botox cosmetic (4)

Botox Cosmetic is a neurotoxin that originates from the bacterium Clostridium botulinum. Although this toxin is infamous for causing botulism, a type of food poisoning, it has several medical applications when used under controlled dosing. Botox Cosmetic acts by weakening or paralyzing specific muscles or blocking the pathway of certain nerves.

Medical Uses

Botox Cosmetic is commonly used in small doses in the medical community to treat various conditions such as:

  • Temporarily smoothing facial wrinkles caused by muscle contractions.

  • Controlling overactive underarm sweating.

  • Managing cervical dystonia, a neurological disorder that causes severe shoulder and neck contractions.

  • Treating uncontrolled blinking of eyes (blepharospasm).

  • Addressing overactive bladder.

  • Correcting misaligned eyes (strabismus).

  • Managing chronic migraine headaches.


Botox Cosmetic is administered through fine gauge needles directly into the neuromuscular tissues. It usually takes just a few minutes and does not require local anesthesia. Results are typically noticeable 3-7 days after the treatment. However, pregnant or lactating women and individuals who have had a previous allergic reaction to Botox Cosmetic should not receive treatment.

Dental Uses

Botox Cosmetic can also be used by dentists for various cosmetic and functional dental issues, including:

  • Softening facial lines and wrinkles such as crow's feet, forehead furrows, frown lines, lip lines, and bunny lines.

  • Reducing neck bands.

  • Relieving pain from headaches caused by tension in muscles in the head, face, and neck.

  • Addressing relapse of teeth following orthodontic treatment completion caused by an overactive mentalis muscle.

  • Improving the appearance of skin dimpling of the chin.

  • Reducing pain from headaches due to occlusal (bite) issues.

  • Reducing bruxism, a condition that involves grinding and clenching of teeth.

  • Lifting the corners of the mouth.

  • Softening a square jawline.

  • Correcting a gummy smile due to over-retracted upper lips.


Dentists are ideal practitioners for delivering Botox in the head and neck region as they receive advanced training in oral and maxillofacial areas. When selecting a dentist for Botox Cosmetic, look for one with proper certification and insurance. The certification should include at least 16 hours of live hands-on patient training.

If you are interested in Botox Cosmetic aesthetic treatment for a smile makeover, schedule a no-cost cosmetic consultation appointment with Marielaina Perrone DDS at (702) 458-2929. The practice is located in Summerlin, Henderson, and Las Vegas, NV.


Read more…

Botulinum toxin (BoNT-A), commonly known as BOTOX, has been used for cosmetic purposes in medical offices for years. However, it has several medical applications beyond its aesthetic use. Approximately 16% of dentists in North America use BoNT-A for both cosmetic and therapeutic purposes. The mechanism of BOTOX involves inhibiting the release of acetylcholine, which depolarizes the motor end plate of the muscle, causing muscle contraction. By reducing the intensity of the contraction or eliminating it, BOTOX acts as a temporary muscle paralytic.

BOTOX is a valuable tool in dentistry and can help relieve symptoms of facial pain disorders and temporomandibular joint disorder (TMD). In TMD, muscular trigger points radiate outward through the nerve bundles, and injecting BOTOX into these points can help relieve the muscle contraction intensity for a short period. BOTOX can also help manage teeth clenching (bruxism) by reducing the power of the muscle contractions that cause facial pain and limiting the damage caused by teeth clenching to oral tissues.

BOTOX can also be helpful in orthodontics, particularly for patients whose teeth relapse after orthodontic therapy. This relapse may be due to an overactive mentalis muscle, which causes spasms and contractions. BOTOX can prevent limited relapse following orthodontic treatment by reducing these spasms and contractions. BOTOX can also treat migraines and other headaches by preventing pain signals from reaching the nerve bundles in the head and neck.

BOTOX injections in the parotid and submaxillary glands can control excess saliva production. BOTOX can also restore facial symmetry by rebalancing the facial muscles and enhancing the eyebrow lift or depression of the brow. Finally, BOTOX can help reduce a gummy smile by reducing the amount of gum visible when smiling.


Read more…

PDO Smooth Threads For Anti Aging

PDO smooth threads are a type of anti aging treatment. The action of these PDO threads stimulates the production of collagen to help the skin naturally smooth and tighten gradually and naturally following treatment.

What are PDO Smooth Threads?

There are different types of PDO threads with Smooth threads becoming more popular due to their ease of application and natural esthetic results. PDO threads come in two basic groups, lifting (barbed) threads that are used to prevent sagging of skin. This is considered a form of facelift due to it's lifting properties. The other type are smooth threads that help to strengthen and tighten the skin diminishing fine wrinkles, folds, and scars.


What is PDO?

PDO stands for polydioxanone. PDO has been proven to be safe and effective to use in medicine. It has previously been used for cardiovascular surgery as well as for sutures for over 10 years. PDO is dissolvable so there is no need to remove it after application.

