BOTOX® Cosmetic FAQs

BOTOX® Cosmetic is a prescription drug that, when injected, temporarily paralyzes muscles. BOTOX Cosmetic injections treat moderate-to-severe facial lines and wrinkles that are formed by continual muscle contraction. Treatment with BOTOX Cosmetic is the most popular physician-performed nonsurgical cosmetic procedure in the United States.

What does BOTOX Cosmetic do?

According to its manufacturer, Allergan, Inc., “BOTOX Cosmetic is the first and only FDA-approved prescription product that temporarily improves the appearance of both moderate-to-severe frown lines between the brows and moderate-to-severe crow’s feet in adults.”

How does BOTOX Cosmetic work?

Properly placed injections of BOTOX Cosmetic, which contains a purified and safe form of botulinum toxin A, block nerve impulses sent to muscles, weakening them to the point where they cannot contract. 

Dynamic wrinkles occur when muscles of facial expression contract.  Paralyzing the muscles in the face softens these lines dramatically.  This also slow down formation of wrinkles that occur at rest, aka “static” wrinkles. 

When will I see results from BOTOX Cosmetic? How long does it last?

Results from BOTOX injections are apparent within 24 to 48 hours, and are maximized by 30 days. Results often last between 3 and 4 months.

Does BOTOX Cosmetic have medical applications?

Yes; it is used to treat a number of medical problems, including excessive sweating, overactive bladder, neck spasms, crossed eyes, chronic back and jaw pain, and migraines.

Who is qualified to give BOTOX Cosmetic injections?

The manufacturer of BOTOX Cosmetic recommends that injections only be given by a qualified health care professional who has experience with BOTOX Cosmetic, and has a “medical practice that focuses on facial aesthetics and offers other facial aesthetic treatments.”  Injections in our office are performed by physicians who are board certified in dermatology. 

What are the possible side effects of BOTOX Cosmetic?

Side effects of BOTOX Cosmetic are usually mild and temporary. Possible injection-site side effects include pain, infection, inflammation, tenderness, swelling, redness, bleeding and bruising.