Joel L. Pelavin, MD, PC
Botulinum toxin is used in ocular conditions such as blepharospasm, an excessive contraction of the eyelid muscles that forces the eyelids closed, and hemifacial spasm, an excessive contraction of the facial muscles on just one side of the face. For certain types of double vision, botulinum toxin can be injected directly into the eye muscle opposite the paralyzed eye muscle. Some wrinkles also become less prominent if injected with botulinum.
Side effects of the injection are temporary. They can include a droopy upper eyelid, double vision, and inability to close the eyelids.
Prior to Botox, patient is able to wrinkle forehead muscles creating "frown lines". After Botox, patient is unable to wrinkle forehead muscles.


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"Crows feet" before Botox. |
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Smoother appearance after Botox. |