albumin, or any component of Botox® Cosmetic
  • Those with known neurological diseases such as amyotrophic lateral sclerosis, neuromuscular junction diseases such as myasthenia gravis or Lambert-Eaton syndrome, active infection, uncontrolled diabetes, or significant cardiovascular disease.
  • Infection at the injection site
  • It is best to defer Botox® Cosmetic treatment for at least two weeks after receiving vaccines such as tetanus or the flu shot.
  • Concomitant use with aminoglycoside antibiotics or muscle relaxants


Here’s a general guide:

Treatment AreaAverage # Of Units
Glabella / “11 lines”20-30
Forehead5-15
Crow’s Feet18-30
Bunny Lines2-6
Brow Lift2-4
Smoker’s Lines8-16
Masseter’s For TMJ10-50
Underarms for Hyperhidrosis50-100

What to Expect During and After Botox® Treatment

Treatment Process

Botox® injections take about 10-20 minutes depending on the areas being treated. Your provider will use a fine needle to inject small amounts of the product into specific muscles, which relax over the following few days.

Results Timeline

  • Initial effects are visible within 3-7 days
  • Full results are achieved in 2 weeks
  • Effects typically last 3-4 months

Post-Treatment Guidelines

  • Avoid exercise, facials, and massage for 24 hours
  • Stay upright for 4 hours after treatment
  • Contact your provider if any side effects occur

Frequently Asked Questions (FAQ)

How is Botox® different from dermal fillers?

Botox® Cosmetic and dermal fillers serve different purposes.

  • Botox® Cosmetic: Relaxes muscles by blocking nerve signals, preventing muscle contractions that cause wrinkles. It is typically used in the upper third of the face (forehead, between the brows, and around the eyes).
  • Dermal Fillers: Add volume to areas of the face that have lost fullness due to aging, such as the cheeks, lips, and nasolabial folds. Fillers are primarily used in the lower two-thirds of the face to plump and smooth deeper wrinkles and folds.

How long does Botox® last?

Results generally last 3-4 months. Over time, repeated treatments can help prolong the effects as muscles become trained to relax.

Does Botox® hurt? 

Most patients report minimal discomfort, likening the sensation to a small pinch. 

Can Botox® prevent wrinkles? 

Yes, Botox® is commonly used as a preventative measure to prevent wrinkles. By reducing muscle movement, it can stop new wrinkles from forming or being etched.

Is there any downtime after Botox®? 

There is no significant downtime. You can return to your normal activities immediately after treatment, but avoid strenuous exercise or massaging of the face for 24 hours.

Are there any side effects of Botox®?

While Botox® Cosmetic is generally safe and well-tolerated, some patients may experience mild side effects, including:

  • Headache
  • Bruising at the injection site
  • Flu-like symptoms
  • Temporary eyelid or brow drooping known as ptosis (affects approximately 5% of patients and usually resolves within 2-4 weeks)

These side effects are typically short-lived. However, if you experience any unusual or prolonged symptoms, it’s important to contact your provider.

How many units of Botox® will I need? The number of units depends on the treatment area and individual muscle strength. During your consultation, your provider will create a customized plan to achieve your desired results.

Ready to Smooth Away Wrinkles with Botox®?

Schedule your consultation today to learn more about how Botox® can help you achieve smoother, younger-looking skin. For questions or to schedule an appointment, click here or call us at (603) 882-9334.

(*) Individual results may vary. ANEWU Medical Spa, P.C. is reputable for customer satisfaction for completed treatments. Unless otherwise noted, testimonials provided for ANEWU Medical Spa, P.C. are customers of ANEWU Medical Spa, P.C. who have undergone complete treatment(s). No treatment is promised to provide permanent results and a guarantee is neither provided nor implied. Photos included on page are examples of possible results. Please consult with our staff to find out what may work best for you. Read our full disclaimer here.
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