Botox ® is a purified protein toxin produced by the clostridium botulinum bacteria.  Although Botox ® is a toxin, there have been no serious side effects. This is because, for the treatment described, it is used in extremely small amounts and does not spread through the body. 

What creates a wrinkle?

Many wrinkles are actually creases that have been worn into the skin by making the same expression thousands of times. These "expression lines", often called frown lines or crows feet, are due to the contraction of a muscle under the skin in that area.

How is Botox ® Used?

A few drops of Botox ® are injected with a tiny needle into the muscle that creates a wrinkle. When Botox ® is injected into the muscle it blocks the nerve impulse from reaching that area, and as a result the muscle weakens. As the muscle weakens, the skin overlying the muscle relaxes and wrinkles in the skin soften and often disappear.
Does a Botox ® injection hurt?
When Botox ® is injected, there is an initial minor sting for a few seconds. Once the injection is complete, there is usually no discomfort.
Where can Botox ® be injected?
The most common areas for the use of Botox ® are the frown lines between the eyebrows, the horizontal forehead lines, and the crows feet. On occasion, some other area may be treated as well.
How long does a Botox ® treatment last? 
The effects of Botox ® usually last three to five months, at which time another injection is required. After several treatments, the effects may begin to last longer, sometimes up to six to eight months.
How safe is Botox ®?
Botox ® has been used safely and successfully in ophthalmology for over 10 years, and wrinkle therapy for over 6 years. In the amounts used for wrinkle therapy, the only possible side effects are temporary and localized to the area of the injection.
Is this treatment for everyone?
There are very few restrictions regarding Botox ® treatments. Patients who are pregnant or have a neurological disease should not be treated.

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Frown lines before Botox ®
1 week after Botox ®
Crows feet while smiling
Crows feet while smiling 1 week after Botox ®