Botox® Cosmetic Injections

Botox® Cosmetic (botulinum toxin type A) is a purified, very weak (diluted) form of botulinum toxin. This toxin is produced by a bacteria called Clostridium botulinum. The toxin works by blocking nerve impulses to muscles.

Botox® Cosmetic may be used as a non-surgical method to soften facial lines and wrinkles. The toxin weakens the muscle, which reduces the lines of facial expression. It is most effective for:

  • Forehead lines.

  • Crow's feet.

  • Frown lines.

  • Neck wrinkles.

YOU SHOULD NOT RECEIVE BOTOX® INJECTIONS IF YOU:

  • Have myasthenia gravis.

  • Have allergies to human albumin.

  • Are pregnant or breastfeeding.

  • Have taken aspirin or anti-inflammatory medicine in the last 2 weeks.

  • Have neuromuscular disease.

  • Have allergies to botulinum toxin.

  • Have had beer, wine, or any other alcohol in the last week.

RISKS AND COMPLICATIONS

  • Soreness.

  • Small bruises may develop around the injection sites.

  • Rarely, drooping of the eyebrow or eyelid can occur. This may last 3 to 6 months but is reversible.

  • Rarely, double vision develops. This can last 3 to 6 months but is usually reversible.

  • Rarely, changes in voice or speech, loss of the ability to close the eyes, and difficulty breathing may occur. These side effects can occur as early as several hours after injections, or they may be delayed up to several weeks.

BEFORE THE PROCEDURE

  • Do not drink alcohol for 1 week prior to treatment.

  • Do not take anti-inflammatory medicines or aspirin for 2 weeks before treatment. Ask your caregiver whether you should stop taking blood thinners (anticoagulants) before treatment.

  • Ask your caregiver about changing or stopping your regular medicines.

PROCEDURE

Your caregiver will use a thin needle to inject the Botox® into your skin or muscles. This takes about 15 minutes.

AFTER THE PROCEDURE

  • It may take 5 to 14 days before softening of the facial lines in the treated areas begins.

  • A second injection is sometimes needed if the first treatment is not entirely successful.

  • Results last about 4 to 6 months. Injections can be repeated every 4 to 6 months. There are no known long-term side effects.