Aaron S. Geller, M.D.





BOTOX TREATMENTS

What is Botox?
Botox is the purified protein which relaxes muscles 5-14 days after injection. It prevents the local nerve from causing muscle contraction, thereby achieving relaxation of the muscle treated.

Is Botox permanent?
Botox temporarily relaxes the muscle, allowing the patient time to appreciate its value and decide if they want another injection in another 3-6 months.

Is Botox safe?
Botox’s potential toxicity is similar to Tylenol – a normal dose can be enormously helpful, but like a huge dose of Tylenol, a food poisoning dose of Botox is dangerous. No allergy to Botox has occurred in over 20 years of use. Botox is a therapeutic breakthrough in spasticity and wrinkle treatment!

Are Botox injections painful?
The tiny needle used to give Botox is far smaller than the needle used to draw blood from the arm for routine blood tests. Usually only several seconds of minimal discomfort occur, and the entire procedure lasts less than 15 minutes.

What is Botox used to treat?
Botox has been used successfully for years to treat spasticity as well as to relax the muscles of the forehead, between the eyes, and around the eyes to eliminate the pull on the skin, safely removing wrinkles. Botox is also used in torticollis, hemifascial spasm, and to create facial symmetry in patients with stroke or Bell’s Palsy.

Is any special equipment required to deliver Botox?
Botox has limited migration capacity, so the best results to decrease spasticity or remove wrinkles are achieved with the use of an electromyogram (EMG). An EMG records electrical activity of muscle during medication delivery to confirm optimal placement of the tiny needle and medication to achieve the highest quality treatment.

Which doctors are trained in the use of EMG equipment to guarantee the best treatment?
Rehabilitation is the only medical specialty in which physicians must complete 250 EMG’s to board certify. Further expertise in EMG can be confirmed by additional certification by the American Board of Electrodiagnostic Medicine.

Who delivers Botox?
The physician specialty that is most commonly trained in the use of EMG machines are rehabilitation doctors. Botox is most commonly delivered by rehabilitation physicians, neurologists, dermatologists, and plastic surgeons.

Who will be my doctor?
Aaron S. Geller, M.D. graduated with highest honors from the University of Pennsylvania School of Medicine. He is triple board certified by the American Board of Pain Medicine, the American Board of Electrodiagnostic Medicine / EMG / Peripheral Neurology, and the American Board of Physical Medicine and Rehabilitation.

How can I schedule an evaluation with Dr. Geller? Please bring your doctor’s referral.
Dr. Geller’s offices in Nashua and Concord can be contacted via phone via e-mail at GellerTreatment@hotmail.com. Office hours in Concord are on Mondays.

Directions to Dr. Geller's offices
To get to Dr. Geller’s NASHUA office near the Nashua Mall, one block off the Everett Turnpike, 30 minutes south of Concord, take 93 South to 293 South, then veer left to the Everett Turnpike and take exit #6 to 130-West. At the first set of lights, make a U-turn back to the highway. After you pass the Shell gas station, take an immediate right at 150 Broad Street at the Carlson Real Estate Building. Continue through the parking lot past the Japanese Bistro to the adjacent building at 154 Broad Street, Nashua, NH 03062.

To get to Dr. Geller’s CONCORD office adjacent to the Capitol Center of the Arts, take 93 South to exit #14, and take a right at the end of the ramp. Continue through three sets of lights and take a left to North Main Street. Continue approximately eight blocks. After you pass the sign for Capitol Center of the Arts on your right, take a right to Concord Street for a block to 46 South Main Street. Dr. Geller’s office is on the second floor near the Naturopathic Clinic area, Concord, NH 03301.