Four doctors using neurotoxins to treat different patient issues

Brittany Proulx
From left, Drs. Henri Gaboriau, Duane Dixon, and Irwin Lieb
March 21, 2022

When most people think about Botox injections, they think of cosmetic procedures. But here at Adirondack Health, four doctors are using neurotoxins to aid various patient diagnoses.

Dr. Henri Gaboriau, along with Dr. Irwin Lieb, Dr. Duane Dixon, and Dr. Adam Abodeely, are four board-certified physicians employing neurotoxin injections.

For cosmetics procedure, board-certified facial plastic surgeon Dr. Gaboriau uses various types of neurotoxins, such as Botox, Xeomin, and Dysport. He uses them interchangeably to relax wrinkles between the eyes (the “11” lines), across the forehead, and next to the eyes (“crow’s feet”). For cosmetic uses, neurotoxins typically last about four months.

Dr. Gaboriau also uses Botox and Xeomin to reduce excess sweating (hyperhidrosis) under the arms, which can last for six to eight months after the first injection. After a touch-up, the results can last anywhere from a year to a year and a half.

“Considering nationally, neurotoxin and filler injections are the top non-surgical cosmetic procedures performed, the demand is high,” Dr. Gaboriau said.

Dr. Lieb, a board-certified urologist, has used Botox for around a decade to increase bladder storage and treat overactive bladders in patients whose bodies do not respond to medications.

Dr. Dixon, a board-certified anesthesiologist, heads our pain management office. He has found success using Botox to treat patients with migraine headaches. The patient must meet certain criteria, and if they do, the treatment consists of a series of injection blocks over three to six months. It is typically covered by health insurance.

“A lot of our patients have previously had to travel long distances for this service, and now they will have it here in the Tri-Lakes,” Dr. Dixon said.

Dr. Abodeely, who is board certified in general surgery and colon and rectal surgery, uses Botox in his colorectal and gastrointestinal patients to treat anal fissures, pelvic floor issues, esophageal spasms, and pyloric stenosis.

“To have, within one community hospital, four different services using these types of procedures is unheard of,” Dr. Gaboriau said. The results are extremely dependent on how good the injectors are, and our providers are highly qualified. It’s incredible to have that here.”

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