Our Guide To Botox

Botox: a once hush, hush topic, is now becoming the norm in the skin care world.

As a nurse injector for the past 26 years, our founder was a pioneer in the once lesser known world of Botox. Pamela remains one of the most sought after injectors in the cosmetic skin care industry. Her Denver based medical spa, Facial Aesthetics, is recognized by Allergan (the parent company of Botox) as one of the top 50 practices in the nation.


We sat down with Pamela to answer some of the most common questions associated with Botox.

What exactly is it?

Botox is a neurotoxin produced by the bacterium Clostridium botulinum called botulinum toxin. Don’t let the word toxin scare you though.It is used for multiple issues where there is a tightening Botox is used to treat everything from migraines to endometriosis by relaxing the muscles.

Does it hurt?

It depends on your pain tolerance and thoughts on needles, but the common answer is ‘no’. It feels just like a tiny little prick, but some people are more sensitive than others to needles. There may be a slight stinging sensation but overall Botox is considered to be very tolerable.

How long does it last?

This varies from person to person. Typically it will last around 4 months, but there are certain factors at play. People with a higher metabolism tend to need it more frequently as they metabolize the Botox faster. Additionally, conservative doses of Botox will result in movement returning to the muscle more quickly than heavier doses, and therefore lines may reappear sooner than 4 months.

Do you still need to use skin care products?

Absolutely. The fact of the matter is that Botox will relax the lines, but it doesn’t impact the quality or health of your skin. If you want to make the investment of Botox, you’ll also want to protect that investment with quality products. Botox can treat the lines and wrinkles, but it’s the skin care products that help maintain these results while also addressing issues like skin tone, texture, and radiance. A combination of Botox and quality skin care products will result in the most drastic changes to your appearance.

When should I start getting it?

This will always be a personal choice. It is a matter of when you see that line or wrinkle that you really don’t like. I will tell you, however, that if you want your Botox to look natural as you age, getting it as soon as you start to see lines is typically best. The longer that line remains at full muscle strength, the deeper that line gets and the harder it is to get rid of. Botox is such a powerful tool for preventative aging.

Is it possible to look natural and still get Botox?

This is where good skin care products and a great injector will play a huge part. The better skin care program you are on, the less likely you are to have deeper lines to begin with. The right injector will be able to tell you what you need to remove lines, yet still have movement in the face and not look ‘frozen’ as so many fear they will. Be upfront with your injector and tell her exactly what you want. It is better to start conservatively and add more than to regret the Botox altogether.

What makes a good injector and a bad injector?

A good injector understands the musculature of the face. She understands how it moves and how that movement creates lines. She also has an aesthetic eye – one that says if I do that, it’s going to cause this, and will that look pretty. Botox really is a mix of art and science.

What’s your biggest tip when it comes to Botox?

Make sure you research your injector beforehand. Remember that it is a medical procedure that should only be done by a medical professional. It’s important to investigate who you’re going to and why you’re getting Botox.

Some states, including Colorado, it is not required to be a nurse or doctor to become a licensed injector. So even though someone’s title may be ‘Licensed Injector’, you’ll also want to make sure you know their background prior to that.

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