Learn about Botox injection and Botox pricing.

Over time, most of us develop furrows and wrinkles on our forehead and between our eyebrows that gives us an angry look. The good news is that there is a simple and very effective treatment for it. Botox injections have been administrated safely for more than ten years. Botox injections weaken the muscles causing the wrinkles to soften or disappear.

In our Jacksonville Cosmetic Surgery Center, Dr. Nezami carefully evaluates the facial muscles that need to be treated and he develops a specific program for the patient. Each patient has his or her own chart and a Botox injection sheet where the exact point of injections and number of units is carefully recorded. The results obtained and adjustments needed are carefully written down on patient’s chart. The exact charting is essential to refer to in obtaining the same excellent result each time. In our Jacksonville Cosmetic Surgery Center, we are interested in maintaining a long term relationship with our patients by providing excellent result.

Dr. Nezami performs the Botox injection himself. The procedure takes 15 minutes. The Botox injection does not need anesthesia or sedation. The discomfort is minimal. The effect of the Botox injection is visible 4-7 days after injection and it will last 3 to 4 months.  In order to prevent bruising, we ask our patients to avoid taking aspirin, ibuprofen or any anti-inflammatory medication 10 days before their Botox injection.

To read more about Botox injection visit : www.ahnezami.com/Jacksonville-Face-Lift/Jacksonville-Botox and our Botox blogs.

To see additional before and after photo, visit our Botox gallery.

Cost of Botox Injection: In  Jacksonville market the price of Botox is quoted between $8.00 to $16.00 per unit. In order to make an informed decision and adequate comparison patients need to ask the following questions:

• Who performs the injection: a Board certified Plastic Surgeon, a nurse practitioner, physician assistant, or other specialty physician.

• How many units are injected?

• Dilution of botulinum toxin A with normal saline is an important factor in the pricing of Botox injections. Too much dilution will reduce the concentration of the product and the effects will be more spread out and could affect other muscles.

For more questions call (904) 399 5061.

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Increasing Botox Effect And Duration With Zinc

Written by A.H. Nezami, MD.,  director and founder of Jacksonville Cosmetic Surgery Center.

Botox Cosmetic injection has become more popular, with more patients taking advantage of this easy way to reduce wrinkles on the forehead, crow’s feet and between the eyebrows or to reduce sweating under the armpit. Botox has thousands of other non-cosmetic uses as well.   We previously wrote on our blog: Curious about Botox? Jacksonville’s Dr. A.H. Nezami Explains All You Need to Know. and Botox Injections: How to benefit the most and have the best result. We encourage readers to refer to those blogs for additional information.
The effect of Botox cosmetic injection appears quickly within 3 to 7 days. Repeated treatment is needed to maintain the benefits of Botox cosmetic, typically within 3 to 4 months.
Botox needs zinc to work properly. Knowing this fact, Oculoplastic surgeon, Dr. Charles Soparkar and his team in a pilot clinical study compared the effectiveness of Botulinum Toxin injections (Botox, Myobloc, or Dysport) with either zinc citrate 50 mg plus phytase 3,000 PU, zinc gluconate 10 mg, or placebo supplementation in individuals being treated for blepharospasm, hemifacial spasm, and cosmetic wrinkles. “Surprisingly, the results showed that in over ninety percent of the patients studied, the zinc/phytase combination resulted in a remarkable improved responsiveness to treatment of blepharospasm using the same amount of Botulinum toxin as previously used,” said Soparkar, M.D. “The toxins seemed to have greater effect and last longer. Potentially, this could mean using less toxin, offering patients financial savings, greater safety, and more consistent results.” This study was recently published: Effect of dietary zinc and phytase supplementation on botulinum toxin treatments. J Drugs Dermatology 2012 Apr 1; 11(4):507-12.
ZYTAZE™ is a prescription nutritional supplement manufactured by OCuSOFT.    Each capsule contains Zinc Citrate 25 mg and Phytase 1500 mg.  ”Two capsules daily for four days prior to and on the day of receiving botulinum toxin injections.  Each prescription package contains 10 capsules. ZYTAZE™ may be taken during meals or snacks, but avoid taking ZYTAZE™ within two hours of other medications and / or supplements.    ZYTAZE™ is a medical food and is intended to be used under the supervision of a physician.” For answers to frequently asked questions and more information about the product, please visit http://www.zytaze.com/faq
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Botox Injections: How to benefit the most and have the best result.

Botox injection has become one of the most popular non-surgical cosmetic procedures. Botox injection has no downtime, the effect can be seen in 4 to 7 days and is relatively painless. Botox is primarily used on frown lines, crow’s feet, laugh lines, forehead lines and pebble chin or to reduce sweating under armpits. It can be also used to decrease teeth grinding and the volume of the masseter muscle. The muscles under the skin contract when we frown, laugh or worry causing wrinkles. Botox injection temporarily weakens the muscles and thereby reduces the wrinkles and also decrease or stop the sweating by seat glands where injected.

