BOTOX is an FDA approved treatment, made from a variety of botulinum toxin. The toxin interferes with the nerve impulses that create wrinkles through repeated use. When these impulses are blocked and the signal to fire is not received in the brain, the wrinkles do not respond. While BOTOX remains in effect, the muscles remain disabled and the skin of the face has time to rest.

In the last 10 years over 11 million patients have used BOTOX to treat wrinkles on the forehead and face, crow’s feet, frown lines and other fine lines that are the result of repeated movements in the face and aging. Many patients choose to make BOTOX a regular treatment to maintain the softening of fine lines and wrinkles on the face. Healthy patients who respond well to BOTOX may be able to receive treatments every 3 to 4 months.

Frown lines

BOTOX treatments are fast and simple. After your doctor has determined that you are a good candidate for BOTOX he or she will ask questions and examine your facial structure and the muscles that cause wrinkles and other problem areas. Your doctor will administer a series of a few tiny injections directly to the affected muscles. Most patients find the injections to be easily tolerable. Ice or anesthetic cream is used to numb the area prior to treatment for patients who are worried about discomfort.

The entire treatment usually finishes in about 10 minutes and patients will see the treatments begin to take effect in as little as 1 to 2 days. Patients may notice continued improvement for up to 30 days following treatment and these improvements typically stay with patients for up to 4 months, but results will vary depending on each patient’s body chemistry. BOTOX treatments require no downtime and you can continue with your day without side effects or any need to rest.

The effects of BOTOX Cosmetic are usually confined to the injected region; it does not travel throughout the body. In addition to using BOTOX for wrinkles in the forehead, eyebrows and crow's feet, both Dr. Amron and Dr. Nassif have many happy patients using BOTOX in less common areas such as:

  • Upper lip lines
  • Downturned corners of lips
  • Eyebrow lift
  • "Bunny" nose lines
  • Lower eyelid wrinkles
  • Chin dimples
  • Neck creases and wrinkles
  • Migraine headaches
  • Hyperhydrosis (sweating palms and armpits)
  • Sweaty foreheads


What is BOTOX Cosmetic?

BOTOX Cosmetic is the most popular non-surgical procedure in the United States. Simply, BOTOX is a neurotoxin derived from the same spore that causes botulism.

How long do the effects of BOTOX Cosmetic last?

The benefits of BOTOX can last from three to four months, at which time you can have the procedure done again.

Are BOTOX injections ever covered by insurance?

BOTOX procedures performed solely for cosmetic purposes are typically not covered by insurance, though some degree of coverage may be available for procedures used for medical purposes.

How long do the results of BOTOX last?

The results of BOTOX typically last between three and four months.

What is the most common downside of BOTOX Cosmetic?

As in any procedure, the most common downside is inexperience. You must be sure that the person doing your procedure is a board certified physician such as Dr. Amron, a dermatological surgeon or Dr. Paul Nassif, a facial plastic surgeon. The most common side effects are all temporary but can happen. Less than one percent of patients can experience a droopy eyebrow or eyelid for a few weeks or slight bruising.

How does BOTOX Cosmetic work?

Wrinkles are caused by the muscles creasing under the skin. When BOTOX is injected into the muscle tissue in minute doses, it temporarily paralyzes the muscle, causing the muscle to relax and the wrinkles to disappear.

What should I look for in a doctor to perform my BOTOX procedure?

Make sure that any potential surgeon is certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) as this ensures that they’ve completed the proper training to safely conduct your procedure according ABFPRS standards. It’s also important to ask the following questions:

  • How many BOTOX procedures has the surgeon performed?
  • Where and how will the procedure be performed?
  • What are the risks of your particular procedure?
Does it hurt?

It’s no more painful than plucking your eyebrows and the procedure only takes seconds. Discomfort is minimal and brief. Once the injection is complete, there is usually no discomfort and the results can last up to four months.

Who is a good candidate for BOTOX Cosmetic?

Any woman or man who is concerned about the appearance of their frown lines can consider BOTOX Cosmetic. Treatment can be used by people from ages 18 to 80. Your doctor can help you decide if BOTOX Cosmetic is right for you.

Contact Spalding Drive to schedule a consultation and ask if you are a good candidate for BOTOX Cosmetic treatments. BOTOX should only be administered by registered medical providers.

What does it mean if my surgeon is certified by the ABFPRS?

The ABFPRS credential signifies that a surgeon:

  • Has completed an approved residency in one of the two surgical specialties that include identifiable training in all aspects of facial plastic surgery (otolaryngology/head-and-neck surgery or plastic surgery, generally)
  • Is double boarded, having earned prior certification in one of those specialties through the American Board of Medical Specialties or the Royal College of Physicians and Surgeons in Canada
  • Has successfully completed a two-day examination
  • Has submitted for peer-review an acceptable record of at least two years’ clinical experience, including operative reports of a minimum 100 facial plastic surgeries
  • Holds proper licensure and subscribes to the ABFPRS Code of Ethics