BOTOX® Cosmetic

BOTOX® Cosmetic is a prescription neuromodulator drug that, when injected, temporarily paralyzes muscles. It contains a purified and safe form of botulinum toxin A, which is produced by the microbe that causes botulism. Manufactured by Allergan, Inc., it is used to treat permanent furrows and deep wrinkles in the skin that are formed by the continual contraction of facial muscles. In addition to its cosmetic applications, it is used to treat a number of medical problems, including excessive sweating, overactive bladder, neck spasms, crossed eyes, chronic back and jaw pain, and migraines.

Applications for BOTOX Cosmetic

Although originally approved by the U.S. Food and Drug Administration for the treatment of eye and muscle spasms, BOTOX Cosmetic was quickly recognized for its cosmetic value. Properly placed injections of BOTOX Cosmetic block nerve impulses sent to muscles, weakening them to the point where they cannot contract, and temporarily eliminating moderately severe furrows and lines. BOTOX Cosmetic is used to treat the following:

  • Forehead furrows
  • Frown lines
  • Crow‘s feet
  • Skin bands on the neck

According to Allergan, BOTOX Cosmetic has been “extensively researched, with approximately 2500 studies.”

BOTOX Cosmetic Procedure and Results

Using a very fine needle, BOTOX Cosmetic is injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream. Results can usually be seen within a few days of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals.

Side Effects of BOTOX Cosmetic

Injection-site side effects of BOTOX Cosmetic are usually mild and temporary, and include the following:

  • Pain
  • Infection
  • Inflammation
  • Tenderness
  • Swelling
  • Redness
  • Bleeding
  • Bruising

Normal activities may be resumed immediately after receiving injections.

We also off two other FDA-approved neuromodulator drugs, Xeomin and Dysport, which have the equivalent effect as Botox, with only minor differences in the toxin molecule.


Xeomin is a neuromodulator drug which has gone through a proprietary filtering process to eliminate unnecessary proteins, thereby decreasing the risk of headaches that Botox occasionally causes after treatment.  It has the longest shelf-life of the neuromodulators, and is slightly more affordable.  It is used for all the same indications as Botox, at the same dosage levels.


Dysport is also a neuromodulator drug which is formulated in such a way that 3 units of Dysport is roughly equivalent to one unit of Botox or Xeomin.  Therefore pricing is done per the 3 unit increment, to match the botox price for one unit.  Generally, we see largely the same results for time of onset and duration as we do for Botox and Xeomin, although many clients claim that it starts working sooner and lasts longer than the others.  Most likely, the different brands may work slightly differently from each other for individual clients.

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