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What is BOTOX?

When those first signs of unwanted wrinkles appear, it can be disheartening to consider adding steps to your morning routine to cover them. This is a time to streamline—not complicate—your routine.

At Acqua Blu Medical Spa, we provide Botox in Pittsburgh as an effective alternative to cosmetic surgery. Botox is a non-surgical, minimally invasive way to improve the telltale signs of aging.

Botox as a Preventative, Not Just an Improvement

We have seen a substantial increase in the popularity of Botox as a preventative treatment rather than just a solution after wrinkles have become deeply set. Botox can be a very effective and safe anti-wrinkle treatment when wrinkles are just beginning to appear permanent. It’s appropriate for both women and men who want to look their absolute best.

BOTOX in Pittsburgh

What Makes Pittsburgh Botox Ideal for Preventative Wrinkle Treatment?

There are actually three different types of wrinkles: dynamic wrinkles, static wrinkles, and wrinkle folds.

Dynamic wrinkles are caused by routine facial movements such as smiling, frowning, and squinting. The most common dynamic wrinkles are forehead wrinkles and crow’s feet, or the wrinkling at the corners of the eyes.

Static wrinkles, on the other hand, can by caused by prolonged dynamic wrinkling, or by other factors like sun exposure, genetics, and smoking.

Wrinkle folds typically occur as a result of sagging within certain facial structures, creating deep grooves.

Because our Pittsburgh Botox injections are most efficient at treating dynamic wrinkles, it can be a great cosmetic procedure to consider early on—before the aging process continues and static wrinkles become permanent. Many people find that setting up routine treatment sessions every few months is manageable and much more effective than trying to combat wrinkles once they’ve become too bothersome to ignore.

Commonly Treated Areas

With all the dermal fillers and other treatments available, many patients wonder what’s better—Botox or something else. Our Botox in Pittsburgh has proven to be the best option for the following problem areas:

  • Frown lines between the eyebrows, or 11’s
  • Crow’s feet
  • Forehead wrinkles
  • Frown lines
  • Marionette lines

What Causes Crow’s Feet, Lines, and Wrinkles?

Wrinkles and lines of the face result from a combination of many things. Contributing factors include age, sun exposure, pollution and other damage caused by free radicals, and reduction of collagen. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract, causing crow’s feet. All of this adds to the breakdown of tissue in the skin. Botox goes beneath the skin’s surface to target the underlying muscle activity that causes these frown lines and crow’s feet.

BOTOX in Pittsburgh

How Botox Works

Botox is administered through a needle. It is injected directly into the muscles to temporarily reduce muscle activity and smooth out the lines, wrinkles, and folds. Botox works by blocking the signal from the nerves to the muscles. The muscle that receives the Botox loses the ability to contract, making the wrinkles relax and soften.

Botox Treatments and Results

Well known as a “lunchtime treatment,” your Pittsburgh Botox treatment only takes about 10-20 minutes, and requires no anesthesia. You will start to see results from your treatment within three to 10 days, wherein the muscle’s ability to contract will gradually reduce in the targeted area. It will also simultaneously smooth and rejuvenate the appearance of your skin. Results last about three to five months and require continued treatments to increase the permanency of the Botox.

Are You a Good Candidate for Botox in Pittsburgh?

If you’re starting to notice fine lines developing on your face, you may be a good candidate for Botox—even if you’re relatively young. Depending on a variety of factors, including your skin’s elasticity, your history of sun exposure, and whether or not you smoke, the rate at which you develop wrinkles can vary. In general, though, the first places you’ll likely notice wrinkles are on your forehead, around your mouth, and at the corners of your eyes. If these lines don’t diminish even when your facial muscles are relaxed, you may be a good candidate for preventative wrinkle treatment. At Acqua Blu Medical Spa, we offer a variety of personalized treatment plans to best suit your individual needs.

Schedule a Consultation with Us!

Come see why Acqua Blu Medical Spa is among the top one percent of medical spas in the country with Allergan, the company that makes Botox! We pride ourselves on providing some of the best Botox Pittsburgh has to offer. Please contact us for a complementary consultation. Our physician assistants are all licensed and trained by Dr. Heil, and our clinic is comfortable and sophisticated, with a friendly staff of experts who are always ready and happy to help.

Update Regarding COVID-19 View Update Virtual Consultation

To our Premier & Acqua Blu community,

March 21st Update:

We remain at your service during this time.

To our post operative surgical patients you can still reach Dr Brian Heil by contacting us at 412.953.3373 or 724.747.7062. You may also email us at or . We are standing by to assist you and will return calls and emails within the same day.

You are all in our thoughts and prayers. Please stay in touch via Facebook, Instagram and our website. We look forward to seeing you soon.

March 19th Update:

It has always been our mission to take the very best and safest care of our patients and staff, and in these uncertain times, this responsibility extends also to our Western PA community at large. Therefore, we are monitoring the situation on a daily basis with safety as our top priority. Currently, all patients and employees are being screened before entry to our facilities; this involves both measuring each person’s temperature and a COVID-19 screening survey based on PA DOH and UPMC standards. All patients with a temp over 99.5°F will be asked to reschedule. We have gone down to a skeleton staff to minimize the office population and ensure that less than 10 people will be in any facility region at the same time. We will be minimizing the use of waiting rooms by directly rooming patients after check-in when possible and, at times, by asking some patients to safely wait in their cars until their exam or treatment room is ready.

