Unwanted wrinkles and fine lines are a common concern for patients looking for a natural and refreshed look. One cause for these lines is the natural creases caused by the movement of the underlying muscles of facial expression; for example, crow’s feet, glabellar lines, and forehead wrinkles.

Botox is one of the many neuromodulators now on the market for the treatment of these unwanted wrinkles. It works by temporarily paralyzing the facial muscles that contribute to the wrinkles in the overlying skin. As the muscles aren’t able to move, the wrinkles become less apparent.  Each session of Botox typically takes just a few minutes and results will last approximately 3 months.  In addition to Botox, Dysport and Xeomin are also effective treatments for improving smile lines and active wrinkles.



Botox can be a huge benefit for patients dealing with hyperhidrosis, a condition that causes people to excessively sweat (about 4 times more than the normal about of sweat produced). This condition is known to be very uncomfortable and primarily impacts the palms of the hands, feet, and armpits. When topical skin antiperspirants aren’t doing the trick, Botox can be a great way to treat hyperhidrosis. 


The word ‘surgery’ or the thought of ‘going under the knife’ can make a lot of people feel uneasy, and for good reason. Botox injections are one of the most popular types of cosmetic treatments to smooth out wrinkles in different areas of the face. Botox can be done in a short period of time and can make you feel more youthful and attractive!


Due to the normal aging process, the natural volume in our face decreases over time. As a result, you may start to notice less full cheeks, creases around the nose and lower half of the face, and unwanted lines around the lips.  One of the most popular and effective methods for restoring a more youthful face is to restore this volume using injectable fillers.

The most commonly used fillers are made with hyaluronic acid, a substance already naturally present in the skin, and include products such as Juvederm and Restylane.  Results typically last 6-12 months or longer depending on which particular product is chosen and where they are injected.


Botox and fillers are similar; in that, they are both used cosmetically and for antiaging. However, they are known to treat slightly different problems and are often used in different areas of the face. Sometimes, botox and fillers are used in conjunction as complementary treatments in order to achieve the desired results. It’s important to have a consultation with a professional if you’re considering either option.

Call 402-505-8777 to schedule a consultation with Dr. Melanie Ortleb or Physician Amy K. Price to discuss treatment options.

A doctor injecting a solution inside the face of a patient as she lays down the doctor hovers over her with a needle inside her cheek.