Dr. Paul L. Leong, MD

It's Your Face, Trust it to a Specialist

Botox® Pittsburgh, Pa

Botox Cosmetic, Pittsburgh Pa - Paul Leong, MD

BOTOX® Cosmetic is an injectable neurotoxin used to effectively smooth out facial wrinkles and folds. It is often injected into the “crow’s feet” area, as well as between the eyebrows (glabellar lines), in the forehead, along frown lines, and above the lips to temporarily eliminate wrinkles and creases. Treatment usually only takes 10-15 minutes and will last approximately 4 months. It can be a great non-surgical wrinkle treatment for those looking to replace an angry or tired appearance with a more lively and energetic look!

Why should you have BOTOX® Cosmetic Treatments with Paul Leong, MD, FACS?

I am a double-board certified Facial Plastic Surgeon who specializes only in cosmetic treatment of the face and neck. I am totally focused in this area and therefore fully up to date with the latest nuances and techniques of BOTOX® Cosmetic. Importantly, I perform all injections, whether it be BOTOX® Cosmetic or Dysport®, or dermal fillers like Restylane®, Sculptra®, JUVÉDERM®, and Radiesse®. By performing all injections myself, patients get assurance that they will benefit from my many years of accumulated experience.

I have had multiple appointments with Dr. Paul Leong. Dr. Leong always treats with with courtesy and kindness and has an exceptional bedside manner. The botox injections that I have received and taken years off of my appearance. I highly recommend Dr. Leong.
Review from Vitals.com

If you would like to schedule a consultation, please contact Sistine Plastic Surgery today.

What other areas on the face can be treated with BOTOX® Cosmetic?

BOTOX® Cosmetic can also be used as an alternative to Browlift Surgery – a so called BOTOX® Browlift. When injected adjacent to the eyebrows, it relaxes the muscles that pull down on the eyebrows, typically resulting in an opened and refreshed look without the “hooded” effect caused by heavy eyelids. This non-surgical treatment is considered quick, safe and convenient. Some patients get a fairly impressive browlift with BOTOX® Cosmetic; for others, the lift is quite modest. BOTOX® Cosmetic is also used to treat the mentalis muscle (muscle over the chin) when it causes wrinkles in that area (sometimes called “pebble chin” or “orange peel” skin). BOTOX® Cosmetic can be injected into the lower eyelid, resulting in a more open eye and more wrinkle-free lower eyelid skin. Finally, BOTOX® Cosmetic can be injected adjacent to the nose to modestly lower the height of the upper lip when you smile, reducing the “gummy smile” appearance the bothers some patients. Consistent use of BOTOX® Cosmetic can have a preventative effect. By reducing the amount of excessive facial expression, facial lines and wrinkles can be prevented from forming in the first place – often a very attractive goal for patients interested in slowing the onset of the classical signs of facial aging.

Other Uses for BOTOX®

BOTOX® has also been proven to temporarily alleviate excessive sweating in the underarms (hyperhidrosis) and palms, as well as reduce the effects of migraines and Cervical Dystonia (CD).

The History of BOTOX® Cosmetic

BOTOX® Cosmetic was first used in the 1980’s for medical purposes and then later for aesthetic improvement in 2002 when doctors noticed the impact of BOTOX® Cosmetic on lines and wrinkles. Since 2002 roughly 11.8 people have been injected with BOTOX® Cosmetic. BOTOX® Cosmetic is typically considered safe and effective when administered by an expert injector.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic contains botulinum toxin type-A, which works by temporarily paralyzing and relaxing muscles, creating a softer and younger-looking appearance. The effects of BOTOX® Cosmetic will usually be noticeable within a few days, but the full effect will take approximately 2 weeks. Since BOTOX® Cosmetic lasts approximately 4 months, it is important to make recurring appointments several times a year to maintain youthful results.

Does BOTOX® Cosmetic have any side effects?

Possible side effects of BOTOX® Cosmetic include, but are not limited to: redness, bruising, bleeding, inflammation, numbness, infection, an allergic reaction, drooping of the eyelid, and a temporary headache. To reduce the chance of bruising, stop the use of aspirin, Ibuprofen, Vitamin E, Fish Oil, St. Johns Wort, alcohol consumption, and any blood thinning medications one week prior to your appointment.

