Botox Bellevue

Facial rejuvenation compromises a whole spectrum of noninvasive techniques.  As we age the facial wrinkling sets in. There are active wrinkles and static wrinkles. Botox is a neuromodulator that combats active wrinkling from muscle contraction. For example when we raise our eyebrows are making a scowl botox reduces those lines or wrinkles that we see.  The muscles of facial expression are responsible for the lines that botox reduces. The effect is temporary and can be repeated if necessary.


There are different neuromodulators in the market. They essentially all work by weakening the muscle causing the lines by affecting nerve stimulation to that particular muscle. The bacteria Clostridium Botulinum produces a toxin called Botulinum Toxin (BTX).  Regardless of the type of neuromodulator, they all inhibit the release of the neurotransmitter acetylcholine (ACH) which prevents muscle contraction of the facial muscle causing the wrinkle.


  • Botox
  • Dysport
  • Xeomin

Botox Reversal or Correction

Botox is self-limiting which means that it will go away on its own eventually. The effect may last up 3-4 months. If you do experience a side effect or some asymmetry this can be managed in a variety of ways.

Preparing for Botox

Your goals should be set, a thorough consultation regarding what areas you want to improve and what areas bother you the most is important. Medications or over the counter supplements that thin the blood can increase the risk of bleeding and bruising. These medications should be stopped a minimum of a 1 week prior to treatment.

Post Procedure Recovery

Botox will not take effect for approximately 3-7 days and will reach peak effect at 2 weeks. The results can last for a few months. After botox we recommend not to lie down or exercise for 4 hours after the procedure.

Botox Complications

  • Bruising
  • Swelling
  • Asymmetry
  • Eyelid droop
  • Forehead droop

Complications are rare and can be discussed at the time of your consultation.

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Aesthetic Facial Body Plastic Surgery

Dr. Rikesh T. Parikh, MD

1810 116th Ave NE, Suite 102, Bellevue, WA 98004