There is no question that Botox and soft tissue fillers play a very important role in the plastic surgery realm of non-surgical facial rejuvenation. In my practice, I use products like Botox, Restylane and Juvederm liberally for patients who wish to participate in a regular regimen of wrinkle prevention and wrinkle reduction. However, in my mind, Botox was never intended and should not be used to completely eliminate all facial muscle action. When higher than normal doses of Botox are injected, it can commonly freeze the facial musculature completely such that there is minimal or no activity. This can lead to diminished expressive capability and an overall strange (and “frozen”) appearance.
I congratulate Gwyneth Paltrow on her accomplishment, as she recently accepted her own star on the Hollywood Walk of Fame. No doubt she has earned it. However, I must say that I agree with recent sentiment that Gwyneth may have taken things a little bit too far. During her photo shoot for the Walk of Fame Star, Ms. Paltrow’s upper face is disturbingly still; a clear indication that the muscles above her eyebrow, between her eyebrows and around her eyes have been completely chemically paralyzed with Botox.
I am a huge proponent of using Botox for wrinkle prevention and as an adjunct for surgical rejuvenation of the eyes, forehead and face. However, I am a firm believer that sometimes “less is more.” Botox should be injected carefully by experienced clinicians, and utilized judiciously in order to obtain consistently natural results.