Botox is a safe injectable medicine which has been used since the 1970’s.  The FDA first approved it in ophthamological use and in the 1990’s it’s use expanded to treatment of cosmetic concerns.  Today there are many applications in which  Botox has a therapeutic effect, including treatment of migraines, strabismus(eye muscle problem) ,TMJ, excess sweating, overactive bladder as well as cosmetic benefits.

Botox reduces the appearance of wrinkles by relaxing the small muscles that cause wrinkles when they contract—as in frowning or squinting. This treatment cannot lead to addiction or permanent changes.

Both women and men can benefit from Botox.  For example, deep wrinkles between the eyebrows can lead to an “angry” look, which Botox treatment can soften.  Someone who has a habit of clenching their teeth may have fuller or sore muscles; the resulting wider facial appearance can be reduced by Botox injections.  Often people notice a “gummy smile” as the lip rises or a thinning of the upper lip as one ages, both of which can be improved with this treatment.

Due to the tiny thin needles that are used, there is very little discomfort compared to any other typical injections.   On occasion anesthetics can be used but are rarely needed.

Botox takes a few days to work and 7- 10 days for maximum results; its effects wear off in 3-4 months but can be repeated.

Patients can elect to have a very natural or a more dramatic result. There is an art to administering Botox and part of this is understanding our patient’s goals. Therefore, in each case we develop a plan to tailor dosages before undertaking treatment to create the desired effect. We typically have the patient return after a couple of weeks to analyze results and to “touch up” as needed at no additional cost.