Instructions After Treatment

It is recommended that patients refrain from exercising the day of BOTOX® Cosmetic treatment and abstain from touching or manipulating the treated area. There is usually no downtime necessary after treatment, and patients can often return immediately back to work.

Who is a good candidate for BOTOX® Cosmetic?

botox-2A good candidate for BOTOX® Cosmetic is anyone who wants to minimize or eliminate forehead or smoker lines around the upper lip, crow’s feet, glabellar lines, and lines around the mouth or neck. Both men and women are excellent candidates and can often benefit greatly from the effects of BOTOX® Cosmetic. I will meet with you for an in-person consultation to determine whether this procedure is the best option for your individual needs.

Do BOTOX® Cosmetic injections hurt?

Most patients report feeling a slight stinging or burning sensation when injected and may feel tender after injections, but this is only temporary. I am an experienced and skillful injector and always take the time to ensure patients are comfortable and that any pain is minimal.

Can I combine BOTOX® Cosmetic treatment with dermal fillers and Ultherapy®?

Yes, BOTOX® Cosmetic is often combined with Ultherapy® and other facial fillers such as Restylane®, JUVÉDERM®, Perlane®, Radiesse®, lip fillers, or Sculptra® Aesthetic. Combining treatments helps to target both lines and creases, often leading to a more enhanced and longer-lasting result.

What is the cost BOTOX® Cosmetic Injections in Pittsburgh?

The cost of BOTOX® Cosmetic generally varies due to the injector’s experience as well as their geographic location. The price of BOTOX® Cosmetic is typically calculated one of two ways: per area or by the unit. The three most common areas to get BOTOX® Cosmetic injected into is the forehead, glabella, and crow’s feet. Around the United States the average cost of BOTOX® Cosmetic per area ranges from $200-$350.

Can Botox be used for Preventative Purposes?

Yes, Botox Cosmetic has proven to be very effective in delaying the development of wrinkles in the glabella, forehead, and around the eyes (crows feet) if patients start treatments before their wrinkles set in. It is relatively common for patients to start getting Botox Cosmetic treatments as early as their mid 20s even though the standard used to be waiting until fine lines and wrinkles were already established on one’s face to start treatments. These Botulinum toxin treatments must be maintained every 3-4 months to reap the full benefits of the preventiveness. This is because the muscles need to remain in the weakened state which will therefore make the lines and wrinkles less visible as you get older. The essence of this approach is to treat these facial lines when they are very slight or in some cases barely visible, so you never develop them in the first place! For patients who prefer “an ounce of prevention is whole a pound of cure” philosophy, this can be an attractive option. When is the best time in the aging process for you to start Botox Cosmetic or Dysport – Dr. Leong can advice you further on that during your consultation.

Botox for Bruxism (Teeth Grinding)

Many of our patients come to Sistine Plastic Surgery in Pittsburgh to help alleviate symptoms of Bruxism. Those that struggle with Bruxism often grind their teeth at night but this habit can also be a result of stress and anxiety. Excessive teeth grinding can lead to a painful jaw and an overdeveloped masseter muscle. We use Botox® Cosmetic and Dysport® injections to not only weaken and relax the masseter muscle, but also to slim the lower portion of the face. This technique was first pioneered in Korea and elsewhere in Asia, but can be very useful for patients in the United States as well. Those with Bruxism often notice that their jawline has become more prominent or masculine after years of clenching down so tightly. Patients should return for Botox® or Dysport® injections every 3-4 months for the best results. If injections are not maintained, the masseter muscle will inevitably re-strengthen and return to baseline. It’s important to note that symptoms like jaw pain can be quite involved and treatments with Botox® Cosmetic and Dysport® injections should not substitute consultation with your dentist.

Brilliant Distinctions®

brilliantdistinctionsAll BOTOX® Cosmetic patients are eligible to be enrolled in the Brilliant Distinctions® Program. This incentive program allots 200 points each time a patient gets a BOTOX® Cosmetic injection. With 200 points, the patient can print out a $25.00 off coupon to use towards their next BOTOX® Cosmetic treatment. Treat yourself to beauty and great savings!

Contact Sistine Plastic Surgery

For more information on BOTOX® Cosmetic, or if you would like to schedule a consultation with Dr. Paul Leong, please contact Sistine Plastic Surgery today.

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Certifications & Training:

Yale Medical School – Certified Plastic Surgeon