When used for esthetic purposes, the threads are inserted in strategic locations on the face and neck. These injections cause micro-injuries that heal over time through natural processes. The healing process acts by stimulating the production of elastin, collagen, and fibrin to complete wound healing and this creates smooths out the skin and diminishes wrinkles. Another positive includes increased blood flow to the area. The blood flow brings nutrients to revitalize the skin leading to skin rejuvenation.

What are the benefits of PDO Smooth Threads?

Your skin will become revitalized thru the actions of the PDO threads. It strengthens your skin giving you a more youthful, vibrant look. PDO Smooth Threads work great in around the eyes, hollows of the cheeks, the upper lip around the mouth, neck, or under the chin.

The threads can be used in a variety of areas. The application is quick and virtually pain-free. Little to no downtime is necessary following the procedure. An added bonus is the procedure is much more affordable than a full facelift.

PDO smooth Vs. Botox?

The two procedures are often compared to each other. However, they act in very different ways. Botox limits the movement of the facial muscles to diminish the appearance of fine lines and wrinkles. Some patients really like how Botox smooths their face and how it can be used to slow the formation of new lines and wrinkles.

Smooth threads work in a different way to boost the skin, naturally. They have the ability to smooth and tighten the skin by building collagen to diminish fine lines and wrinkles.

Using a combined treatment of Botox and smooth threads has become a popular esthetic treatment. The procedures can be done in comvination and can be repeated together about every 3-4 months.

What can I expect from a PDO Smooth Threads treatment?

An initial cosmetic consultation will determine what goals and desires you have for your cosmetic treatment. It will be discussed at this time what areas concern you and how to get the optimal aesthetic results. 

Once aesthetic treatment begins, the areas of injection will be cleansed thoroughly. The absorbable threads will be applied with very fine needle. This is a very quick procedure that feels like a little pinch. There is a small risk that bruising may occur.

Results will begin to appear over the course of the next month or so. This will be dependent on the bodies healing ability. Most patiemts see results within 3 or 4 weeks and the optimal results will appear at around 3-4 months.

Smooth PDO threads are a great alternative to many other more invasive esthetic procedures. 

Read more…

What Is Botox?


Botox injections can help you look younger quickly and easily and to prevent lines and wrinkles from forming on the face. Marielaina Perrone DDS in Henderson, NV is pleased to offer BOTOX to her patients. This nonsurgical esthetic procedure provides outstanding cosmetic results and is available for both women and men.

Botox injectable can give a dramatic aesthetic improvement to facial wrinkles. These wrinkles result from our expressive movement with the contracting muscles on the forehead and around the eyes.

When injected into the facial muscles, BOTOX temporarily blocks specific muscle movements to soften the appearance of dynamic wrinkles. BOTOX injections are most commonly administered between the eyebrows, Crow's feet, and across the forehead.


An individualized BOTOX treatment plan designed by Marielaina Perrone DDS can help you look younger quickly. Other benefits include::

  • Smoothing fine wrinkles and lines
  • Preventing the formation of new creases and wrinkles
  • Creating a more rested, youthful appearance
  • Quick results without the need for surgical intervention
  • Highly effective for both men and women
  • Proven safe and effective


The masseter muscle is located on the side of your face. The main role of this muscle is to help you chew your food properly. With properly placed injections, the masseter muscle can be relaxed resulting in many benefits for patients experiencing migraines and TMJ issues.

Benefits include:

  • Relief for Teeth grinding
  • Creating a symmetrical face profile
  • Relieve tension or migraine headaches
  • Reduce jaw tension and habitual clenching
  • Recontouring jaw into a more square shape


BOTOX injections are ideal for men and women who want to:

  • Lessen and soften the appearance of fine lines and wrinkles on the face
  • As a wrinkle preventive treatment
  • Lessen appearance of crow's feet by the eyes

For deeper lines, a filler product (Juvederm dermal filler) may be a better esthetic option.


BOTOX injectable treatments are performed right in our office by Marielaina Perrone DDS. Following a cosmetic consultation to determine treatment needed and desired, you will be asked to make various expressions using the upper face, like squinting and frowning, to give Dr Perrone a guide where the injections should be applied.

The injection sites will be cleansed thoroughly and BOTOX will be applied using a fine needle. Following injection a cold compress will be usedto help decrease discomfort and possible bruising. A numbing cream is also available if needed to help make the entire process more comfortable. BOTOX treatments generally take about 15-20 minutes, and you can typically return to your usual non strenuous activities after leaving the office.


Strenuous activity should be postponed for at least 24 hours. Dr Perrone will advise you to keep your head elevated for at least one night and to avoid touching your face, which may accidentally spread the BOTOX to undesired areas.

The injection sites may develop bruising, swelling, or redness but you should not have any long-lasting side effects. For many patients, it takes about a week for results to show fully. The results typically last 3 – 4 months before needing a touch up to maintain your youthful look.




Read more…