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Neurotoxins (Botox, Dysport & Xeomin):

The United States Food and Drug Administration (FDA) approved the use of Botox treatments in 1992 which has come to be one the most popular nonsurgical cosmetic procedures in the United States. It was first introduced by ophthalmologists in the 1980s to treat spastic eyelid muscle disorders or blepharospasms.  It is now widely used in treating severe facial lines like crow’s feet, wrinkles, neck bands and frown lines.


Botulinum Toxin Type A, which is commonly termed as the Botox product, combats the release of acetylcholine that triggers muscle contraction. Neurotoxins paralyze the muscles and hinders contraction thus relaxing fine lines and wrinkles. It lasts between 3-6 months varying per individual.


Botulinum Rejuvenation should be done by a board certified and trained nurse injector or physician and while it does not need anesthesia a numbing cream can be applied to the target areas.  Depending on the extent of the injections, the treatment takes less that 30 minutes where minimal discomfort can be felt by the patient.


Possible side effects like nausea, headache or pain in the injection sites can be experienced but should subside. Mild soreness and bruising can occur in the treated site.




Benign essential blepharospasm is the uncontrolled contraction of the muscles around the eyes.  This condition can affecting bothsides of the face and may result in the difficulty of opening the eyes, rapid fluttering of the eyelids or forced contraction of the facial muscles.  The cause of blepharospasm is unknown and the diagnosis may be made by your physician by examination.  Your doctor will refer you to see a specialist, like Dr. Cowen, for treatment.  

It is important to be treated by a physician who is specifically trained the treating blepharospasms.  Dr. Cowen has been performing Botox injections for blepharospasms for over 20 years.

Injections like Botox, Dysport and Xeomin treatments can be performed at our Lexington, Ashland, Pikeville, London and Corbin offices.


Dermal Fillers

Dermal Fillers (Restylane and Juvederm):


Ready for a more youthful-looking you?

It's a part of life—our skin changes as we age. It becomes thinner, loses volume, and no longer looks as plump and smooth as it once did. How your skin ages depends on a variety of factors including your diet, genetic makeup, and lifestyle.


What can you do to help fight the signs of aging?

Products like Restylane are used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane, Restylane-L®, and Restylane® Silk are also the first and only FDA-approved products for lip enhancement in patients over 21 years.


Commonly used facial fillers include hyaluronic acid, a naturally occurring chemical present in your skin, and collagen.  These products typically last six to twelve months and can be used to improve lip shape, frown lines between eyebrows, depressions under the eyes and creases around the mouth.  That means you get clinically proven, natural-looking results to help achieve the look you want.



Like Restylane, Juvederm is a family of injectable hyaluronic acid dermal filler that provides 9 months to one year of correction for moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of mouth (nasolabial folds).


During your initial consultation, Pam will recommend what injectable is best for your desired results.

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