BOTOX® Cosmetic

Most people know BOTOX® Cosmetic as the non-surgical cosmetic injectable that can minimize the appearance of frown lines and crow’s feet. BOTOX® injections are also used to treat a variety of conditions. For example, this formula can improve certain eye muscle problems, severe underarm sweating and migraines, and common signs of aging that have developed between the eyebrows and around the eyes and mouth. Dr. Neal Goldberg, our board-certified plastic surgeon, can help you decide if BOTOX® Cosmetic injections are right for you.

How Does BOTOX® Cosmetic Work?

BOTOX® Cosmetic diminishes wrinkles by blocking nerve impulses to the affected muscle, thereby relaxing the muscle. Upon injection, tense muscles loosen up, allowing wrinkles to do the same. It is important to note that the effects of the procedure are not permanent; retreatment is usually required every four to six months.

What Are The Benefits Of BOTOX® Cosmetic?

Designed to soften the appearance of fine lines and wrinkles, BOTOX® injections can be administered to several areas of the face. Dr. Goldberg most commonly uses BOTOX® Cosmetic for:

  • Glabellar lines (creases between the brows)
  • Crow’s feet
  • Forehead lines
  • Vertical lines around the lips

In addition to correcting common signs of aging, this injectable offers several other benefits, including swift results and brief treatment time. The effects of BOTOX® Cosmetic should begin to be noticeable after a few days and full results should be visible after about two weeks. Many patients opt to have BOTOX® injections about one week or so before a special occasion; however, almost any time is a good time for non-surgical facial rejuvenation.

Is BOTOX® Cosmetic Right For Me?

As noted, BOTOX® Cosmetic can be used to treat a number of physical conditions, and the first step of your consultation will be discussing your desired outcome and reviewing your anatomic needs. Additionally, you should be in good general health, understand the limitations of the treatment, and want to improve your appearance or address another concern for which BOTOX® injections are a suitable solution.


As wrinkle-reducing injectables designed to smooth expression lines, many patients are curious about the difference between BOTOX® Cosmetic and Dysport®. While the injectables are both neuromodulators that utilize muscle-relaxing properties to soften wrinkles, there are a few key distinctions that can help you decide which product is best-suited to achieve your goals.BOTOX® Cosmetic and Dysport® are very similar in the concerns they are intended to treat as well as the results typically achieved, but the chemical formulation of each product differs. Dysport® is composed of less proteins when compared to BOTOX® Cosmetic, which is derived from a purified protein form of botulinum toxin. Another point of distinction involves the time it takes for results to unfold—BOTOX® Cosmetic often requires a few days to see a noticeable difference while Dysport® can offer visible improvement after 24 hours. BOTOX® Cosmetic may be able to provide more localized accuracy in treating frown lines, crow’s feet, and other delicate expression lines, but this varies based on the extent of a patient’s concerns.

Dr. Goldberg or one of our experienced nurse injectors would be happy to further explain the differences between BOTOX® Cosmetic and Dysport® if you are curious to learn more. Regardless of the variations between the two treatments, they can both reduce facial aging with effective, natural-looking results.

Does BOTOX® Cosmetic Have Any Side Effects?

Patients can expect minimal downtime and side effects, but some minor concerns are not unusual and should pass quickly. Possible side effects include: redness, bruising, and stinging around the injection sites, and less commonly nausea, fatigue, flu-like symptoms, headache, and eyelid droop.

“Generally, my most satisfied patients are the ones where their friends tell them they look better but can’t put a finger on what the change was.”
- Dr. Goldberg

What Can I Expect During Botox® Cosmetic Treatment?

Injections are performed in an office setting and require as little as 15-30 minutes of your time, and many patients choose to have this procedure done on their lunch break. We take great care to provide you with the best, most comfortable experience possible. While most patients report little to no pain, we can provide a local anesthetic and cold compresses to help minimize discomfort, if desired, though this is often not necessary.

After selecting the areas to be treated and their points of injection, Dr. Goldberg will inject the BOTOX® Cosmetic. The dose used will be selected depending on the mass of the muscle being treated; larger muscles often require more of the formula to achieve the desired outcome.

Once injected, the substance targets the muscles’ nerve endings, preventing the muscles’ ability to contract. Over the next few days, the wrinkles that originally developed because of muscle tension begin to relax and disappear.

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What Is BOTOX® Cosmetic Recovery Like?

Individuals can return to their normal activities directly after treatment. Dr. Goldberg may request that you refrain from alcohol consumption for the next few days and remain upright for about 6 hours after treatment. Please contact us if you notice any of the following symptoms: difficulty with swallowing, speaking, breathing, or if any existing symptom worsens. Most patients will need to return for treatments every 4-6 months. Some people find that long-term use of BOTOX® Cosmetic can provide longer-lasting reduction of facial creases.

How Long Will BOTOX® Cosmetic Last?

The outcome achieved from BOTOX® Cosmetic typically lasts between three and six months depending on the depth of wrinkles treated and your unique rate of aging. While BOTOX® Cosmetic only provides temporary results, you can prolong the outcome by taking good care of your skin health. Sun exposure is one factor that can form or deepen wrinkles, so utilizing daily sunscreen, hats, sunglasses, and other forms of sun protection can help preserve a youthful aesthetic. Applying medical-grade skincare products can further protect, nourish, and moisturize your skin so it retains a smooth, even glow. It is often true that the more BOTOX® Cosmetic treatments pursued, the longer the results tend to last.

How Much DoeS BOTOX® Cosmetic Cost?

The price of BOTOX® Cosmetic is determined based on how much of the formula is needed to provide an optimal result. Dr. Goldberg will discuss your customized treatment plan with you, including how much product can provide the desired outcome, and our team will review the cost with you in full. We want you to be well-informed, comfortable, and confident about every stage of treatment. If you would like to consider plastic surgery financing, we work with several reputable lenders.

Alternate Applications For BOTOX®

BOTOX® For Sweating

Many patients are afflicted by excessive sweating, a condition known as hyperhidrosis. BOTOX® injections can be used to reduce the symptoms of this common problem, so you can feel fresher and drier in any environment. Dr. Goldberg can provide additional information during your initial consultation.

BOTOX® For Migraines

BOTOX® was FDA-approved as a preventative treatment for chronic migraines in 2010. If you experience 15 or more days per month with migraines that last at least four hours, BOTOX®can help you cope by preventing an average of eight to nine “headache days” monthly. BOTOX® is designed to decrease the frequency of your migraines by blocking neurotransmitters that carry pain signals to your brain. While BOTOX® only preventatively addresses migraines rather than acting as an acute treatment for headache pain, patients often report that the days they experience chronic migraines are effectively cut in half with BOTOX®. These injections are distinct from BOTOX® Cosmetic, the aesthetic derivation of onabotulinumtoxinA.

What BOTOX® Cosmetic Alternatives Are Available?

In addition to BOTOX® Cosmetic, a multitude of minimally invasive treatments are available to help minimize common signs of aging, including dermal fillers like JUVÉDERM® and Restylane® and options such as laser skin resurfacing. Dr. Goldberg will recommend additional modalities during your initial consultation if you are interested in alternatives to BOTOX® Cosmetic or supplementary procedures.

For more information about BOTOX® Cosmetic procedures, call our office for a consultation at 866-481-5585.