Hand sanitizers are available throughout our offices as well as sinks with soap and water. We continue to disinfect all frequently-touched surfaces between patients, including counters, furniture, pens, iPads, door handles, restroom fixtures, exam tables and chairs, wiping them down with hospital-grade sanitizers after each patient encounter. Our professional evening cleaning service is taking extra precautions in cleaning using their EnviroShield Endure System and adhering strictly to guidelines issued by the CDC & OSHA. Our facility is always maintained to the highest standards of cleanliness and sterility; however, we have ramped up our daily practice of decontamination and hygiene protocols to an even higher standard. Please limit chaperones to one additional person, and refrain from bringing in children and the elderly.

If you recently have had surgery and need to be seen for a follow-up visit, be assured that we will see you personally to ensure a full and safe recovery. At these appointments, you will be seen by only essential staff that have remained healthy, without signs of any illness or history of viral exposure. As a standard precaution, personal protection equipment will be worn as appropriate when examining you in accordance with any standing CDC recommendations. For now, at Premier Plastic Surgery we will be doing a limited number of consultations and treatments at our Wexford and Upper St Clair offices. Also during these challenging times we’d like to offer the option of a virtual consultation, please request these virtual consults by emailing us directly at . Our phones will still be answered during normal business hours and all emails will continue to be answered.

At this time, all surgeries planned in our private surgery center will be able to be completed as scheduled. Premier Surgery Center of Pittsburgh is a specialized outpatient facility that treats one patient at a time. Its medical resources are not of benefit or value to treating COVID-19 patients, thereby falling outside the call for cancellation of elective surgeries.

If you already have an appointment scheduled with Acqua Blu Medical Spa, one of our staff members will be reaching out to you directly to reschedule consults or treatments at a more safe future time. Regular appointments will resume on or after March 31, unless otherwise updated.

In the face of this ominous public health challenge, we all must work in concert with our community to help each other, protect each other, and extend extra understanding and patience to our fellow man. We urge everyone to protect themselves and their families. If you are experiencing any symptoms, please reschedule and seek out your general practitioner. If you need to reach us for a surgical emergency outside of office hours, please contact the answering service by calling (724) 935-7213 for emergencies.

This is an evolving situation and we will adjust our policies and practices in accordance with the best current knowledge and CDC recommendations. Please stay informed of the all Federal COVID-19 Task Force recommendations and any mandates of the PA Dept of Health. We will continue to pray for everyone and care for our patients through this time of need.

March 18th Update:

For the safety of our patients and staff, Premier Plastic Surgery is temporarily limiting visitors and restricting patient care for those potentially infected with COVID-19 virus. All patients and visitors will be actively screened prior to entry. For patients recovering from surgery, we ask that you limit accompanying visitors to 1 per patient. Visitors will be asked to remain in their vehicle for the duration of the visit. Visitors will be permitted in the exam or waiting room only in special situations, when a visitor is essential for the well-being and care of the patient. No visitors who are ill, sick, frail, elderly or at-risk (i.e. immune compromised or serious chronic illness) will be permitted access. No children less than 18 years of age will be permitted. Please do not bring children to your visit. Any approved visitors will be screened at the facility entrance by a staff member and must comply with a temperature screening.

March 16th Update:

From the time we opened our practice in 2001, our patients and employees have always been central to our purpose and our top priority.

Our hearts go out to all those who have been affected by the coronavirus. In the face of this unprecedented pandemic, we want to assure you we are committed to the health and safety of our patients and employees.

As part of our occupational health and safety regulations, washing our hands between each patient, wearing gloves, sanitizing our instruments and tools, disinfecting our treatment rooms, operating rooms, and checkin and checkout desks are part of our regular daily practice and occurs frequently throughout the day - regardless of season or sickness. Additionally, our practice undergoes weekly deep cleaning. We do this to ensure that our patients can trust Premier Plastic Surgery & Acqua Blu not only for their treatment but also for the practice environment. 

We're closely following the guidelines of The Centers for Disease Control and Prevention (CDC), The World Health Organization (WHO) and The Occupational Safety and Health Administration (OSHA) and doing everything we can to keep our communities safe. We have provided hospital-grade antibacterial hand gel sanitizers in our office and are requiring each staff member and patient to use it upon their arrival. We have added more frequent disinfecting of high touch areas to our already rigorous sanitation standards. This will include the front door, the point of sale computer and surface areas, patient seating areas, treatment rooms, and bathrooms.

We are requesting that both patients and our staff take steps to reduce the transmission of communicable diseases by following these important guidelines:

  1. Stay home when you are sick and for at least 24 hours after you are free of fever (100 degrees F or 37.8 degrees C), or signs of a fever without the use of fever-reducing medication. 
  2. Wash your hands frequently with warm, soapy water for a minimum of 20 seconds.
  3. Use an alcohol-based hand sanitizer containing at least 60% alcohol.
  4. Cover your mouth with tissue when you sneeze and discard the tissue into the trash.
  5. Avoid people who are sick with respiratory symptoms.
  6. Clean and disinfect household objects and surfaces in your home.

We are committed to exceeding your expectations at this time. Thank you for the opportunity to serve you, in this time and always. And, while it's tough to imagine, we're all hopeful that brighter days will be here again soon. We're all in this together!

Stay safe and healthy.

Dr Brian Heil & Staff

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