In today’s market one can have a Botox injection in a variety of places: medical practices of all types from family practice to gynecologist, dentist, dermatologist and plastic surgery, etc.. In addition, many spas, private homes in form of Botox parties’ inviting a nurse practitioner or a doctor offering Botox injections.

To benefit the most from your Botox injection you need to pay attention to the following:

· The expertise, experience and an eye for perfection of the person injecting the Botulinum toxin A are important. Botox injection by itself is a simple procedure, but to identify exactly what muscles and how many units to inject  or how deep to inject requires expertise and experience . Lack of accurate injection might result in droopy eyebrows, eyelids or an unnatural facial expression of surprised look.

· There is no “standard Botox injection” for everybody, it should be individualize for each person according to their need and strength of each muscle and anatomy of each patient. To have the best and consistent result from Botox injection, it is important that an accurate and precise chart is made for the patient recording the exact location of each injection and the amount injected, so that the plastic surgeon has an accurate guideline to adjust and improve the result for the next time or to obtain the same result.

· It might not be a good idea to go to different places for each injection every three to four months based on the lowest cost. The cost might be slightly less but it is unlikely that you can expect the optimal result or the same result each time.

· Allergan is the manufacturer of Botox Cosmetic which is shipped refrigerated to the physician’s office in the form of powder in a vacuum sealed vial. This powder is diluted in saline (salted water) in the physician’s office. The degree that the Botox is diluted and how many units are injected in each area is important. If more saline is added to the vial of Botox powder, the Botox is more diluted and for the same amount of injection less unit is injected, therefore the effect on the muscle is less effective.

· In our Jacksonville Cosmetic Surgery Center, Dr. A.H. Nezami, Board Certified Plastic Surgeon himself does the Botox injections. Our goal is to obtain consistently the best possible and the longest lasting result.  According to Allergan representative, Dr. Nezami has the highest patient retention rate in the state of Florida. Each patient has his or her own chart accurately documented the exact location and the number on units of Botox injected at each site. In our Jacksonville Cosmetic Surgery Center we dilute 1vial of powder in 1 ml of saline to have more concentrated product for more precise effect in the area injected.  We work with Allergan rebate program; the rebate ranges from $25.00 to $75.00, In addition we offer $100.00 off for our first time Botox user. To see the cost break down at Jacksonville Cosmetic Surgery Center click: http://www.ahnezami.com/botox-injections-jacksonville.

· To see before and after photo gallery  click: http://www.ahnezami.com/photo-botox

· To read more about Botox injections or other procedures offered at Jacksonville Cosmetic Surgery Center, visit or click:  http://www.jacksonvillecosmeticsurgerycenter.com/.

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Curious about Botox? Jacksonville’s Dr. A.H. Nezami Explains All You Need to Know.

Jacksonville Botox Blog Provided by A.H. Nezami, MD.  of Jacksonville Cosmetic Surgery Center, PA.

Botox is a product called Botulinum toxin, when injected into the muscle reduces the muscle’s activities that cause crease lines. The product is shipped refrigerated to the physician’s office in form of powder. The vial of Botox contain 100 units, the powder is dissolved in saline solution. In our Jacksonville Cosmetic Surgery Center practice, we dissolve 1 vial of Botox in 1 cc of saline. This concentrated solution makes 100 units of Botox. If more saline is added to the vial of powder Botox for reconstitution, the Botox is more diluted and the effect on the muscle is less for the same amount of cc. injected, or if more cc injected then the effect could be more spread out to the adjacent muscle that we do not want to affect. After the injection patient will see relaxation of the muscles and a reduction of wrinkles in 4 to 5 days.  The effect of Botox injection will typically last 3 to 4 months. Repeated injections of Botox, over time weaken the injected muscles. After Botox injection normal activity can be resumed immediately, no recovery time is needed.

Although any medical doctors specialized or not, dentists, physician assistants and nurse practitioners are authorized to administer Botox, to get better and more consistent result it is wise to have the injection done by a plastic surgeon who has experience in the technique and knowledge of the anatomy and function of the musculature and has also a sense of aesthetic result that you want to obtain. Remember Jacksonville, Botox injection is not like any other injection. The injection has to be in a correct location, appropriate depth, and adequate amount of concentrated Botox to achieve the best aesthetic and lasting result and prevent the appearance of frozen face. The physician should be able to assess the strength of the muscle in each patient in order to administer the correct amount of Botox. Otherwise the result may not last or if it is diluted it may spread and cause other muscle weakness like eyebrow or upper eyelid droopiness.

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