John LoMonaco, MD, PA
1009 Missouri Street
Houston, Texas 77006
phone: 713.526.5550
fax: 713.526.5563
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Botox and Restylane Injections < Home  


What are my doctor�s qualifications for injecting Botox?

Only physicians trained in its use and experienced in its side effects and complications should administer Botox. Dr. LoMonaco is a board-certified plastic surgeon who has approximately four years experience injecting Botox for a variety of conditions, including wrinkles around the eyes, forehead� and nose. He has also successfully used Botox in the treatment of migraine headaches and excessive sweating of the armpit. Dr. LoMonaco performs all Botox injections personally, and the procedure is performed according to strict medical guidelines.

What are the side effects of the Botox injection?

Bruising of the skin, swelling, and eyelid drooping are rare complications when proper injection technique is used. There is a very rare chance of allergic reaction to the Botox and also a very rare chance of skin infection. With proper injection technique by a trained physician, these side effects are very unlikely.

How long do the effects of Botox last?

The effects of Botox last between three and six months. The average duration of action is 16 weeks. Each patient will have an individual response and some patients may experience a longer or shorter duration of the effect.How does Botox work?
Botox relaxes the muscles which cause wrinkling around the eyes (�crows feet�), above the forehead (�worry lines�), and between the eyebrows (�frown lines�). When the muscle is relaxed, the wrinkles begin to dissipate. When combined with a skin care program, reversal of the effects of aging can be expected.

What about the so-called �Botox parties�?

Botox injections which are carried out in a social setting are done without regard for sound medical principles. It is considered unethical and unprofessional for physicians to engage in this practice. Patients in a social setting cannot be expected to truly give their informed consent or be adequately explained the risks and benefits of the procedure. Furthermore, the privacy and confidentiality that is important in any doctor-patient relationship is compromised by this method of injection. Very few adequately trained physicians would agree to participate in this type of procedure.


What areas can be treated with collagen injections?

One of the most common sites for collagen injection is the lips, to provide a fuller, more sensuous look. The injections are temporary, and may last up to several weeks at best. Injections are a good first step for patients who are considering a more permanent change in the way their lips look.
Other areas that can be treated are fine lines and wrinkles around the mouth and eyes, forehead, and some acne scars.

What are the side effects?

Swelling and possible bruising are some of the more common side effects of collagen injections. There is a rare chance of allergic reaction to the collagen, which is lessened by performing a small skin test before the lips are actually injected.

Are the injections painful?

Collagen injections can be made more comfortable by first treating the area with a cream that numbs the skin. The collagen I prefer to use has an anesthetic mixed in with it, making the injections more comfortable.