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Lines and Wrinkles

BOTOX® Cosmetic | Dermal Fillers | Juvéderm®


BOTOX® Cosmetic

After years of squinting, laughing, frowning, smoking, worrying, and sun exposure, your skin inevitably develops  lines and wrinkles. Some of these lines are "expression lines." Other lines and wrinkles are from aging and sun damage. Until now, expression lines have been difficult to treat. Now, by utilizing an already approved muscle-relaxing agent, expression lines can be significantly reduced. Depending on the type of lines and wrinkles you have, you can choose from several options to correct the desired area.  Botox and Dermal Fillers are two methods we use to treat wrinkles and soften your appearance.

What is BOTOX® and how does it work?

BOTOX® is a therapeutic muscle-relaxing agent derived from the bacterium, Clostridium Botulinum.   For years physicians have been using BOTOX® as a cosmetic treatment to correct visible signs of stress and aging.

Your brain sends messages to your muscles so that they can contract and move. BOTOX® works to block the muscle from responding to the message; as a result, the muscle relaxes and the overlying skin remains unwrinkled and smooth.

What is treatment like and what results will I see?

BOTOX® is precisely injected, using a very fine needle, into the specific muscle that is contracting.  Treatment is effective, safe, and takes approximately 10 minutes.  The pain is a minimal "pin prick" and no anesthetic is required.  Immediately following treatment, you may resume regular activities!

Usually, the effect of BOTOX® is visible within 3 days.  Maximum benefits are reached between 10 to 14 days. Once the muscle relaxes and the skin softens, you will have a more relaxed and youthful appearance.  The effects of BOTOX® usually last 3 to 4 months. You will notice a gradual fading of its effects. After several treatments, the effects of BOTOX® may last 6 to 8 months.

The ideal look may be achieved by BOTOX® injections in conjunction with microdermabrasion treatments or laser skin rejuvenation.

Are there any possible side effects?

With BOTOX®, side effects, if any, are usually mild and temporary.  Botulinum toxins contain proteins and in some circumstances, the body will form antibodies to the protein.  If antibodies are formed, the effect would be a lesser response to therapy. Temporary bruising is sometimes experienced. This symptom resolves itself within 2 to 3 days.  In rare cases, there can be a slight drooping of an eyelid or asymmetry of expression.   If this should happen, return to see Dr. Connelly.

Dermal Fillers

Dermal Filler injections are given to patients who wish to "fill in" lines and creases that appear on the face.  This is one of the most frequently performed cosmetic procedures. As we age, our collagen layer depletes and the overlying skin creases and folds.  By replacing the collagen, especially in deeper lines and the nasal labial folds.  Fillers correct frown lines, scars, crow's feet, forehead lines and smoker's lines around the mouth. Dermal Fillers are also used for enhancing lips.

How long does it last?

The effects last up to twelve months, and the treatment is easily repeated.

Who are candidates for treatment?

If you have lines or creases on your face or wish to have fuller lips, you are more than likely a candidate.  You must have a skin test prior to treatment to determine whether or not you are a good candidate for the procedure.


Hylaform PicJuvéderm® gel is a sterile, clear, colorless dermal (skin) filler gel implant made of chemically modified hyaluronic acid derived from avian (bird) source. Hyaluronic acid is a naturally occurring substance found in the fluids surrounding cells and tissues. It is chemically, physically and biologically similar in the tissues of all species. Juvéderm® gel is made from highly purified natural hyaluronic acid that is gradually absorbed by your body through natural mechanisms.

What is Juvéderm® gel used for?

The gel is injected into skin tissue for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Where does Juvéderm® gel come from?

The gel is produced from materials of avian (bird) origin and contains extremely small amounts of avian protein. Because of this, you should speak to your physician and you should not use Juvéderm® gel if you have any known allergies to avian protein.

How does Juvéderm® gel work?

Juvéderm® gel is injected just beneath the skin surface temporarily adding volume to the layers of the skin that have deteriorated due to age and other factors. The gel, when injected, is used to raise depressions in the skin, providing temporary correction of wrinkles and folds.

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Laura A. Connelly, MD
109 W. 6th Street
Cookeville, TN  38501

Phone:  931-528-6945
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