BOTOX & Other Neuromuscular-Blocking Agents

Facial Lines & Hyperhidrosis

Dr. Baeke is pleased to offer his patients the latest neuro-muscular blocking agents for the treatment of facial lines, wrinkles... and even excessive sweating.

Many unsightly lines of the face are caused by contraction of muscles of facial expression.  Botox® (ona, botulinum toxin-A; Allergan, Madison, NJ) is a neuromuscular-blocking medicine which chemically blocks the electrical communication between nerves and select facial muscles.  This action causes the specific muscle to relax, thus softening the wrinkle or line.  "Botox is injected in very small amounts to the areas of the face which might be causing the man or woman concern.  Dr. Baeke is quite comfortable performing the procedure, but is also very cautious.  Dr. Baeke may recommend which areas to inject, but the patient makes the final decision.

Botox is NOT a soft-tissue filler.  Dr. Baeke does offer filler injections as well, for fuller lips, and to help with deep facial folds.  Please refer to that page of this website.  

The full effects of the Botox injection may take up to 2 weeks to become apparent, however in Dr. Baeke's hands, 2-4 days seems more common.  Though no guarantees can ever be given, results seem to last 3-6 months (av. 5 mos).

All faces have asymmetry or unevenness between left and right.  This may or may not be improved by this procedure.  Sometimes a touchup may be required, which usually is not contemplated before 4 weeks following initial injection.  In a rare individual, BOTOX simply has no effect. (Dr. Baeke has seen this once).  The effects of BOTOX are not permanent.

BOTOX & Other Neuromuscular-Blocking Agents

BOTOX has been used by the medical profession for decades.  It has a high safety profile.  

Dr. Baeke was personally trained by Drs. Jean and Alastair Carruthers, who were the original innovators of using Botox for cosmetic purposes.

Recently, three similar neuro-muscular blocking agents: Dysport® (abobotulinumtoxin-A; Galderma, Lausanne, Switzerland), Xeomin® (incobotulinumtoxin-A; Merz, Frankfurt, Germany) and Jeuveau® (prabotulinumtoxin-A; Evolus, Newport Beach, CA) were introduced; some like to call Jeuveau, "NewTox".  These manufacturers believe their agents to be superior to Botox in efficacy, safety and technique.  Indeed, many believe their results last even longer than Botox.  Until they have a longer track record, Dr. Baeke prefers to use BOTOX, unless a patient specifically requests another brand.  The technique for injection is identical.

The best advantage over Botox seems to be price, where Jeuveau, Xeomin and Dysport are slightly less expensive.

Some unethical practitioners have given Botox a bad reputation by diluting their product to increase profit.  This may explain why some unhappy patients complain of their results not lasting long.  Regardless of which product you select, know this.  Dr. Baeke only uses brand-name agents, purchased through proper F.D.A. and D.E.A. channels.  Expired product is never used.  All product is only reconstituted as per manufacturer's guidelines.  Dr. Baeke never dilutes.  Dr. Baeke typically performs the procedure himself, injecting 4u per site.

Patients are encouraged to apply a cool compress over the injection site and not rub the area for the first few hours post injection.

Complications with Botox and Jeuveau are exceedingly rare.  An occasional patient will complain of a headache, for which Tylenol should be sufficient.  Much more rare is a temporary drooping of the brow or upper eyelid.  Though annoying, this is a temporary problem which should resolve in a few days to weeks.  Dr. Baeke has never had a Botox patient experience this.

Medical science is continually learning new and wonderful uses for Botulinum toxin-A (Botox). One which has proven quite popular is with men and women suffering from excessive sweating. This condition called, Hyperhidrosis, can be quite social disabling. The most common areas of concern are about the arm pits (axillae) or palms of the hands. These individuals struggle with the embarassment of wet stains on their shirts or reluctance to shake hands. Botox can reduce and even eliminate the sweating. Its results can last for months.

Dr. Baeke encourages every patient to visit and for further important information. 

Q:  Does insurance cover cost of Botox, Dysport or Jeveau?  

