Facial Expression of an emotion Intensifies the Emotion. Facial Expression is a bimodal loop with involuntary and voluntary facial expression linked to the brain. The latest double-blind randomized trials supports Botox® use as adjunct treatment for Depression. 

Facial Expression of an emotion Intensifies the Emotion. Facial Expression is a bimodal loop with involuntary and voluntary facial expression linked to the brain. The latest double-blind randomized trials supports Botox® use as adjunct treatment for Depression. 

 Most of my patients are not beauty seekers, but rather use their Botox® treatments to look and feel less fatigued without the tell-tale signs of a botox® look. People have their treatments done every 3-6 months.  

Most of my patients are not beauty seekers, but rather use their Botox® treatments to look and feel less fatigued without the tell-tale signs of a botox® look. People have their treatments done every 3-6 months.  

 

 

 

Sadness, stress and fatigue can cause heavy eyes, furrowed brows and excessive forehead wrinkling "omega melancholia".  After treating patients with Botox ® for more than a decade, my patients have taught me that their treatments impart  more than cosmetic gains. They feel better. My conservative approach to Botox® allow people to appear and feel more positive, less tired or angry without the tell-tale look of having Botox® done. 

I am Physician Assistant licensed in Massachusetts and New York with national board certification. I do Botox® treatments in a medical practice in Back Bay and in Psychiatrist's practices. In addition to Dermatology, I assist in concierge primary care.

My education includes a Bachelor Degree in Bio-Chemistry from University of Louisiana at Lafayette in 1998, a second Bachelor Degree in Health Science at Massachusetts College of Pharmacy and Health Sciences in 2003 and Masters Degree of Physician Assistant Studies at Massachusetts College of Pharmacy and Health Sciences in 2005. I was the first Physician Assistant Co-Investigator in Infectious Disease at Harvard’s Brigham and Women’s Hospital in a Phase-One HIV human vaccine trials. Then at Harvard's Massachusetts General Hospital, I co-authored a human study published in the Pain Journal that assessed perceived and examined pain experience using pluripotent cell sampling for phenotype correlation to guide novel pharmacological treatment. I contributed to a sentinel study done by Dr. Edward Krupat PhD Harvard Instructor and Psychologist to develop coded criteria for best physician bedside manner, later adopted by Kaiser Permanente to teach their medical students how to better communicate with patients.

I serve as a state board member for Massachusetts Physician Assistant Regulation and Licensing, am an invited National Speaker for the Physician Assistant Organization, a member of the Newbury Street League.I serve as volunteer House Doctor for the Boston Symphony Orchestra.

 

References:

1. Finzi E, Rosenthal N,  Treatment of Depression with OnabotulinumtoxinA: A  Randomized double-blind placebo controlled trial. Journal of Psychiatric Research 2014.

2. Hexsel D, Brum C, Siega C, Schilling-Souza J, Forno TD, Heckman M, Rodrigues TC, Evaluation of Self-Esteem and Depression Symptoms in Depressed and Nondepressed Subjects Treated with OnabotulinumtoxinA for Glabellar Lines. Dermatologic Surgery 2013.

3. Wollmer M. A.,  deBoer C. Facing Depression with botulinum toxin: A Randomized controlled trial. Journal of Psychiatric Research 2012.

4.Lewis MB, Bowler PJ, Botulinum toxin cosmetic therapy correlates with a positive mood. Journal of Cosmetic Dermatology 2009.

5. Finzi E, Wasserman Treatment of Depression with Botulinum Toxin A. American Society for Dermatologic Research 2006.

6. Cassels, Caroline “More Evidence Botox Works for Depression.” Depression Health Center. Case Studies presented on Web MD, 19 June 2014. Web

7. Piack Jr. W, Peripheral feedback effects of facial expression, bodily postures and vocal expressions on emotional feelings. Cognition and Emotion 2006.

8. Ekman P, Leverman P. W,  Autonomic nervous system activity distinction among emotionsScience 1983.

*The neuropsychiatric benefit of BOTOX® treatment is improvement and even resolution of depression symptoms in some individuals.