Botox Injections in the Hackensack and Paramus, NJ area
To Reduce Horizontal Forehead Lines
Performing BOTOX® injections to treat horizontal forehead lines is relatively easy, and the result usually is quite satisfying. Treatment can include injections for glabellar frown lines when appropriate.
The frontalis muscle elevates the eyebrows and the skin of the forehead. The fibers of the frontalis are oriented vertically, and wrinkles of the forehead are oriented horizontally. The frontalis muscle originates on the galea aponeurotica near the coronal suture and inserts on the superciliary ridge of the frontal bone and skin of the brow, interdigitating with fibers of the brow depressors (ie, procerus, corrugator supercilii, orbicularis oculi muscle). The medial fibers usually are more fibrous than the lateral fibers, thus requiring less toxin for paralysis. Avoid total paralysis of the frontalis, since this is likely to cause brow ptosis and loss of expression. Injection too close to the lateral eyebrow can cause lateral eyebrow ptosis.
Botox Technique
Multiple injections of small amounts of toxin create weakness without total paralysis. Inject 3-5 sites botox on each side of the midline, usually using 2 units (1-3 U) per site. Separate sites by 1-2 cm. Choose an initial injection site approximately 1 cm above the eyebrow vertical to the medial canthus. Additional sites diverge laterally and upward to the hairline in a “V” configuration, often for a total of 3 sites. Additional sites (1-3) can be added in the midline or more laterally (1-2) depending on individual and clinical response.
If wrinkles extend to the temporal region, lateral injections can be performed. Use caution to prevent injecting lateral to the lateral canthus to avoid inhibiting temporalis function. Use caution when injecting patients in whom the hyper functional frontal lines support a ptotic upper eyelid.
Injections of the upper face and periocular region usually are performed with the patient seated, and the patient is asked to remain upright for 2-3 hours to prevent spread of toxin through the orbital septum.
Frequently Asked Questions About Botox
Answers for patients in Paramus, Hackensack, and Bergen County considering Botox.
Botox at AC Dental is priced per unit, and the total cost depends on the treatment area and number of units needed. Forehead lines and crow's feet typically require fewer units than bruxism (teeth grinding) treatment. Call (201) 489-1084 for a personalized quote.
Yes — Botox relaxes the small muscles around the eyes that cause crow's feet and fine lines from squinting or smiling. Results typically appear within 3–5 days and last 3–4 months. Dr. Ghattas will map the injection sites to your facial movement during your visit.
Yes — Botox injected into the masseter (jaw) muscle reduces the clenching force behind bruxism, easing jaw soreness and headaches caused by grinding. This is a separate treatment area from cosmetic forehead or eye injections. Call (201) 489-1084 to ask whether this is a fit for your symptoms.
AC Dental is at 4 Forest Ave Suite #202, Paramus, NJ, about 10 minutes from Hackensack and 15 minutes from Teaneck via Route 4. We also see patients from Rochelle Park and Maywood. Call (201) 489-1084 to schedule a Botox consultation.
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