Pittsburgh BOTOX specialist, Dr. James Fernau of Aesthetic Plastic Surgery & Medical Spa in Pittsburgh, PA routinely utilizes BOTOX to treat wrinkles and lines across the forehead and near the eyebrows. BOTOX is an FDA-approved dermal filler of purified protein produced by the clostridium botulinum bacterium. It is considered a short-term correction (3-6 months) for these areas, but very effective. As one of the most popular wrinkle treatments in plastic surgery today, BOTOX works by blocking the nerve impulses to the injected muscles and reducing the muscle activity that may cause moderate to severe facial lines. BOTOX injections provide noticeable results, without surgery or recovery time. It provides the facial skin with a smooth, refreshed appearance.
"So happy I found this place! Went to other cosmetic establishments in Pittsburgh area which were just ok but Dr.Fernau’s office has been everything and more! Have been coming here for a couple years now for Botox /other non invasive treatments and I’ve been very happy with results… he’s also very informative and has all the newest technology.. staff is also super nice ! Prices are also very reasonable!"- T.L. / Google / Mar 10, 2022
"Dr. Fernau is absolutely amazing! I wouldn’t trust any other plastic surgeon with Botox and Fillers. He is so knowledgeable and is meticulous. I love his safety protocol that he uses when getting my services done. His office staff are super friendly and make you feel so comfortable. He is the Best! I love my results!"- J.T. / Google / Mar 22, 2022
"This was my first time getting lip filler and botox and Dr. Fernau was very nice and sweet. Took the time to explain everything to me and made me feel at home. Will definitely recommend to my friends. He and his staff did an amazing job"- J.E. / Google / Apr 10, 2022
"Dr.Fernau an staff are top notch professionals,highly qualified, experienced in todays cosmetic solutions, surgery, support. Spa Roma clientele an I would agree ,Dr. James Fernau, Sherry, Shelia an staff are kind , lovimg,an caring professionals who want to see the best you can become in your beauty from simple face waking botox to advance body transformation . I would know they have been workimg on my face an body sunce 2010. Get yourself i an appointment with them an see the transformation happen for you too. Love, love them !!!!!"- A.H. / Google / Jun 11, 2022
"I went to Dr.Fernau's office for Botox and fillers.I can tell you that it was truly such a wonderful experience.Dr.Fernau and his assistants made me feel so special and cared for from beginning to end.I felt no pain whatsoever.They definitely go above and beyond for the patient.The results were outstanding ! I would never go to any other place.I absolutely adore this place."- J.A. / Google / Feb 28, 2023
Tiny doses of BOTOX are injected into the skin where wrinkles are noticeable. It is normally done in the doctor’s office and the procedure can last from 15 to 30 minutes. The number of injections and dose amounts administered varies by patient depending on the severity of wrinkles. Patients are first marked with ink prior to the injection so that the practitioner can accurately inject the areas in need of wrinkle softening. This procedure does not create any discomfort other than a normal prick that comes with a small needle. A numbing cream may be applied to help with any discomfort. Patients will be able to go home right after treatment with no downtime from their normal routine.
Alternate Uses of Botox
In addition to being a popular wrinkle relaxer, BOTOX can treat several conditions, including hyperhidrosis (excessive sweating). Patients who suffer from excessive sweating (primary axillary hyperhidrosis) in the palms, armpits, and scalp can get temporary relief from BOTOX injections that block overactive sweat glands. BOTOX can also be used to treat chronic migraines, blepharospasm (eyelid spasms), cervical dystonia (neck pain), incontinence (overactive bladder), strabismus (crossed eyes), and upper limb spasticity (muscle stiffness in the elbows, wrists, and fingers). During the initial consultation, patients should speak to Dr. Fernau about any of these concerns and learn more about a BOTOX treatment plan for these conditions.
What to Expect
After treatment, mild swelling and bruising may appear on the injection spots. Patients are advised to limit exercise and to sleep in an upright position the same night as the treatment. The redness and swelling will only last for a few hours, but some patients may experience bruising for several days. There are bruising medications, such as Arnica, that patients can take a week prior to treatment to help minimize bruising. The results from a BOTOX treatment take 5-7 days to appear. When they do, the face will look smoother and brighter, and patients will feel rejuvenated by their fresh appearance.
A syringe of BOTOX averages about $250 to $850. Depending on the patient’s case, a session may use 1 to 3 syringes, or more. During the initial consultation, the practitioner will be able to assess how many units/syringes are needed to attain the patient’s desired results.
Plan Your Procedure
- Average Cost
- $250 - $850
- Recovery Time
- 1-2 Days
- Average Procedure Time
- 30 Minutes
- Post-op Follow-up
- 30 Days
- Procedure Recovery Location
There is an ongoing trend where people who wish to have BOTOX treatments will gather together and administer the BOTOX doses themselves called ‘BOTOX cocktail parties’. This is very risky. BOTOX, when administered incorrectly, may paralyze unintended muscles that can result in an abnormal facial appearance. BOTOX treatments should be done in a medical setting with an experienced, skilled injector.
Same as BOTOX?
In recent years, BOTOX has seen some competition as other drugs have been approved by the FDA and introduced to the aesthetic market. Dysport and Xeomin are muscle relaxers similar to BOTOX. Each has its specific trending function that can be addressed during the initial consultation. Sometimes, a combination of the drugs is used to treat various areas. For example, BOTOX for frown lines, and Dysport for crow’s feet.
Are Fillers Better?
BOTOX and fillers are both popular cosmetic treatments with the ability to decrease wrinkles and smoothen facial areas. The difference with each is the way the substances function to create the rejuvenating effect. Injectable fillers add volume under the skin to fill hollow areas and decrease the appearance of wrinkles on the surface. BOTOX, on the other hand, relaxes the muscles underneath the skin so that the muscles cannot contract, allowing a softer effect on the surface. It is very common for patients to undergo treatment using both a muscle relaxer and an injectable filler to attain optimal results.
Today, practitioners are treating patients of all ages with BOTOX. For some individuals, for example those as young as 30, BOTOX is considered a preventative way to prevent facial wrinkles. For others (i.e. 40 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles. Older individuals (55 and up) will still receive great benefit from having BOTOX injections, but for some, a facelift technique might be a better option to consider.
How Long Does It Last?
A BOTOX injection will last between 3-4 months. The treatment can be repeated every quarter and for most patients who receive this treatment, they usually come back for more. BOTOX is an effective, easy and safe way to minimize the appearance of facial wrinkles. Patients consider it a part of their normal beauty routine.