What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age for a short period of time (temporary).

Injected directly into the muscles between the brows, BOTOX® Cosmetic is administered by a healthcare professional through a simple, nonsurgical treatments.  Consequently, it works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows. Individual results may vary.

How does BOTOX® Cosmetic work?

Used to improve the look of the moderate-to-severe frown lines between the eyebrows (glabellar lines), BOTOX® Cosmetic is a prescription medicine that is injected into muscles around the face. Most of all, it works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.

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 30 days, and results can last for up to 4 months. Individual results may vary.

How long does BOTOX® Cosmetic last?

Visible results have been shown to last up to 4 months. Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.

Is treatment with BOTOX® Cosmetic painful?

Discomfort is usually minimal and brief. As a result, prior to injection, your physician may choose to numb the area with a cold pack or anesthetic cream. Consequently, the entire procedure takes approximately 10 minutes. Most patients are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.

Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, swelling, redness, and/or bleeding/bruising.

Will I still be able to make facial expressions?

Although the results are visible, a treatment with BOTOX® Cosmetic (onabotulinumtoxinA) will not radically change your facial appearance. or make you look as if you’ve “had work done.” Looking as if you’ve “had work done” will not be an issue. The muscle activity causing frown lines between the brows is temporarily reduced. However, you can still frown or look surprised without the wrinkles and creases between your brows.

Who should not take BOTOX® Cosmetic?

Do not take BOTOX® Cosmetic if you:

  • are allergic to any of the ingredients in BOTOX® or BOTOX® Cosmetic. See the Medication Guide for a list of ingredients in BOTOX® and BOTOX® Cosmetic.
  • had an allergic reaction to any other botulinum toxin product such as Myobloc® or Dysport®
  • have a skin infection at the planned injection site

You should not be treated with BOTOX® Cosmetic if you have:

  • allergies to any botulinum toxin product
  • had any side effect from any botulinum toxin product in the past
  • a breathing problem, such as asthma or emphysema
  • swallowing problems
  • bleeding problems
  • plans to have surgery
  • had surgery on your face
  • weakness of your forehead muscles, such as trouble raising your eyebrows
  • drooping eyelids
  • any other change in the way your face normally looks
  • are pregnant or plan to become pregnant. It is not known if BOTOX® Cosmetic can harm your unborn baby.
  • are breast-feeding or plan to breastfeed. It is not known if BOTOX® Cosmetic passes into breast milk.

What are the possible side effects of BOTOX® Cosmetic?

BOTOX® and BOTOX® Cosmetic can cause serious side effects. See “What is the most important information I should know about BOTOX® and BOTOX® Cosmetic?” in Medication Guide.

Other side effects of BOTOX® Cosmetic include:

  • dry mouth
  • discomfort or pain at the injection site
  • tiredness
  • headache
  • neck pain
  • eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes
  • allergic reactions; symptoms of an allergic reaction to BOTOX® or BOTOX® Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
  • Tell your doctor if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of BOTOX® and BOTOX® Cosmetic. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Dr. Gregory S. DeLange at Estetica Institute of the Palm Beaches

Dr. Greg DeLange is a highly trained and experienced Board Certified Plastic Surgeon. He graduated from the University of Miami School of Medicine and then completed his Surgery Residency at the University of Texas. After completing a year as Chief Resident, he followed his General Surgical training with an additional two years of Plastic Surgery Fellowship at the prestigious University of Florida Shands Hospital. Dr. DeLange has performed over 20,000 Plastic Surgical cases and is certified by the distinguished American Board of Plastic Surgery.