At Konowal Vision Center, Dr. Konowal personally administers both BOTOX® and Juvederm® in the privacy of our suites.

BOTOX® and Juvederm® may be administered on the same day with a layering effect to eliminate fine lines and deeper creases. We price the products and services so they can be affordable for everyone. For pricing information, please call 239.948.7555.

BOTOX®

BOTOX ® Cosmetic is the first and only FDA-approved treatment indicated for the temporary improvement in the appearance of moderate to severe frown lines in adult patients aged 65 years of less. BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It works by temporarily reducing the contractions of the muscles that cause persistent frown lines that have developed on the forehead, between the brows, as well as the crows’ feet on the outer side of each eye. It has been used to treat conditions caused by overactive muscles in over 1 million patients worldwide for more that 11 years.

BOTOX® is indicated for the treatment of cervical dystonia in patients with neck pain, blepharospasm in people 12 years of age and above and migraine headaches. It has also been found to aid patients with hyperhidrosis, or excessive sweating of the underarms, hands, and feet.

No anesthesia is required for BOTOX® treatments, although some patients choose to have the desired area numbed with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes, with the number of injections depending on the amount and severity of the wrinkles or frown lines. Patients can resume normal activities afterwards, since there is no recovery time needed.

In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate or better one month after treatment.

Why BOTOX® treatments at Konowal Vision Center?

• All treatments are administered personally by Dr. Alexandra Konowal, a Board-Certified Ophthalmologist. Injections are not delegated to lesser trained personnel such as medical assistants.
  
  
• BOTOX® was developed as a therapeutic agent at the Jules Stein Eye Institute at UCLA by Dr. Arthur Rosenbaum, an Ophthalmologist who found it useful in treating blepharospasm, an eye muscle disorder.
  
  
• As an Ophthalmologist, Dr. Konowal is qualified to offer BOTOX® treatments. She had Fellowship training in anterior segment and understands the anatomy of the muscles, bone and connective tissue around the eyes.
  
  
• Dr. Konowal uses Betacaine Plus, a numbing agent to make the treatment more comfortable. Most patients only note a slight stinging sensation, which disappears in a short time.

JUVEDERM®

Juvederm® Ultra Plus Injectable gel is a colorless hyaluronic gel that is injected into facial tissue to smooth wrinkles and folds, especially around the mouth and nose. Hyaluronic acid is a naturally occurring sugar found in the human body. The role of hyaluronic acid in the skin is to deliver nutrients and hydrate the skin by holding in water and acting as a cushioning agent. This adds volume to facial tissue and restores a smoother appearance to the face. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last about six months. Possible side effects are mild to moderate in nature and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain, swelling, tenderness, lumps, bumps, bruising, itching and discoloration. As with all skin infections, there is a risk of infection.

Juvederm® should not be used in patients with severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies or in patients with a history of allergies to Gram positive bacterial proteins.

Important considerations include:

• Avoiding substances that can prolong bleeding, such as aspirin or ibuprofen due to increased bruising and bleeding at the injection site.
• Avoiding Juvederm® injectalbe gel in areas that have undergone laser treatment, chemical peeling or any other procedure based on active dermal response since there is a possible risk of inflammatory reaction at the treatment site.
• Juvederm injectable gel should be used with caution in patients on innunosuppressive therapy as there may be an increased risk of infection
• The safety of Juvederm® Injectable gel for use during pregnancy, in breastfeeding females or in patients under 18 years of age has not been established
• The safety of Juvederm® injectlabe gel in patients with a history of excessive scarring or keloid formation and pigmentation disorders has not been studied.
• Injections may cause discomfort during and after the injection. Juvederm® Ultra Plus injectable gel is injected directly into the skin using a fine needle to reduce injection discomfort. Anesthestic can be used to numb the treatment area to minimize discomfort.
• Within the first 24 hours of treatment, you should avoid strenuous exercise, extensive sun or heat exposure and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and itching at the injection sites. If there is swelling, an icepack may be placed over the swollen area.