What to Expect

BOTOX® Cosmetic is a substance that causes the temporary relaxation of muscles. Dermatologists use it to decrease the appearance of facial lines and wrinkles. There are three main areas that may be treated with Botox: the glabellar area between the eyebrows (frown lines), the forehead horizontal lines, and the area lateral to the eyes (crow’s feet).

The area to be treated will be cleaned with alcohol and you will be asked to sit up so that your physician can administer the treatment. The Botox injections sting for a few seconds. You may notice some redness and mild swelling at the sites of injection which will resolve in a few hours.

Usually, three to seven days after treatment patients will notice a decreased ability to move the treated muscles. Within several weeks, the wrinkles in the treated areas should appear to soften. The effects of a Botox treatment last approximately three months. After this time, your ability to move the treated muscles will gradually return. It is important to note that the effectiveness of the treatment may vary. Rarely, there will be minimal to no effect at all. Most patients find that the effects of Botox last longer after having a series of injections due to a cumulative effect.

Pre-treatment period

Avoid products containing aspirin or ibuprofen for ten days prior to treatment with Botox in order to minimize any chance of bruising.

Post-treatment period

After treatment, you must remain upright for six hours. Keep your head as erect as possible during this time and avoid bending down. Also, for six hours after treatment: do not rub the injection sites, do not exercise, do not wear a hat or a headband, and do not wash or style your hair.

Side effects:

• Weakness of affected muscles may be more than desired initially but is entirely reversible over time.

• Asymmetry or drooping of the eyelids and eyebrows may occur. This side effect is rare and also completely reversible over time.

• Headaches or tightness may follow the treatments but generally are mild and last less than 24 hours.

• Local swelling and bruising may occur.