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Botox™ is an FDA approved purified protein naturally derived from the bacterium Clostridium Botulinum Type A. It has been used for more than 20 years to reduce unwanted muscle activity, and is considered safe and effective. Initially introduced for treatment of ophthalmologic and neurological muscular diseases, it is now also used for the cosmetic reduction of facial expression lines.

What causes wrinkles and facial expression lines?
As noted above, lines and wrinkles develop, at least in part, from the action of facial muscles under the skin. After years, furrows may remain along these facial expression lines without any active facial muscle expression. The development of these lines is promoted by years of sun exposure, and usage of these facial muscles. Botox™ prevents unwanted facial lines and improves or blends the wrinkles that are visible while muscles are at rest.


Frequently Asked Questions

How does Botox™ work?
Botox™ works by immobilizing the muscle, at treated sites. It does this by inhibiting the contraction of the targeted muscles. Only those muscles producing these undesirable lines are treated.

What areas can Botox™ be used for?
Frown lines between the eyebrows, crow’s feet lines and forehead wrinkles are effectively treated with the BOTOX. The treatment takes a few minutes and the BOTOX takes effect in three to four days. Patients return to work or other activities immediately after treatment.

Does the Botox™ Injection hurt?
When BOTOX is injected there is a minor sting for a few seconds. Once the injection is complete, there is usually no discomfort. Most patients report a mild stinging sensation which subsides within a minute.

What kind of facial lines does it remove?
Prominent facial expression lines, such as, horizontal lines on the forehead, vertical lines between the eyebrows, and crow’s feet around the eyes are dramatically improved with treatment.

How does Botox™ compare to other products such as collagen and filler materials?
Unlike filler materials, Botox™ treats the underlying cause of facial expression lines. Filler materials, such as Juvederm, plump up the skin. Although fillers reduce the appearance of lines when there is not facial expression, the moment the person does smile or frown, the lines reappear. Botox™ actually prevents unwanted lines from appearing with facial expression and often even at rest. These two products work together in tandem to help maximize your desired results.

How is treatment performed and how many treatments are required?
A small quantity of solution is injected into the muscles that are next to the prominent furrowing or expression lines. Typically several injections are given with each treatment, and one treatment is usually effective for 3-6 months.

How long do the results of Botox™ last?
Botox™ typically lasts for 3 to 4 months. When the effect of Botox™ wears off or diminishes, the muscles that contribute to these facial expression lines again become active, treatment can again be administered.

How does the skin appear after Botox™?
Immediately after treatment the skin appears normal but there may be some redness and swelling at the treated sites.

When can I expect to see results after treatment?
Within 48 hours after treatment reduction in the muscle activity can be noticed. About one week after treatment the maximal benefit is attained and continues for a few months.

Are there any limitations after treatment?
Yes. Refrain from touching the area of treatment for at least 1 hour. We recommend limiting the touching and rubbing of the facial areas treated for the first day, especially not rubbing toward the eyes. This can cause the medication to move toward the eye and potentially cause a drooping eyelid. By pushing on the area that was treated you may cause a negative effect. Immediately after treatment you may resume all normal activities.

Is there any discomfort with treatment?
There is usually mild discomfort at the injection site. This only lasts only a few seconds.

Are there any risks or side effects?
Rarely. If Botox™ should affect an adjacent muscle, it too may have reduced activity. This has been reported in about one percent of those treated and if this does develop, the most common change is eyelid drooping. However, any unwanted muscle relaxation would also be temporary. There are no reports of any injury to the eye when Botox™ is administered to the muscles of the forehead.

Can Botox cause botulism?
No. Extremely small diluted amounts of Botox™ are administered. These quantities are insufficient to cause botulism or any related symptoms. 

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