Answer:  Not when used for cosmetic purposes.

Q:  Does Dr. Baeke ever hold a "BOTOX Party"?  

Answer:  Yes.  Typically, these are hosted at someone else’s home.  Arrangements would have been made in advance for Dr. Baeke and/or one of his staff to bring supplies to the event.  These are always fun events, however advance planning is important to assure everything is conducted in a professional manner.

Q:  Does Dr. Baeke offer concierge service?  

Answer:  Yes.  PPPS offers a concierge service.  We will be pleased to schedule a time for Dr. Baeke or one of our staff to meet you at a convenient place for private consultation and treatment.  To assure availability of product, advance notice is necessary.

Common areas which Dr. Baeke will inject:

Forehead  (usually 24u)

Glabellar frown lines (usually 20u)

Crow's feet (usually 24u)

Nasal "bunny lines" (8u)

Marionette lines, [i.e. downturned smile] (8u)

Q:  If I am having some other cosmetic surgery, can I receive BOTOX injections then?

Answer:  Absolutely.  That is a great way to not feel any of the small injections on the face.

Q:  What about use of BOTOX for excessive sweating of the underarms or hands?

Answer:  Indeed, BOTOX has proven to dramatically reduce hyperhidrosis (excessive sweating).  These areas are more sensitive than the face, thus it may be best to have an anaesthetist provide some iv sedation for your comfort. Here is great educational video from a British physician.

Custom Consultation for Your Needs or Questions

Please use the links below to schedule an appointment or to ask Suzanne any questions you may have prior to booking.

Hear It From Our Clients

Dr Baeke is a true angel the most caring plastic/general surgeon I've ever met.



Dr. Baeke:

I just wanted to thank you again for getting me in as quickly as you did to work on my nose. It looks good and feels great. Your staff is so polite and kind.

Thank you and God bless you all! R.G.

Nasal Reconstruction

Hi Dr Baeke!

Your skills, your integrity and just your amazing human compassion have been truly such a gift to me. I thank God for the day I found you. You and Suzanne have just absolutely been my guardian angels!

-S.L. (Phoenix, AZ)

XL Breast Augmentation

Dear Dr. Baeke:
WOW! Thanks for giving me my voice and tastebuds back. You're a great doctor and an even better person. 

Thanks a million! M.G.


Dear Dr. Baeke & Suzanne:
Just wanted to drop you guys a note and thank you profusely for all you've done for me...for helping to implement the most amazing and profound change in my self-esteem-in my life! 


Breast Augmentation

Dr. Baeke,

I am wearing a size 6 now, not an 8, and I am still shrinking.



Dear Dr. Baeke & Staff:

I wanted to thank you all for allowing one of my dreams, of breast implants, to come true. Suzanne especially was not going to give up until I got them, and she didn't (smile). I was so nervous when I got to the office for surgery but everyone there made me feel so comfortable. Thanks again, I'll never forget you guys!

Love, E.D.

Breast Augementation

Dear Dr. Baeke:

Thank you for meeting with me. Although I did not have anything done, I feel confident and beautiful because our meeting. I am now more appreciative of my body.

Thank you for your honesty and sincerity, R.D.

Breast Reduction

Dearest Dr. Baeke:

Thank you! Thank you! Thank you! I love my new assets. They’re wonderful. I even feel more confident.

Love, S.S.

Breast Augmentation

Dear Dr. Baeke:

I could not let another day go by without expressing my gratitude and appreciation for what you did for me. I felt as though you were indeed my "Guardian Angel", as you seemed to always "pop up" when I needed something.I shall always be indebted to you for saving my feet.I just wanted you to know how very grateful I am.

Sincerely, B.E.

Lower Extremity Reconstruction

Dr. B, I wish I'd had this done 20 years ago.  They work as advertised.  These things are wonderful.


Breast Augmentation

Dear Doctor John and Suzanne:

We love ya!. For once in my life, I am in love with my breasts!! (So is my husband). No time soon will I quit bragging about the doctor and his wonderful women in the office.

Love, T.M.

Breast Augmentation
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