Harrisburg, PA: (717) 728-1700
Gayner Facial Plastic Surgery
10 Capital Drive #100
Harrisburg, PA 17110
Phone: (717) 728-1700
Monday (Phones Only): 8 a.m.–4 p.m.
Tuesday, Wednesday: 8 a.m.–4 p.m.
Thursday: 8 a.m.–4:30 p.m.
Friday: 8 a.m.–3 p.m.
Dr. Scott Gayner, our board certified facial plastic surgeon offers several neuromodulators. Neuromodulators, like BOTOX® Cosmetic, are injectable treatments that temporarily relax facial muscles to reduce the appearance of dynamic wrinkles – those caused by repeated facial movements such as frowning, squinting, or smiling. These treatments prevent the repetitive movements that contribute to wrinkle formation. This results in a smoother, more youthful appearance.
Board-certified facial plastic surgeon Dr. Scott Gayner has extensive specialized training in facial surgery and is at the forefront of innovative facial rejuvenation techniques.
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BOTOX Cosmetic helps people from York and Lancaster, PA, and other nearby cities smooth away “dynamic wrinkles” on the upper parts of the face, which are caused by the repetitive contraction of facial muscles over time. Common concerns that can be corrected with BOTOX Cosmetic include:
BOTOX is the first FDA-approved treatment that can temporarily soften the appearance of both moderate-to-severe frown lines between the brows and crow’s feet lines in adults.
It’s not just for women.
BOTOX is one of the leading procedures requested by men, with hundreds of thousands of injections performed. The treatments can restore a look of youth and vitality to men who want to turn back the clock and feel more confident in professional or social situations.
BOTOX is a safe injectable treatment that works by relaxing facial muscles that contract, wrinkle the skin, and eventually cause dynamic wrinkles. Once injected into these muscles, BOTOX causes them to stop contracting, preventing them from forming the telltale wrinkles.
Wrinkles occur through a combination of factors. Changes occur at the cellular level, our skin loses collagen, and prolonged exposure to the sun and other environmental factors also takes its toll. But muscle movements in the face are also responsible for certain wrinkles. When an individual is anxious or focused, the muscles in the forehead and between the brows tend to contract, causing the skin to fold and furrow. When squinting to better observe something, the muscles around the eyes contract, resulting in crow’s feet.
Beginning with a consultation, Dr. Gayner will discuss your treatment goals and perform a facial analysis to determine the right areas of treatment.
Once you are comfortably settled and ready, Dr. Gayner administers several tiny injections of BOTOX directly into the muscles that cause your dynamic wrinkles. Many patients at Gayner have said that an injection of BOTOX can feel like a small pinch, and while no anesthesia is required, you may choose to have Dr. Gayner to numb the area with a cold pack.
The actual procedure can take as little as 10 minutes, so you don’t need to worry about making a huge dent in your schedule.
No downtime is needed. BOTOX is well-known for being a “lunchtime procedure,” as patients can resume their regular activities immediately after a treatment session. Any discomfort after BOTOX injections is usually very slight and limited to redness, swelling, or bruising at the injection site.
You may notice an effect within 24 to 48 hours after a treatment session; however, further smoothing should become visible over the following 3 to 5 days.
Although BOTOX will prevent muscles from contracting to cause wrinkles, when a skilled facial plastic surgeon administers it, it should not limit your facial expressions.
Improvements can last up to 4 months. However, some patients who use BOTOX regularly may find that they can space out their maintenance treatments beyond that 4-month mark.
BOTOX and dermal fillers each have an important role in reducing wrinkles and smoothing out facial lines and folds. The option that is better for you is the one that addresses your unique aesthetic needs. BOTOX diminishes “dynamic wrinkles,” which are facial lines caused by repeatedly making facial expressions such as smiling, squinting, and frowning. These expression lines show up as crow’s feet, worry lines between the eyebrows, and forehead lines. Dermal fillers are an excellent choice if your skin lacks elasticity or volume, creating smile lines, hollow cheeks, thin lips, or sunken areas under the eyes.
You may also want to talk with Dr. Gayner about DAXXIFY or JEUVEAU, more recent alternatives to BOTOX. Like BOTOX, DAXXIFY and JEUVEAU are quick, nonsurgical injections that can be performed right in our office, and they use the same active ingredient (botulinum toxin type A). However, they are different in several key ways:
Dermal fillers are injectables used to restore volume, smooth wrinkles, and enhance facial contours. They are commonly used to rejuvenate the skin and reduce signs of aging.
Dermal fillers are made from various substances, including Hyaluronic Acid, a naturally occurring substance in the skin that provides hydration and elasticity.
We use the RHA collection, which has different levels of texture allowing Dr. Gayner to select the one that will give you the best results in the areas that you would like to improve.
We also offer SCULPTRA, a dermal filler, that encourages collagen production. It is often used for long-term facial volume restoration by making your body produce more collagen
Dr. Gayner can perform BOTOX or JEUVEAU treatments along with dermal filler treatments for an overall facial rejuvenation. He is experienced using a variety of nonsurgical treatments and can help guide you in your choice. In fact, Dr. Gayner often combines these facial rejuvenation techniques to create unique and customized non-surgical facelift packages, also known as a liquid facelift, for patients who would rather not undergo surgical procedures, but still want the most balanced, natural-looking results possible.
Although BOTOX and JEUVEAU treatments can provide beautiful results without surgery or downtime, the benefits are temporary. Dermal fillers can last longer depending on the brand used, but their results are also not permanent.
If your goal is to change deeper creases and fix sagging facial contours, you may want to consider Dr. Gayner’s surgical procedures, such as a facelift or eyelid surgery.
The “right” age to start BOTOX depends on your cosmetic goals. People in their 20s and 30s receive these treatments proactively to prevent dynamic wrinkles from forming. It’s an excellent facial rejuvenation treatment for people in their 40s and up who have frown lines, crow’s feet, and other creases caused by repeated contractions of facial muscles.
Consistent treatments can sometimes help patients extend the life of their results; however, BOTOX usually lasts up to 4 months.
The safety of BOTOX is inconclusive during pregnancy and breastfeeding, so we do not offer these treatments to women if there’s a possibility of affecting their children.
It may seem that way because lines and wrinkles gradually develop when BOTOX wears off—just as they would if you didn’t have the treatment at all. It hasn’t been found to accelerate the aging process.
When injected into the masseter muscles of the jaw, BOTOX temporarily relaxes them to provide jawline contouring (masseter reduction) and effective treatment of TMJ.
While no downtime is required after BOTOX treatments, for optimal results, we recommend the following precautions:
To learn more about BOTOX Cosmetic and other nonsurgical methods to reduce the signs of aging, request a consultation with Dr. Gayner using the online form or call our office at (717) 728-1700.
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