Botox

Botox offers natural looking wrinkle reduction by temporarily relaxing the facial muscles that cause fine lines and wrinkles. Designed to remove and reduce wrinkles, Botox treatments work by blocking the nerve signals to your facial muscles. Quick and painless, Botox reduces your facial muscle activity and temporarily prevents the contraction of muscles that cause laugh lines, frown lines, and crow’s feet.

Treatment Details

Type of Treatment

Injection

Session Frequency

3-6 months

Duration

15-minutes; often called a “Lunchtime Procedure”

Downtime

Minor

Results

With minimal discomfort and no downtime, Botox fits in to your lifestyle and schedule. Most people see visible results in 10 days to 2 weeks, and results last about 3 to 6 months.

What To Expect

01. Consultation

During this consultation, you’ll discuss your concerns and treatment goals, and our specialist will assess your facial anatomy to determine if Botox is suitable for you. Botox treatments consist of a few tiny injections, with very localized effects that will not impact your ability to smile, laugh, or show expression. Effective for a wide range of people, Botox improves the appearance of moderate to severe lines between the eyebrows and can be injected around the eye area to improve the appearance of crow’s feet.

02. Preparation

Take Tylenol® (if not contraindicated) 1 hour prior to your appointment to help with any discomfort you may have, if you have concerns about discomfort.

PLEASE AVOID:

  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Ginko Biloba, St. John’s Wort and high doses of vitamin E for 7-10 days prior to procedure, as these may cause increase risk of bleeding and bruising at the treated site(s). Regular multi-vitamin and Tylenol® is permitted (If not contraindicated).
  • Avoid alcoholic beverages for 24 hours prior to procedure as this can increase the risk for bleeding and bruising at the treated site(s).
  • Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.
  • Discontinue use of topical prescriptive medications for 48hrs (Retin-A, Tazorac, Dierin, EpiDuo, Ziana).
  • Avoid facials and saunas the day of treatment.

03. Procedure

During the Botox procedure, the provider uses a fine needle to inject small amounts of botulinum toxin directly into targeted muscles in the treatment area. The toxin works by blocking signals from the nerves to the muscles, preventing them from contracting or tightening as forcefully. This temporarily relaxes the muscles, smoothing out wrinkles and lines in the skin above.

04. After-care

The results of your treatment can take up to 14 days to take full effect. Usually patients notice a change in 4-5 days. It takes time for the muscles to lose strength and the lines to fade following Botox® treatment. Please wait until 14 days have passed before assessing if you are pleased with the results. There can be a slight chance of bruising at the treated site, this is temporary. Be assured that any tiny bumps or marks will go away within a few hours of treatment.

Try to use the injected muscles for the first 1-2 hours after treatment: practice frowning, raising your eyebrows and squinting. This helps work Botox® into your muscles. Although this is thought to help, this will not impact your treatment negatively if you forget. You may apply makeup immediately following your treatment. 

PLEASE AVOID:

  • Touching or rubbing the injected site for 2-4 hours following treatment. Avoid exercise and sweating for the remainder of the day and no lying down or leaning forward for 2-4 hours after treatment.
  • Any type of facial, microdermabrasion, or massage for 14 days after treatment.
  • Ibuprofen, Advil or Motrin, Tylenol is acceptable to take if experiencing discomfort (if not contraindicated)
  • Sun exposure

FAQs

Do not use BOTOX® Cosmetic if you are: allergic to any of the ingredients in BOTOX® Cosmetic such as botulinum toxin type A and human serum albumin; had an allergic reaction to another botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport®(abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); or have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects.

Tell your doctor if you have or have had bleeding issues; plan to or have had surgery; have forehead muscle weakness such as trouble raising your eyebrows; drooping eyelids; or any changes to your face. Tell your doctor if you are pregnant, plan to become pregnant, are breastfeeding or plan to breast feed. It is not known if BOTOX® Cosmetic can harm your unborn baby or if BOTOX® Cosmetic passes into breast milk.

The most common side effects include temporary injection site pain; weakening of adjacent facial muscles; drooping eyelids; swelling eyelids; and headache. Other side effects, while less common, have been reported including blurred vision, double vision and allergic reactions (itching, rash, red itchy welts, wheezing, asthma symptoms, dizziness or feeling faint).

Using BOTOX® Cosmetic with certain medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past. Tell your doctor if you have received an injection with another botulinum toxin product in the last 4 months, such as Myobloc®, Dysport®, or Xeomin®. Be sure your doctor knows which product you received.

Tell your doctor about all prescription and over-the-counter medicines and supplements you take including: vitamins and herbal products; recent antibiotic injections; anticholinergics; muscle relaxants; allergy or cold medicine; sleep medicine; aspirin-like products; and blood thinners. Ask your doctor if you are not sure whether your medicine is listed above.

BOTOX® Cosmetic is prescription medicine a medical professional injects into muscles to temporarily improve the look of both moderate to severe crow’s feet lines and frown lines between the eyebrows in adults.

BOTOX® Cosmetic (onabotulinumtoxinA) is a techniquesensitive treatment. You should not lose the ability to show expression when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. It is important to talk to your provider about the results you want from treatment.

Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your provider may use ice to numb the treatment area. If you are concerned about discomfort, your provider may apply a topical numbing cream before administering your treatment.

The treatment takes approximately 10 minutes and requires minimal downtime or recovery—it’s often called a lunchtime procedure.

Three percent of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow’s feet studies. Other possible side effects include: discomfort or pain at the injection site; headache; and eye problems: double vision, blurred vision, drooping eyelids, and swelling of your eyelids. These are not all of the possible serious side effects of BOTOX® Cosmetic.