The term “20 units” is a frequent way to refer to an amount of BOTOX, but it doesn’t mean that you’ll get 20 different pokes with a needle.

Twenty units of BOTOX is just enough for five or six injections of the precious youth-enhancing fluid. Three to four units of BOTOX are injected into the skin at each point, explains Dr. Nicolette Picerno, double-board certified facial plastic surgeon.

It’s not unusual for a patient to need more than 20 units of BOTOX at one sitting.  Because this usually is just enough for the frown lines and more would be needed for browlifting, crow’s feet, forehead or bunny lines. 

BOTOX renders nerves nonfunctional so that the face is unable to wrinkle in precise areas for three to five months. The former wrinkles smooth out in time—taking about two weeks for the BOTOX to show its full effect. And because BOTOX makes it impossible for those portions of the face to crease, the skin looks smooth and youthful on the surface. Repeated injections prolong youthfulness and prevent further aging.

Dr. Picerno uses BOTOX in many areas.  The most common include:: between the eyebrows, on the forehead and in the crow’s feet around the eyes. Highly specific injections of BOTOX in the brow area can recreate the natural arch of the eyebrow which has a “lift” effect, making the eyes look brighter.Â
Other less common area for botox injections are the upper and lower lip wrinkles, bunny lines, chin dimpling, neck bands, neck lines and jaw muscles.

Her expert injections mean that the treatment takes only minutes and has very little discomfort if any at all.

For patients with profuse sweating, Dr. Picerno recommends BOTOX injections in the underarms. The quantity of BOTOX used means the procedure costs about $1,000, but for those patients who suffer from heavy sweating, it’s a small price to pay. Underarm BOTOX treatments only have to be done every nine to twelve months versus some facial injections that require re-treatment every to five three months, the Doctor says.

Besides the underarms, BOTOX injections can also be used to stop sweating on the feet and the palms of the hands—both areas that can cause extreme embarrassment to a person suffering from sweat glands that work overtime.

Every Monday and Tuesday at Dr. Picerno’s offices, BOTOX injections are only $12/unit, down from the regular price of $15.50/unit. Appointments are necessary, so call Dr. Nicolette Picerno’s office at 303-744-2300 to make an appointment.

If you dread summer because of sweating profusely, there is a solution.

Double-board certified by the American Board of Otolaryngology Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery, Dr. Nicolette Picerno in Denver, Colorado uses BOTOX injections in the armpits to eliminate profuse and embarrassing sweating that many patients suffer from.

Injections of BOTOX into the armpits stops sweating for up to six months or more.  Throw away those dress shields and feel confident when you’re participating in athletics or dressed up for a night on the town. The procedure is especially popular among brides-to-be who are concerned that nerves on their special day will cause them to sweat, unsightly in photos that will last a lifetime.

Underarm injections of BOTOX to treat sweating start at approximately $1,000 although some patients require additional injections for full coverage. Dr. Picerno recommends that on a first-time treatment, the lower dose of injections be performed to assess whether that is adequate to stop the sweating. If it is, then the cost savings to the patient is appreciable. And if more injections are necessary, the patient can visit the office the following week for additional injections without an office call charge.

The procedure eliminates the use of deodorant too, something many patients prefer having heard the widespread rumors on the internet that there is a relationship between antiperspirant use and the risk of breast cancer.

pubmed.com, the national institutes of health, the nation’s medical research agency, published a study conducted at the Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center in Seattle, WA.

The study investigated the rumor that antiperspirant use causes breast cancer, a rumor that is widely circulated on the Internet. Although unfounded, there have been no published epidemiologic studies to support or refute this claim. The population-based case-control study at Fred Hutchison Cancer Research Center investigated a possible relationship between use of products applied for underarm perspiration and the risk for breast cancer in women aged 20-74 years. Eight hundred and 13 case patients diagnosed between November 1992 and March 1995 were studied in five-year groups and personal interviews. Findings showed that the risk for breast cancer did not increase with antiperspirant or deodorant use. The study further investigated whether the patients shaved with a blade razor or applied products within 1 hour of shaving. These findings also did not support the hypothesis that antiperspirant use increases the risk for breast cancer.

Make an appointment today for a consultation with Dr. Nicolette Picerno regarding BOTOX injections by calling 303-744-2300. Her offices are located at 950 E. Harvard Avenue in Denver and 9218 Kimmer Drive in Lone Tree. Or visit her website for more information on the many cosmetic surgery and non-invasive treatments offered at Dr. Picerno’s practice.