Michele Ziskind, M.D.

  
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FAQs
 

What exactly is BOTOX® Cosmetic?
BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It is a nonsurgical, physician-administered treatment that can temporarily reduce moderate to severe frown lines between the brows in people 18 to 65 years of age. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement that can last up to 4 months. Results may vary.

 

How does BOTOX® Cosmetic work?
Those moderate to severe frown lines between your brows form over time as the result of muscle activity. BOTOX® Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.

When will I see results from a BOTOX® Cosmetic treatment?
Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.

How long does BOTOX® Cosmetic last?
Results from treatment with BOTOX® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

Who should administer BOTOX® Cosmetic?
Any authorized healthcare professional can administer BOTOX® Cosmetic, but dermatologists, plastic surgeons, ophthalmologists, otolaryngologists (ear, nose, and throat doctors), or other physicians specializing in cosmetic procedures are generally more experienced. One of these physicians can help you decide if BOTOX® Cosmetic is right for you.

Is treatment with BOTOX® Cosmetic painful?
Discomfort is usually minimal and brief. Prior to injecting, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.

Who should not use BOTOX® Cosmetic?
BOTOX® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

Will I experience any side effects?
The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects. For more details, see the full
Prescribing Information.

Will my facial expressions continue to look natural?
Although the results are visible, a treatment with BOTOX® Cosmetic will not radically change your facial appearance or make you look as if you "had work done." The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

What will happen to the frown lines between my brows if I choose not to continue treatments?
If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.

Is BOTOX® Cosmetic affordable?
When considering your facial aesthetic options, BOTOX® Cosmetic is quite affordable. According to an American Society for Aesthetic Plastic Surgery survey, BOTOX® Cosmetic is one of the low-entry-cost facial aesthetic procedures in the United States. Like other appearance-related investments, such as hair coloring and cuts, teeth whitening, and chemical peels, the cost must be weighed relative to your expectations. Consult your doctor for further information.

Do treatment results differ?
To get the best results, it's important to go to a doctor who is experienced in administering BOTOX® Cosmetic. You may want to consider choosing a doctor from the BOTOX® Cosmetic Physicians' Network. Members of the Network have medical practices that focus on facial aesthetics, as well as detailed knowledge of facial anatomy and experience injecting BOTOX
®

 


 

The Injection Process

The beauty of a BOTOX® Cosmetic treatment is that it's a simple, 10-minute, non-surgical process. A few tiny injections, and within days there can be a noticeable improvement in the moderate to severe frown lines between the brows that can last up to 4 months. Results may vary. And there’s no recovery time. You can even do it on your lunch break.
 
  • Your doctor will administer several tiny injections of BOTOX® Cosmetic directly into the muscles that cause those moderate to severe frown lines between the brows.
  • Your doctor will determine where to administer the injections by examining your ability to move certain muscles in your brow area. The location, size, and use of the muscles that create a furrowed brow vary markedly among individuals.
  • No anesthesia is required, although your doctor may choose to numb the area with a cold pack or anesthetic cream prior to injecting. Discomfort is usually minimal and brief.
  • You can expect to be in and out of the physician’s office without downtime. You may see a marked improvement in the moderate to severe frown lines between your brows within days. Improvement may continue for as long as a month, and could last up to 4 months.

 


 

How Often is Treatment Recommended?
 

If you're pleased with the results of a BOTOX® Cosmetic treatment, you'll probably want to get on a treatment schedule so you can keep on being pleased.

BOTOX® Cosmetic is a non-surgical, physician-administered aesthetic treatment that can temporarily reduce the moderate to severe frown lines between your brows for up to 4 months. Within days, you may see a noticeable improvement. Results may vary. You can receive injections with BOTOX® Cosmetic up to every 4 months to help you maintain the results.

If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

Don't wait for a special occasion to use BOTOX® Cosmetic. Talk to your doctor about a BOTOX® Cosmetic treatment now.

 


 

Side Effects of BOTOX® Cosmetic

Do not use BOTOX® Cosmetic if you:
  • have an infection where BOTOX® Cosmetic will be injected
  • are allergic to any of the ingredients in BOTOX® Cosmetic
  • are pregnant or think you might be pregnant.

What should I tell my doctor before using BOTOX® Cosmetic?

Only your doctor can decide if BOTOX® Cosmetic is right for you. Before starting treatment, tell your doctor if you:
  • have any diseases that affect your nerves and muscles. These diseases may increase your chance of side effects with BOTOX® Cosmetic treatment.
  • are breastfeeding
  • are planning to become pregnant soon.

Can any of my medicines interact with BOTOX® Cosmetic?

Be sure that your doctor knows the names of all the medicines you are using, including:
  • antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin, and lincomycin
  • medicines used to treat heart rhythm problems, such as quinidine
  • medicines used to treat different conditions, such as myasthenia gravis or Alzheimer’s disease.

As with all prescription medicines, you should also notify your doctor if you are taking any over-the-counter medicines or herbal products.

This is not a complete list of medicines that can interact with BOTOX® Cosmetic. Ask your doctor or pharmacist for the Professional Package Insert for complete information.

 

 

 

Picture Gallery

Before

After

Results may vary.



Before

After

Results may vary.



Before

After

Results may vary.