What is Botox?

Botox (onabotulinumtoxin A) is manufactured by Allergan, the same company that makes Juvederm, Voluma, Vollure and Latisse. This neuromodulator was approved by the Food and Drug Administration (FDA) for medical use in 1989 and it has since received cosmetic FDA approval for use in frown lines, forehead lines and crow’s feet. Botox can also be used in an “off label” context for both cosmetic and medical treatments beyond relaxing facial wrinkles. Reference Botox Safety Information to learn more about this product and related safety guidelines.

Who is a Good Candidate for Botox?

Botox is designed to be used in adults who have moderate to severe facial lines and are in good health. At Cosmetic Injectables Center, we do a thorough examination to ensure that Botox is a good fit for you. If it is not, then we will suggest other cosmetic enhancements that can help you to achieve your aesthetic goals.

Botox candidates should not:

  • Be pregnant or breastfeeding
  • Have a botulinum toxin sensitivity
  • Have muscular diseases or dystrophy

Which Areas Can Be Treated with Botox?

Botox is an FDA-approved purified protein that is used to relax the facial muscles that cause frown lines, forehead lines and crow’s feet. Botox can also be used off-label to lift brows, reduce creases on the lips, and lifting jowls among other cosmetic procedures. Botox is also effective in treating medical issues like migraine headaches, joint pain, and excessive sweating. See our comprehensive list of both medical and cosmetic applications for Botox procedures below:

On-label cosmetic use:

  • Frown lines (the vertical lines between the brows)
  • Crow’s feet (lines around the eyes)
  • Forehead lines (horizontal lines in the forehead)

Botox can also be used to reduce creases on the lips, upturn corners of lips, decrease the size of large masseters, and lift jowls to give the appearance of a mini facelift. Here are some more off-label cosmetic uses for Botox: 

Off-label cosmetic use includes:

  • Lift brows up and outwards
  • Relieve an eye twitch
  • Reduce undereye jelly rolls
  • Open up the eyes
  • Decrease lines on the nose 
  • Decrease flaring of the nostrils
  • Lift an elongated nose tip
  • Upturn corners of the lips
  • Lower the lips to reduce a gummy smile
  • Reduce creases on the lips
  • Relax and smooth out neck bands
  • Lift jowls for a smoother jawline
  • Create a slimmer heart-shaped jawline
  • Improve the appearance of scars
  • Decrease development of scars
  • Decrease dimpling of the chin
  • Reduce size of calves

In addition, neuromodulators like Botox can be used in a medical capacity to decrease sweating, reduce pore size, and relieve pain from overexerted muscles among other off-label applications:

Off-label medical use includes:

  • Decrease acne, sebum production, pore size
  • Create symmetry after Bell’s palsy
  • Decrease pain from migraine headaches and other nerve/muscle conditions
  • Decrease teeth grinding
  • Temporomandibular joint dysfunction (TMJ) pain treatment
  • Relieve pain intensity of Tennis elbow 
  • Relaxing muscle cramps and knots at trigger points
  • Targeting pressure points to release pain
  • Reduce excessive sweating of the hands and underarms

What Are The Recommended Doses for Botox?

Based on clinical trials, the standard FDA-approved and recommended dosage for Botox is 20 units for frown lines, 20 units for forehead lines, and 24 units for crows feet (12 units for each eye).

However, each dosage is tailored to the individual based on his or her needs. The most effective dosage for a patient is determined by:

  • Patient’s desired longevity of effects
  • Facial muscle size and strength 
  • Sensitivity or resistance to the product

Your injection specialist will discuss their observations with you after the initial injections, and together you can decide which dose works best for you.

When Will I See Results From Botox?

Typically, it will take between 7 to 10 days to see results once Botox is injected into the targeted muscles. Results may vary depending on the site of injection and the amount of Botox units used.

How Long Do Botox Injections Last?

When used in proper dosage, results typically last about 3 to 4 months in most areas. When used for treatment of masseter muscles (jaw muscles) and for underarm or hands sweating (hyperhydrosis), results typically last about 6 months. It’s important to remember that regardless of the Botox operation area, patients’ muscles vary in sensitivity – some may require higher doses to achieve the desired results.

What Are the Side Effects of Botox?

Botox injections are a minimally invasive procedure that have little to no side effects. Seeking injections from a master injector, such as those at Cosmetic Injectables Center, will drastically lessen the risk of having unwanted results.

You will feel a small amount of pressure when you are receiving your injections, which will subside once your procedure is complete. Common side effects after injection tend to subside on their own within a few days. Side effects may include:

  • Pain at the injection site
  • Numbness
  • Redness, swelling, bruising, and irritation
  • Temporary headaches from needle insertion

In rare cases, you may experience an asymmetric smile, lid droop, or heavy brows. You should call your provider immediately if any of these side effects develop.

What’s The Difference Between Botox and Fillers?

Botox and other neuromodulators work by relaxing muscles at the injection site. As such, the weakened muscles are no longer able to contract and crease the skin into wrinkles. Fillers “fill” or volumize the area under the skin with hyaluronic acid, a naturally occurring substance in the body that retains moisture with extreme efficiency.

By volumizing a deflated or underdeveloped area of the face with fillers, we can rejuvenate a droopy or flattened appearance and lift the skin back up to its original position. Botox and fillers can also be used in combination to both tighten skin and add shape/volume to the same area.

Will Botox Work The Same As Other Neuromodulators?

Other neuromodulators like Dysport, Xeomin and Juveau work in the same way that Botox does, but patients may respond differently to each product because of slight differences in chemical makeup.

We have many patients ask which neuromodulator is best, but there is no right or wrong choice – what works for one person may not work for another. The only way to find out which product is best for you is to receive the comparable dose of each product in the same area by the same injector and note the differences in results and longevity.

At our office, we charge the same price for the comparable dose used for both Botox and Dysport. Let us know if you would like to try the different brands at each visit and decide for yourself which you like best.

Contact Us Today

At Cosmetic Injectables Center, we value the patient’s experience from first consultation to completion of a procedure. Dr. Soleiman and our team of master injectors will work with you to provide the most effective Botox dosage for your needs and achieve the best possible results from your procedure.

Whether you’re confident about receiving Botox injections or if you’re on the fence about committing to a procedure, don’t hesitate to contact us over the phone or via email to consult with one of our professionals.