Years of squinting, concentrating, or frowning can cause your skin to furrow or crease. As time passes, your skin becomes less elastic and those moderate to severe frown lines remain- even when your muscles aren't contracting. You feel happy, but then you look in the mirror and see a worried or angry expression that doesn't match how you feel. With Botox, you can soften or alleviate these lines or wrinkles yet still look like yourself.

What is Botox and how does it work?

Injection of onabotulinumtoxinA, or Botox, is the most common non-surgical cosmetic procedure performed in the United States. Botox is a type of purified protein that blocks nerve impulses to the treated muscles in your face, thus temporarily improving the look of your frown lines to make you look naturally relaxed. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas. So, you don't have to worry about appearing stiff and unnatural.

Will I get botulism from Botox? Is it safe?

Botox has been widely tested and used for over 20 years and is derived from a naturally-occurring protein.The doses used to treat facial wrinkles are tiny. The average dose of Botox used to treat facial wrinkles is 25 to 75 units. For comparison, the estimated lethal dose of Botox is approximately 3,000 units.

On what areas can you use Botox?

• the 'eleven lines' between the eyebrows
• forehead lines
• crow's feet lines on the outside of the eyes
• vertical lipstick lines above the upper lip
• the tail of the eyebrows to lift sagging eyes
• the angles of the mouth to lift the downturned corners of the mouth
• chin wrinkles and dimples
• horizontal neck creases or 'necklace' lines
• vertical neck ‘bands'
• enlarged cheek muscles to soften a square jaw
• "bunny lines" on the sides of the upper nose

What is it like to get a Botox treatment?

First the problem wrinkle areas on your face are examined. Everyone is different. Some people have strong facial muscles and deep creases in some areas such as the forehead and crow's feet, while others have finer lines in other areas such as around the mouth or between the eyebrows. Botox treatments are tailored to what each individual needs and the result they are trying to achieve. Then, small doses of solution are injected with a tiny needle into the wrinkle-causing muscles. We often use a vibration tool around the area being injected which distracts your nerve endings; this reduces discomfort. Treatment generally takes just 10-20 minutes. Most patients are surprised by how quick and relatively painless it is.

Anything I need to do after my Botox treatment?

You may resume normal activity right after your treatment. The treated areas may be slightly pink and raised (like a bug bite) for an hour or so, until the liquid is absorbed. One should avoid rubbing or disturbing the treated areas afterward.

How soon will I see results after treatment with Botox?

Results are seen within 2 days after treatment, and the results build until they reach peak effect at around 14 days. If your wrinkles are deeply creased (if they’ve been there for years), they won’t suddenly disappear; however, you’ll likely notice that your skin creases will lessen over time, as long as you maintain your Botox treatments.

How long does one treatment last?

The results of your Botox treatment will last 3-4 months. Studies show that with repeated treatments your results may start to last longer.

How often can I receive a Botox treatment?

You should not be treated with Botox more frequently than every 90 days. Three to four months after your Botox treatment is the right time to have the treatment done again.

What about getting Botox treatments for excessive sweating?

Botox is also used for hyperhidrosis, a disease characterized by excessive sweating. It is typically injected in the underarms, palms, or feet to block the impulses that produce sweat.