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Cosmetic Services

BOTOX® Cosmetic

At Southeast Oklahoma Oral & Maxillofacial Surgery, we are eager to help you reach your goals. As part of our commitment to our patients, Dr. Igou is pleased to offer BOTOX®, a popular cosmetic treatment that can help you prevent and treat the development of facial wrinkles. If you are interested in improving your appearance, we invite you to contact our office today and to schedule an appointment with our experience oral surgeons to learn more about BOTOX!

women getting botox injected

BOTOX® (onabotulinumtoxinA) is a medication that is injected into the muscles of the brow to smooth frown lines between the brows and crow’s feet. In fact, BOTOX is the only approved treatment to temporarily improve the appearance of moderate to severe frown lines and crow’s feet lines. BOTOX can help you to look younger, calmer and more alert. Our oral surgeons may recommend BOTOX as a great choice to help you regain a more youthful appearance and boost your self-confidence. BOTOX can also be used for a number of other purposes. Based on your specific needs, we may suggest BOTOX to reduce migraine headaches, lessen excessive sweating or help treat a TMJ disorder. BOTOX involves no incisions, stitches or surgery, so you can resume your daily routine directly following your appointment. This also means that your treatment will be comfortable and fast. Our team will simply inject the medication into the muscles. We may use ice or a topical numbing cream before the treatment to ensure that you feel completely comfortable. You may begin noticing improvements as soon as 24 to 48 hours after the treatment, and your BOTOX results can last up to four months. To learn more about BOTOX and find out if it is right for you, we invite you to contact us today.

Subcision Scar Removal with Platelet Rich Fibrin (PRF)

Subcision is a surgical keyhole surgery for the treatment of deep acne scars. This method immediately ‘releases’ scar tissue attached to deeper facial structures. Subcision is the gold standard for the treatment of deep scars. This is performed under topical/local anesthesia. A beveled needle is inserted under the skin so that it is parallel to the skin surface. The needle is then gently advanced and retracted in a piston-like motion to cut or break the tethering bands of scar tissue. Patients own blood is drawn before procedure and then put into a centrifuge to separate the plasma and red blood cells. The plasma is then injected under skin where the scars where attached. The plasma allows the skin to heal and promote collagen growth. Bruising from needle subcision may take 5-7 days to fade away.


Absolute Contraindications:

​*Platelet Dysfunction Syndrome  *Critical thrombocytopenia  *Hemodynamic instability  *Septicemia  

*Local infection at the needle entry site  *History of hypertrophic or keloid scarring

Relative Contraindications:

​*Consisitent use of NSAIDS within 48 hours of procedure  *Corticosteriod injections in the treatment areas within 1 month  *Use of tobacco  *Recent fever/illness  *Cancer (especially hematopoietic or bone  *Hemaglobin less than 10g/dl or platelet count less than 10.5ul

Micro Needling

Microneedling is an entry-level procedure. It is a form of non-laser fractional skin therapy. Needling can help boost collagen, treat textural changes including fine wrinkles, enlarged pores & very mild acne scarring. We use a number of microneedling devices including Dermapen, Skinpen, Dermaroller, Dermastamp & energy-based devices including nanoneedle & RF microneedling. The correct device will depend on your skin concerns.

Facts on Micro-needling

Micro-needling is a form of fractional non-laser resurfacing. Needling can either be a roller, stamper, digital Dermapen, or energy -based radiofrequency system. The depth of needles can be controlled by the device- ranging from 0.1 to 4.5 mm needles. Depth, passes & energy levels are adjusted, according to concerns. Needling can also help improve skin texture. Micro-needling can reduce mild forms of acne scars. Newer treatments such as RF micro-needling, nano-microneedles, & thermo-mechanical nano needling are more effective than non-energy based needling. Micro-needling PRP can give better outcomes in some conditions.


How can Microneedling improve skin concerns?

Skin needling or microneedling, including Dermapen, can treat conditions that occur under the skin’s surface, including

  • Acne scars & textural changes

  • Wrinkles & fine lines

  • Stretch marks- especially old ones (white in color)

  • Open pores / enlarged pores

  • Sun damage

Multiple treatments can also help with skin texture by decreasing fine lines, and skin pigmentation. Microneedling should not be used to treat melasma pigmentation as it can worsen pigmentation. I do not use microneedling to treat dark circles as the undereye area has very thin skin. This can lead to worsening of dark circles.

My most frequent indication of microneedling is dermal delivery of medications including intralesional corticosteroids & tranexamic acid.

Microneedling can deliver skin ‘actives’ & PRP, especially for the treatment of hair loss.

How does microneedling work?

Microneedling works on the basis of controlled micro-trauma. Once the skin’s upper epidermal layer is broken, skin cell release growth factors & cytokines. These molecules can stimulate cells to produce collagen, elastin & hyaluronic acid. Over a period of months, skin is rejuvenated. The result is an improvement in skin quality.

The downside with microneedling is that it does not provide controlled heating, unlike RF microneedling, Tixel & fractional lasers. Sustained heating results in much more collagen remodelling.

How many sessions of needling will I require?

3-5 sessions spaced 2-6 weeks apart. The number of sessions will depend on your skin condition, concerns, ethnicity as well as downtime.

When will I see the difference?

In some cases, after one session. Most patients will notice improvements over the following months as collagen is generated. As a guide you will notice bigger & faster gains with fractional lasers over microneedling. Laser resurfacing provides controlled heating. Microneedling does not.

women getting botox injected
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