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Botox® Isn’t Just For Wrinkles Anymore

Feeling stressed? Need a vacation? Frowning a lot? 

Silk Laser & Aesthetics Centre offers you Botox® brow lifts to add the fresh and invigorated look back to your face.  You'll look like you have just returned from a relaxing weekend!

For years, the medical community has been using Botox® to treat “dynamic” wrinkles.  These are wrinkles that appear or are worsened by frowning, smiling, squinting or any other muscle movements.

Today, Botox® is used to treat crow’s feet, forehead wrinkles, do brow lifts, to treat that angry look associated with the down turned corners of the mouth, as well as to give that refreshed, “just returned from vacation” look. 

Brow lifts may be achieved without surgery and the dangers associated with it and anesthesia.  Dr. Astaphan's detailed knowledge of facial anatomy and function allows him to target specific muscles to result in a non surgical brow lift.

By strategic relaxation of certain muscles which cause depression of the eyebrows, while sparing the muscles that elevate the eyebrows, you get a lift of the outer part of the eyebrows resulting in a happier, more pleasing appearance.  The results can be pleasantly dramatic with beautiful, bright “smiling eyes”.   
Other popular uses for Botox® are for the treatment of excessive underarm sweating (hyperhidrosis), as well as of the palms and of the soles of the feet.  Other situations in which Botox® might be helpful are in the treatment of muscle spasms of the eyelids as well as of muscles throughout the body including neck bands.  Over 8 years ago, Dr Astaphan began treating patients with Botox® both therapeutically and cosmetically in his practice for the treatment of wrinkles, migraine headaches and muscle spasticity. 

It is a good idea to learn exactly what Botox® is.  It is botulinum toxin which is manufactured by Allergan.  This company has a reputation for excellent quality and top notch quality control.  It achieves its’ effect by blocking the nerve ending from releasing the chemical that causes muscle contraction.  This results in relaxation of the muscles treated.  Side effects are minor and temporary.  There is no problem associated with long term use of Botox®. It should not be given in pregnancy, in certain neurological conditions, and when some antibiotics are used.

At Silk™, getting Botox® involves no down time.  You can have it administered over the lunch break and go right back to work.  A topical anesthetic or an ice pack may be applied to the skin to decrease the already minimal discomfort associated with the injections.   The effects are seen in two to three days, with a maximum effect occurring about two weeks after getting Botox®.  Sometimes, at the follow-up appointment, enhancement of the results will require additional Botox® administration.  The effects in the treatment of wrinkles usually last between three to four months, but may last longer in some individuals.  If you return to Silk™ before the effects are fully worn off, the duration of the effects of the next injections may be increased.   In use for underarm sweating and other areas with hyperhidrosis, the effects last about six months.  It may last as long as a year when used for excessive forehead sweating.

When getting Botox® or any other injectable facial enhancement, it is wise to make sure you are being treated by a qualified medical practitioner.   It is always a good idea to “interview” the medical practitioner at the consultation, and to inquire about the training received in advanced techniques of Botox® administration.  At Silk™, feel comfortable with knowing that a Board Certified Medical Doctor, J.  A. Astaphan, MD, DDS, is personally performing all your laser and aesthetic needs.  Dr. Astaphan is listed on as an authorized injector.

What is Botox®?

Botox® Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in moderate to severe frown lines between the brows, which can last up to 4 months. Results may vary.

Botox® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

In 2005, almost 3.3 million procedures were performed with FDA-approved Botox® Cosmetic.

There’s only one Botox® Cosmetic. Talk to a friendly staff member at Silk Laser and Aesthetics Centre to see if Botox® Cosmetic is right for you! Call 954-462-7455 or by email at:

Botox® Cosmetic May Work For You

When it comes to selecting a physician-administered aesthetic treatment, chances are you’ll want proof, not just claims. The proof for Botox® Cosmetic is in the numbers.

  • In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate to better 1 month after treatment. Results vary.
  • Results can last for up to 4 months, and may vary.
  • Botox® Cosmetic was approved by the Food and Drug Administration (FDA) in 2002 for the temporary treatment of moderate to severe frown lines between the brows in people ages 18 to 65, and almost 3.3 million procedures were performed in 2005 alone.
  • The American Society for Aesthetic Plastic Surgery ranked Botox® Cosmetic as the most popular physician-administered aesthetic procedure in the United States for the fourth year in a row (surgical and nonsurgical combined).


Botox: SILK LASER & Aesthetics Center, Fort Lauderdale, FL

Not all Botox® is Created Equal!

