New England Dental Arts


Restorative & Cosmetic Dentistry
David Bloom DMD

Serving the greater Salem, New Hampshire community
Monday thru Thursday 8am-5pm.


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Most Frequently Asked Questions About Botox Treatment

Introduction
The first step in deciding whether you might be a candidate for Botox is an evaluation to assess your facial movements, lines and wrinkles. Botox has been used to treat thousands of patients. The decision to start treatment with Botox is an important one.

What Benefits can I expect from Botox?
Botox can decrease the strength of the underlying facial muscles. By relaxing these muscles frown lines, squint lines, nasal crunch lines and horizontal forehead wrinkles become less deep. Your muscle strength and action will be minimized. We donít use Botox around the mouth, as we donít want to weaken your smile. Botox works on the muscles underneath the skin. If the creases are very deep in the skin then laser resurfacing or facial fillers may be a better option.

What is Botox?
Botox Cosmetic is a natural purified protein extracted from a bacterium and refined into a medicine. It has the unique properties to relax the wrinkle-causing muscles creating a smooth, natural look. It is a simple and quick non-surgical treatment that delivers great natural-looking results! Completely safe, it has been thoroughly researched and tested (more than 3,000 studies). and used in clinical practice for 20 years with no incidence, approved by FDA and Health Protection Branch of Canada). More than 13 million procedures have been performed since 2002.

Q. How do I know if I am a good candidate?
A. Botox works best on dynamic wrinkles (those you can see when making movements), if you have a static wrinkles (those that are there all the time) Botox will soften yet wonít eliminate them and can also lift the mid-face and brow. Many younger women are starting with Botox to prevent the formation of lines and wrinkles and itís ideal for women and men from 40 +.

Q. Do all practioners use the same method of delivering Botox ?
A. NO!!! We use the method as taught by Warren Roberts DMD (one the worldís leading experts on Botox) and practiced by dentists exclusively. We only inject at an angle just under the skin unlike the typical method of injecting straight on thus increasing your discomfort and chance of hitting the bone and bruising. And we inject into the muscle that causes the wrinkle not the typical method of injecting into the wrinkle, which can lead to droop or no result.

Q. How long will treatment last?
A. Effects generally wear off after 3-4 months

Q. What is the treatment experience like?
A. Procedures are typically 15-20 min , results take up to 14 days after treatment (but many see results within four days).

Q. Does the injection hurt?
A. No- it feels like a mild insect bite, we use tiny needles (same used by diabetics).

Q What are the possible side effects?
A With our method side effects are very rare (less than 1%). The standard method has a 2-9% chance of bruising, no result or the dreaded eyebrow droop (as stated on the official Botox site). Using the strategic aesthetic lift technique you may experience tenderness or redness at injection site or a short-term headache.

Q. Is it safe to use Botox and Juvaderm together?
A. Yes they work well together

Q. How do I know my doctor wonít give me too much Botox?
A. The production of Botox is carefully controlled at every stage to ensure that itís safe for medical use. Your doctor has been trained to administer it safely and manage any issues that may occur. We plan your Botox plan very carefully and administer the amount in order for you to reach your aesthetic goals. We use averages then adjust according to your goals, age, skin quality and level of strength training.

Q. How will my doctor determine how too much Botox to use?
A. This depends on your age, goals, skin condition and if you work-out. For each area i.e. the forehead there are general guidelines as to how much to administer but this number can vary depending on your age, condition of skin and if you strength train (patients who strength train have stronger facial muscles and typically require more Botox).

Q. Are there any patients who should not receive Botox?
A. Botox is not recommended for women who are pregnant, nursing or people with myasthenia gravis or other muscle diseases.

Q. What does Botox look like? A. Botox comes in a glass vial containing small amounts of crystals. A special solution containing water and small amount of salt is added when the doctor prepares it for injection. A freshly made solution is injected into the specific muscles with a disposable syringe using a very fine gauge needle.

Q. Does your face feel different afterwards?
A. No the skin and facial movements feel just the same as before Ėyou wonít notice that ití in your face except by looking in the mirror.

Q. Does Botox interact with other drugs?
A. It is always important to let your doctor know if youíre taking other medications specifically amino glycoside antibiotics (these inhibit the effect of Botox).

Q. How long does it take to work?
A. The effects are usually first noticed in 72 hours and may take up to ten to 14 days to see the full effects.

Q. How long do the effects of Botox last?
A. A recent study showed that Botox lasts from 3 to 6 months.

Q. Does this mean I will need to continue treatment?
A. Yes 3 -4 times a year is common to maintain the benefits.

Q. How much does it cost?
A. Botox is sold by the unit, your fee is determined on how many units you are given. We charge $12 a unit which is customary (fee includes your photographic documentation).



We Provide Adult Cosmetic & Restorative Dentistry serving the Following Greatern Southern New Hampshire & Northern Massachusetts Communities:
Derry NH 03038 | Salem NH 03079 | Manchester NH 03104 | Pelham NH 03076 | Londonderry NH 03053 | Hampstead NH 03841 | Atkinson NH 03811
Bedford NH 03110 | Hooksett NH 03106| Windham NH 03087| Plaistow NH 03865 | Methuan MA 01844| North Andorver MA 01845
Haverhill MA 01830 | Lawrence MA 01840


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David Bloom DMD. One Manor Parkway. Salem NH 03079


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