BOTOX® Cosmetic

BOTOX® Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines, crow’s feet, forehead wrinkles and more. One 10-minute treatment-a few tiny injections-and within days there’s a noticeable improvement in wrinkles, which can last up to 4 months. Results may vary. BOTOX Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those lines to form over time. Since 2002, 11 million procedures have been performed with FDA-approved BOTOX Cosmetic.

BOTOX® Cosmetic – Frequently Asked Questions

What is BOTOX® Cosmetic?
BOTOX Cosmetic is a treatment for wrinkles caused by repeated movements. The most commonly treated areas include:

  • the lines around the eyes known as crow’s feet, caused by squinting or smiling
  • the horizontal lines across the forehead caused by raising the eyebrows
  • the lines & folding of skin between the eyebrows caused by frowning

Is it safe?
YES! BOTOX Cosmetic has been available for 20 years, and has been used to treat many diseases. In fact, it is used in children as young as 2 years old to treat cerebral palsy. These children receive over 10 times the amount used for cosmetic purposes-every three months! If a 2-year old child is safe (with significantly more BOTOX given to them), then you will be safe. This safety has been proven repeatedly over the past 20 years through extensive testing and research. To put this all in perspective, the risks and side effects are much less than Tylenol. BOTOX Cosmetic is a prescription drug and is approved by the FDA.

Will it give me food poisoning/is it botulism?
No. It is not poisonous to you and it is NOT botulism. To clarify, botulism is the name of an illness, not the name of the active drug. The product is a purified protein which is extracted from naturally-occurring bacteria and then rigorously processed under strict pharmaceutical manufacturing guidelines. It is very similar to how penicillin comes from mold! It is an approved drug that is used in VERY tiny doses.

How do I know it won’t be toxic to me?
Typically, for a cosmetic treatment, you may receive fewer than 100 units. To make someone remotely sick, you would have to receive OVER 35 times this does all at one time, which would NEVER happen (plus it would cost you over $42,000!). You are more likely to “poison” yourself with Tylenol (if you took the whole bottle at once!) than to ever remotely hurt yourself with BOTOX Cosmetic. You are getting therapeutically proven VERY TINY doses.

How does it work?
BOTOX Cosmetic works by simply relaxing the muscles underneath the skin to create a smooth, refreshed appearance.

How long does the procedure take?
Generally, after the consultation, the procedure only takes up to 15 minutes. Since there is no down time, you can do it on your lunchtime and no one would know you have had it done!

How quickly does it work?
It can take UP TO 2 WEEKS for it to take full effect. Usually, we ask patients to wait for 14 days to pass in order to fully see the results.

How is it done?
It is injected with a very tiny needle, much smaller than those used to take your blood. A delicate insulin-type needle is used to inject the product.

Does it hurt?
Most patients say the injections feel similar to a little pinch, although everyone is different. We usually hear patients say, “Is that all?”

How long does BOTOX Cosmetic last? Is it permanent?
No, BOTOX Cosmetic is not permanent. It lasts about 3 months on average, but everyone is different. If you follow our physicians’ directions to have your first 3 treatments promptly every 3 months (without waiting in between), you will find that your next few treatments will start to last longer than 3 months.

Is it going to be worse when it wears off?
No! Your face will never get worse if you stop using BOTOX Cosmetic or when it wears off. BOTOX Cosmetic slows the aging process. When you stop getting treatments, the “aging clock” resumes like normal. At the very minimum, you will simply return to where you started. If you use BOTOX Cosmetic for a number of years and then stop, your muscles learn to relax and therefore, you will end up looking a little better than when you originally started.

I don’t want to look like a mask without expression; will that happen?
No. Dr. Cone and Lisa Butler, RN ensure that you get the look you want, as natural as you want.

What is a unit?
A unit of BOTOX Cosmetic is simply a very tiny measurement of drug. Your physician will discuss with you the exact number of units you require to achieve the look you want.

What are the side effects?
Side effects are RARE and are NOT PERMANENT. Rarely, there can be some minor bruising (which can easily be covered up by makeup) or a slight short-term headache. Most patients do not experience any side effects at all.

I have heard that you can get a drooping eyelid; is this true?
Again, side effects are RARE and NOT PERMANENT, but they can include a drooping eyelid. The incidence of this side effect is less than 1% and will last from only a few days to a few weeks. Most patients do not experience any side effects at all.

Where does it go in my body?
BOTOX Cosmetic stays local to the muscle where it was injected. After the injection, BOTOX Cosmetic is simply metabolized and broken down into natural byproducts within a few hours.

I am pregnant/am currently breast-feeding. Can I get BOTOX Cosmetic?
No. It is recommended that you wait until you are finished breast-feeding to have your BOTOX Cosmetic done. Although there is no clinical evidence to prove any harm to the mother or baby, we prefer to be safe