We hear so much hype about Botox®. There are so many advertisements and specials out there that it can make your head spin. So as the consumer, you need to beware. Here is some information that we at Silk Laser + Aesthetics Centre believe you can use to help guide yourself through the media maze.

Botox® at one practice may not be exactly what you get at another. Botox® is shipped as a dry substance in 100 unit vials from its manufacturer, Allergan. In order to be able to inject these active units of Botox®, a physician must add saline. The amount of saline added to the vial directly correlates to the resulting strength of the injection you receive. This means, that if a physician were to add more saline to the bottle, the resulting injection of Botox® will be weaker than if less saline solution was added. Some may refer to this is as the dilution process, but it is actually called “reconstitution".

While each practice receives the same dry product per vial from Allergan, when they reconstitute it to make it possible to inject, they can add saline at the recommended standard or they can add more saline than recommended. All practitioners are charged the same amount per vial of active Botox®; pricing may vary due to the reconstitution. This is a case where more is not better!

When Botox® “specials” seem too good to be true, they probably are!

You might actually think you are getting more bang for your buck, but you might be receiving larger doses of saline with less Botox®. Patients may believe they are getting a lot of Botox® because the physician is injecting a large amount, but don’t confuse the amount of saline with the units of actual Botox®. Physicians who add more saline than suggested by the manufacturer, or such organizations as the American Society of Plastic Surgery, are giving you a less effective injection of Botox®. So no matter where you go for Botox®, always ask this question: “What is your reconstitution ratio?"

Charging per area and/or pricing quotes

The amount of Botox® required for satisfactory results can vary between the sexes, the size of the area and the thickness of the muscle. When Botox® is charged per area, you may not be receiving adequate amounts for optimal results. Due to these variables, it is impossible to quote pricing over the phone without a consultation with the qualified injector. At Silk Laser, consultations are always complimentary. Besides knowing the reconstitution ratio you should also ask how many units will I receive per area? Below we have list the recommended amounts for females (F) and males (M).

At Silk Laser + Aesthetics Centre, we charge “by the unit" for Botox® so you only pay for the exact number of units you receive. Also, we follow the American Society of Plastic Surgery (ASPS) guidelines on “reconstitution" so you are assured of the efficacy of the product. Dr. Astaphan will discuss with you which areas should receive injections to best meet your concerns and he will tell you how many units of Botox® you will need to attain your desired result.

Recommended units per area:

Recommendations for Reconstitution and Handling*

Diluent  (saline) added to Botox vial

(0.9% sodium chloride injection)

Resulting dose/

Units per 0.1 mL

1.0 mL

10.0 U

2.0 mL

5.0 U

2.5 mL

4.0 U*

4.0 mL

2.5 U

8.0 mL

1.25 U

* Data from the Supplement to Plastic and Reconstructive Surgery, provided by the American Society of Plastic Surgeons.


Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas.


This injectable treatment for wrinkles is made from the same neurotoxin (botulinum toxin type A) as Botox. Dysport (formally Reloxin) received the approval of the U.S. Food and Drug Administration (FDA) for use as a wrinkle treatment in the spring of 2009, but it has been smoothing out facial folds and lines in Europe, South America, and elsewhere for several years.

Dysport is similar to Botox, although some research suggests that Dysport may be faster-acting and longer-lasting. It also migrates farther from the injection site, thus allowing a broader area of small wrinkles (such as the “crow’s feet” lines that splay out from the corners of the eyes) to be treated with fewer injections. This latter feature has a disadvantage, however. Unless skillfully applied, Dysport may spread to muscles, such as those in the upper eyelids, that you don’t want relaxed. That’s why it’s essential that you receive these treatments from an experienced providers like we have at Silk Laser.

How It Works

Over time, the muscles above and between the eyebrows repeatedly contract and tighten, causing wrinkles. But, with just 1 injection into each of the 5 points between and over the eyebrows, Dysport blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. Similarly, Dysport can be used to treat forehead wrinkles as well as crows feet lines.

How long it lasts

Long-lasting, natural-looking results up to 4 months

For up to four entire months, you could have the look that you love. Dysport® works to block the signal from the nerve to the muscles, resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. It's important to note that you should not be treated with Dysport more frequently than every 90 days.

Treat your frown lines in just 10 to 20 minutes

Treatment with prescription Dysport can temporarily improve the look of your moderate to severe frown lines.

Treatment generally takes just 10 to 20 minutes, although treatment times can vary from person to person.

Galderma, the manufacturer of Dysport, now has a patient rewards program.

