OHSU

Casey Eye Institute at OHSU, Portland, Oregon

Where Healing, Teaching and Discovery Come Together


Botox Injections

At Casey Eye Institute’s Aesthetic Facial Surgery Center, we offer rejuvenating procedures for the eyes and face and the benefits of extensive medical and surgical expertise. Dr. Dailey first used injections of botulinum toxin, or Botox, to treat patients with crossed eyes, or strabismus in 1984 and for cosmetic purposes since 1992. He has more than 25 years of experience using Botox.

Botox Before and After

Actual Patient

All Botox injections at the Casey Aesthetic Facial Surgery Center are performed by a board certified physician. Dr. Dailey has been given educational grant support by Allergan, Inc., the maker of Botox, to conduct research regarding the long term use of Botox in patients. He was recently contacted by the company to perform more of this type of clinical research.

Today, Botox injections are the most common cosmetic procedure in the United States. Botox is used to smooth out frown lines, crow’s feet and other unwanted wrinkles, such as lip lines and nose and eyebrow furrows. These lines may make you look worried or angry and give you an older appearance.

At our center, we also use Botox to treat patients with spasms of the eyelids, face and neck.

Dr Dailey

If you are considering Botox, please schedule a consultation by calling 503 494-3020.

Frequently asked questions about Botox

Do Botox injections hurt?

Botox treatments are relatively painless. Some patients compare the feeling to an insect bite.

How long does the treatment take?

Injections take just a few minutes. You may schedule a Botox injection and return to work with no sign of treatment. The wrinkles begin to relax gradually over about three days.

Why is Botox so popular?

Many people feel that Botox improves their appearance in a way that is noticeable, yet subtle. No recovery time is required, and the procedure is safe and used by many patients. A recent study conducted for Allergan, Inc. by our own Dr. Dailey here at Casey shows that with continued regular use, the frequency of Botox injections can be reduced to every 4 or 5 and even 6 months making it more affordable and convenient to be done only twice a year in many cases.

How long has Botox been used?

Doctors have used Botox in humans since 1976. The U.S. Food and Drug Administration approved it to treat wrinkles between the eyebrows in 2002. However, doctors have used it since 1989 for medical purposes, such as treating strabismus and spasms of the facial muscles.

Is Botox a cosmetic filler?

Unlike fillers, Botox does not fill in facial lines. It works by relaxing the muscles under your skin that cause wrinkles. At the Casey Aesthetic Facial Surgery Center, we also use fillers such as Evolence, Restylane, Perlane, Radiesse and Juvederm. Our doctors and aesthetician can help you decide which procedures will give you the most benefit.

Does Botox work on all wrinkles?

Botox works on wrinkles that deepen when the facial muscles contract, such as wrinkles between the eyebrows and in the crow's foot area. Wrinkles caused by sagging skin do not respond to Botox treatments. It can also help elevate sad looking corners of the mouth with or without the help of fillers.

Who should avoid Botox?

If you have an infection near the injection site, you should not use Botox. Some people are allergic to Botox. A few patients with rare neurological conditions, including ALS (Lou Gehrig’s disease), myasthenia gravis and Lambert-Eaton syndrome should avoid Botox. You can not be pregnant or nursing at the time of injection. If you are unsure about pregnancy, please let us know and we can order the appropriate test for you.

Can Botox give me botulism?

The amount of Botox typically used to treat wrinkles is significantly less than one vial (25 to 100 units). This amount is far too small to cause botulism.

What are the risks of Botox?

All medications can cause allergic reactions. Severe allergy to Botox is rare, and we have not seen it at Casey Eye Institute, despite 40 years of combined experience.

Some patients experience temporary side effects, such as dry mouth and flu-like symptoms. Fewer than 15% of patients have bruising, which is usually mild. Problems with the eyelids or mouth are the major concerns. Drooping of the corner of the mouth or problems with speech can happen with injections around the mouth. Eyelid or eyebrow drooping can occur with injections around the eyes.

The risk of complications is minimized when an experienced physician perform the injections. When these side effects occur, they resolve when the Botox wears off.

Botox for excess sweating (hyperhidrosis)

Botox injections for sweaty armpits, hands, and feet are very effective in most patients. Botox blocks the nerve impulse to the sweat gland so that the nerve cannot stimulate sweating. Most patients have injections twice a year.

In the News

KOIN Studio 6 has featured Dr. Dailey videos about about Botox.

Long-term benefits of Botox 

How to avoid getting fraudulent Botox

Contact Us

Schedule a Consultation
503 494-3020