Botox Cosmetic®


BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It is a nonsurgical, physician-administered treatment that can temporarily reduce moderate to severe frown lines between the brows in people 18 to 65 years of age. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Results may vary.

Botox® Cosmetic was approved for cosmetic use in 2002, and since then it's enjoyed a meteoric rise in popularity. Today it's the most sought-after non-surgical procedure for facial rejuvenation. We use it to remove wrinkles above the eyebrows, around the eyes, below the mouth and near the chin.

But it does more than take away wrinkles. By relaxing facial muscles, Botox® Cosmetic clears away that tense, tight, hardened look that detracts from the face's natural beauty. The result is a smoother, clearer, more youthful face.

After all, facial aging isn't just about gravity and thinning facial skin. Stress and tension are just as harmful. My patients who get Botox® Cosmetic around the eyes and forehead often tell me how utterly amazed they are by the results. They were expecting nothing more than relief from crow's feet or worry lines. What they got was both more subtle and more encompassing.

They got their facial balance back! Relaxing their frown lines widened the eyes and forehead area, making their noses appear smaller and re-proportioning the upper and lower face. When it comes to beauty, proportion is everything. Change the proportions of upper, middle and lower face and you can resolve many of the issues that result in what our culture calls "fading beauty."

About the Procedure

A Minor Procedure

The injections only take about 15 minutes, and you can return to your normal life right away. The results gradually appear over a seven to ten day period. It's like watching your younger face slowly reappear in the mirror.

After a treatment the muscles will stay relaxed for about four to six months. Botox® Cosmetic must be refreshed regularly. The good news: for as long as you are using Botox® Cosmetic skin creases do not form, because the muscles that cause creases are disabled.

Expressiveness Is Not Compromised

Many patients ask me: "Will I be able to frown, smile and use my face to express my feelings after Botox® Cosmetic injections?" Yes. I have learned to study each patient's animation before injecting Botox® Cosmetic, and to apply the correct dosage in the correct spots so you still have plenty of expressiveness.


Botox may be used in the hands, feet and underarms to control excessive sweat production.

How Does It Work

Those moderate to severe frown lines between your brows form over time as the result of muscle activity. BOTOX® Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.


Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.

How Long Does It Last

Results from treatment with BOTOX® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.

Is It Painful

Discomfort is usually minimal and brief. Prior to injecting, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people are in and out of the physician's office without downtime following BOTOX® Cosmetic treatment.

Is Botox Cosmetic® For Me?

BOTOX® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

Side Effects

The most common side effects following injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.


When considering your facial aesthetic options, BOTOX® Cosmetic is quite affordable. According to an American Society for Aesthetic Plastic Surgery survey, BOTOX® Cosmetic is one of the low-entry-cost facial aesthetic procedures in the United States. Like other appearance-related investments, such as hair coloring and cuts, teeth whitening, and chemical peels, the cost must be weighed relative to your expectations. Consult your doctor for further information.