Welcome to ASPIRE Galderma Rewards

We believe that you should be supported — and rewarded — at every point in your facial aesthetic journey. And with ASPIRE Galderma Rewards’ simple ways to earn exclusive rewards, bonuses and discounts, you can feel good about looking your best. Plus, the longer you’re with us, the better it gets.

Click here to join:

Botox or Dysport to treat Hyperhidrosis /Excessive Sweating

Hyperhidrosis is caused by an underlying condition such as chronic infection, hyperthyroidism, menopause, obesity, psychiatric disorders and some types of cancer or tuberculosis. Secondary Hyperhidrosis is less frequent than primary and is not localized. In a few minutes with a few tiny injections, trained medical doctors can provide relief for an average of 7 months. Researchers have discovered that Botox injections effectively treat hyperhidrosis by blocking the nerves that trigger the sweat glands. Botox was approved for the treatment of axillary hyperhydrosis (excessive underarm perspiration) in 2001.


Hyperhidrosis Signs and Symptoms:

Hyperhidrosis is characterized by abnormal, profuse sweating that can affect one or a combination of the following:

  • Hands, called palmar hyperhidrosis
  • Armpits, called axillary hyperhidrosis
  • Feet, called plantar hyperhidrosis
  • The excessive sweating often interferes with daily activities. For example, patients with palmar hyperhidrosis have wet, moist hands that sometimes interfere with grasping objects. Those with axillary hyperhidrosis sweat profusely from their underarms causing them to stain their clothes shortly after they dress. Plantar hyperhidrosis, excessive sweating of the feet, makes ones socks and shoes wet, which leads to increased foot odor.

Symptoms of hyperhidrosis often become noticeable during childhood and adolescence. In many cases sweating can be quite severe, affecting everyday life and causing social embarrassment. It is thought that the excessive sweating may be brought on by stress, emotions or exercise. However, it also can occur spontaneously.

The sympathetic nervous system controls the sweating throughout the body. Often there is no identifiable cause, but excessive activity of the sympathetic nervous system is believed to be responsible in the majority of those affected. The sympathetic nervous system normally responds strongly in situations of fear or stress. It is not understood why patients with hyperhidrosis appear to have constant increased activity of this system. The involved nerves branch from the sympathetic chain within the chest cavity.

Hyperhidrosis is diagnosed by physical examination. In addition, your doctor will ask how long you have been experiencing excessive sweating, what areas are affected, how often it happens and other questions to get a sense of the extent of your condition.

How is Botox or Dysport for Hyperhidrosis Administered?

Botox or Dysport treatments for hyperhidrosis work by blocking the message from the nerve to the sweat gland so that perspiration is greatly reduced, or stopped, in the area that it is injected. A “Starch / Iodine Test” is usually done prior to the Botox orDysport treatment. This outlines the area where the sweat glands are the most active, and the Botox or Dysport is then injected into this area. Your advanced injector will make 10 to 15 small injections into the affected underarm area through a very fine needle. You should notice a significant reduction in underarm sweating within 4 weeks of your first treatment. If you do not see a significant reduction in sweating, you should contact us and request a follow-up consultation. Drier underarms in 1 treatment!

Results that last

You can experience drier underarms for up to 201 days or 6.7 months. Individual patient results may vary.

When is it time for another treatment?

Keep in mind that BOTOX® or Dysport ® is not a cure for severe underarm sweating. Your symptoms will return gradually, and you’ll know when the time is right for another treatment. We will schedule a followup in 9 months to evaluate your progress.

If you suffering from hyperhidrosis (sometimes misspelled “hyperhydrosis”), contact Silk Laser 954-462-7455 to schedule a complimentary consultation or to schedule a treatment with our expert injectors and get on your road to dryness.


Masseter Muscle and Face Shaping, TMJ Pain

At Silk Laser & Aesthetics Centre, Dr. Astaphan uses Botox and Dysport to selectively treat certain areas of the masseter muscles in order to give the face a more tapered and softer look. Sometimes prominent masseter muscles can give the face a square appearance. Dr. Astaphan uses Botox and Dysport to expertly shape the lower face in a safe and attractive way.

Dr. Astaphan has been treating TMJ Pain and Migraines for many years with Botox and Dysport with excellent results. His extensive training in multiple specialities; MaxilloFacial Surgery and in Anesthesiology allows Dr. Astaphan the perfect combination of expertise to safely and effectively treat this pain.

He is also Board Certified in Anesthesiology and Pain Management. He is an expert in treating facial cosmetics and facial issues including TMJ Pain and Bruxism.

Before treating with any health practitioners, make sure they have had advanced training or a Residency related to Facial Plastic Surgery.







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