There are plenty of reasons we get wrinkles–aging, skin changes, smoking, sun exposure, and much more. In some cases, wrinkles can be fine and others are deeper and more noticeable. But there is help. Dr. Hessel is proud to offer the first FDA-approved wrinkle treatment of its kind to address moderate to severe frown lines and crows feet.


Botox injections work by relaxing the muscles in and around a wrinkle to smooth the area—making them less noticeable or disappear completely. Botox is especially helpful for wrinkles in the forehead or between the eyebrows. The medication is quick and relatively painless to inject and will take full effect within a week of treatment.

Botox FAQs

Botox is made from a chemical compound called a neurotoxin that is made by the bacteria clostridium botulinum. When used appropriately, this neurotoxin causes the muscles to relax and smoothes out wrinkles at the same time. Botox is given by injection–yes–with a needle in specific muscles of the face.

Sometimes patients worry that the injections will freeze their face, making them look stiff and unnatural. But there’s no need to worry. When Botox cosmetic is administered by a trained professional, you’ll look natural. And it’s quick too–you can come in for treatment and be back to work within the hour.

The results of your Botox cosmetic injections can last several weeks. Everyone is different and results may vary slightly, but you can expect to see good results within a week of your injection and almost 3/4 of patients were still sporting their wrinkle-free skin 30 days or more after the procedure.
As with any injection, you may expect pain at the injection site, redness or a little swelling. Eyelid drooping and swelling may also occur.

For some people, side effects may also include dry mouth, tiredness, headache, neck pain or eye problems like blurry or double vision. Of course these symptoms don’t happen for everyone, so talk to Dr. Hessel about your risk when you come in for your injection.


Juvederm injectable fillers use hyaluronic acid—a natural component of skin and muscles to fill deep folds and wrinkles in the skin.  Fillers create instant results and are absorbed by the body over the course of months or years depending on which filler is used. Juvederm is an excellent option for filling thinning lips, augmenting the hollows under the eyes, filling creases between the eyebrows and plumping the area from the bottom of the nose to the corners of the mouth.

To find out more about any of our aesthetic services, we encourage you to contact our office for a free, no-obligation consultation. Our team of aesthetic professionals will be happy to answer any of your questions and help you choose the treatment options that are best for you.

Juvederm FAQs

JUVÉDERM® Ultra XC injectable gel is a colorless hyaluronic acid gel that contains a small quantity of local anesthetic (lidocaine) and is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth.

Hyaluronic acid is a naturally occurring sugar found in the human body. The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent. The role of lidocaine is to reduce the pain associated with injections into the skin.

JUVÉDERM® Ultra XC temporarily adds volume to facial tissue and restores a smoother appearance to the face. The lidocaine in the gel improves the comfort of the injection.

JUVÉDERM® Ultra XC is injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. It temporarily adds volume to the skin and may give the appearance of a smoother surface.

JUVÉDERM® Ultra XC injectable gel will help to smooth moderate to severe facial wrinkles and folds.

Most patients need 1 treatment to achieve optimal wrinkle smoothing, and the results last about 9 months to 1 year.

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less).

The most common side effects include, but are not limited to, temporary injection-site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration.

As with all skin-injection procedures, there is a risk of infection