About the Procedure

Botulinum toxin is the substance responsible for Botulism. Over the past 15 years, this previously feared material, used in minute quantities as compared to toxic doses, has successfully been able to treat forehead wrinkles. BOTOX cosmetic(R) (Allergan) is injected with a tiny needle into the muscles that cause us to frown and wrinkle our foreheads. The injections take about 10 minutes to perform. They stop the muscles which control facial expression from working, softening the lines of the forehead and the deep furrows between the eyebrows. In an effort to minimize discomfort, we apply numbing cream to the skin and ice cooling to reduce bruising.

Recovery and Healing

BOTOX cosmetic(R) injections cause almost no redness or swelling. You may drive yourself to and from the treatments and resume normal activities immediately.

Risks

BOTOX cosmetic(R) is given with such a tiny needle that there is minimal pain involved. No sedation or anesthesia is required. There is a chance of minimal and temporary bruising at the injection site. When used in the forehead area, there have been no known reports of permanent side effects with BOTOX cosmetic. Very occasionally, some facial asymmetry will develop which can be treated with additional injections or will resolve on its own without treament. Headache is a rare side-effect. More often, migraine sufferers will note a decrease in the frequency of their attacks. Allergic reactions are uncommon, but some patients will get only a partial or minimal response. The average time in between injections in four months.

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