Dr. Gabriel and Dr. Champaneria perform nonsurgical facial rejuvenation by carefully injecting BOTOX directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe dynamic wrinkles that form between the brows. With real, noticeable results, no surgery, and no recovery time, there are many reasons why BOTOX has been chosen by many patients in the Portland area and Southwest Washington.
PeaceHealth Medical Group is excited to be innovators in the use of BOTOX in breast reconstruction, which minimizes pain and muscle spasms following expander placement and decreases the number of times a patient needs to be expanded. In August 2010, Dr. Gabriel presented findings to the International Society of Aesthetic Plastic Surgery 20th Biennial Congress that demonstrated BOTOX injections can effectively address the sources of severe pain associated with silicone implant breast reconstruction following mastectomy.
"Botox Awesome Invention - Vancouver, WA - Being male I never thought of using this product as I felt it was geared to women, but after repeatedly being asked if I was angry, I thought I should look into it. I chose Dr. Gabriel after contacting several offices and with the friendly front desk and his level of expertise I thought he would be the best choice as he is the one who does the injections. I am more than happy with the results and I am happy to say no more questions on my anger but it is so subtle and natural people can't figure out what the change is."- J. / RealSelf / Jan 21, 2015
"Juvederm, Voluma and Botox... Couldn't Be Happier - Vancouver, WA - Dr Gabriel and his staff are the best around."- D. / RealSelf / Jan 21, 2015
"32 Yo - Vancouver, WA - Kind, personable, and listens to concerns. Does great work, love my new boobs!"- E. / RealSelf / Mar 10, 2015
"43 Year Old Mother of 3 - Vancouver, WA - Dr. Champaneria is an amazing kind and gentle doctor. He takes the time to get to know you and you specific needs. He does and awesome job at making you look and feel beautiful."- S. / RealSelf / Mar 25, 2015
"37 Year Old Mother of Twins Mommy Makeover with Botox for to Aid Recovery. Vancouver, WA - Fantastic plastic surgeon with an attention to detail. He has a very pleasant bedside manner. He will make sure you are recovering with minimal pain."- A. / RealSelf / Jun 02, 2015
Tiny doses of BOTOX are injected into the skin where wrinkles are noticeable. It is normally done in the doctor’s office and the procedure can last from 15 to 30 minutes. The number of injections and dose amounts administered varies by patient depending on the severity of wrinkles. Patients are first marked with ink prior to the injection so that the practitioner can accurately inject the areas in need of wrinkle softening. This procedure does not create any discomfort other than a normal prick that comes with a small needle. A numbing cream may be applied to help with any discomfort. Patients will be able to go home right after treatment with no downtime from their normal routine.
What to Expect
After treatment, mild swelling and bruising may appear on the injection spots. Patients are advised to limit exercise and to sleep in an upright position the same night as the treatment. The redness and swelling will only last for a few hours, but some patients may experience bruising for several days. There are bruising medications, such as Arnica, that patients can take a week prior to treatment to help minimize bruising. The results from a BOTOX treatment take 5-7 days to appear. When they do, the face will look smoother and brighter, and patients will feel rejuvenated by their fresh appearance.
Plan Your Procedure
- Recovery Time
- Average Procedure Time
- 15 Minutes
- Post-op Follow-up
- Procedure Recovery Location
How Safe Is It?
When administered properly, BOTOX rarely causes any complications. With that said, it is still very important to find someone who has experience in handling this medication. Too much of the product can cause an undesirable outcome. A skilled practitioner will use just enough of the medication to effectively freeze the facial muscles that cause wrinkles while leaving nearby muscles unaffected. BOTOX is one of the most popular cosmetic treatments on the market today. It is safe and effective, and approved by the FDA. BOTOX is also used to treat other medical conditions such as squints, excessive sweating, uncontrollable blinking and migraines.
There is an ongoing trend where people who wish to have BOTOX treatments will gather together and administer the BOTOX doses themselves called ‘BOTOX cocktail parties’. This is very risky. BOTOX, when administered incorrectly, may paralyze unintended muscles that can result in an abnormal facial appearance. BOTOX treatments should be done in a medical setting with an experienced, skilled injector.
Same As BOTOX?
In recent years, BOTOX has seen some competition as other drugs have been approved by the FDA and introduced to the aesthetic market. Dysport and Xeomin are muscle relaxers similar to BOTOX. Each has its specific trending function that can be addressed during the initial consultation. Sometimes, a combination of the drugs is used to treat various areas. For example, BOTOX for frown lines, and Dysport for crow’s feet.
Are Fillers Better?
BOTOX and fillers are both popular cosmetic treatments with the ability to decrease wrinkles and smoothen facial areas. The difference with each is the way the substances function to create the rejuvenating effect. Injectable fillers add volume under the skin to fill hollow areas and decrease the appearance of wrinkles on the surface. BOTOX, on the other hand, relaxes the muscles underneath the skin so that the muscles cannot contract, allowing a softer effect on the surface. It is very common for patients to undergo treatment using both a muscle relaxer and an injectable filler to attain optimal results.
Today, practitioners are treating patients of all ages with BOTOX. For some individuals, for example those as young as 30, BOTOX is considered a preventative way to prevent facial wrinkles. For others (i.e. 40 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles. Older individuals (55 and up) will still receive great benefit from having BOTOX injections, but for some, a facelift technique might be a better option to consider.
How Long Does It Last?
A BOTOX injection will last between 3-4 months. The treatment can be repeated every quarter and for most patients who receive this treatment, they usually come back for more. BOTOX is an effective, easy and safe way to minimize the appearance of facial wrinkles. Patients consider it a part of their normal beauty routine.