Botox is the brand name for botulinum toxin type A. This purified form of the toxin, if taken in large amounts by mouth will cause botulism, a form of food poisoning. But, used in small amounts can reduce the appearance of fine lines and wrinkles.

How does it work?

Botox prevents the muscles from tightening by blocking the chemical signals that cause them to contract. The cosmetic surgeon will use a thin needle to inject tiny amounts of Botox into certain muscles surrounding your wrinkles. The chemical weakens the wrinkle-producing muscles and restores a smoother appearance to your skin.

The number of injections you will need depends on your facial features, the extent of wrinkling and the area being treated. Your doctor will determine the approximate number of treatments you will need during your consultation.

Botox treatments are usually performed in the doctor's office and take about 10-15 minutes to complete. You may experience mild discomfort with the injections, but most patients find this to be very tolerable. These treatments will not require anesthesia.

What does it treat?

Botox is used in cosmetic surgery to treat:
• Creases in the forehead
• Crow's feet at the corners of the eyes
• Frown lines between eyebrows and over the bridge of the nose
• Bands on the neck

It is also used to treat severe health conditions such as:
• Headaches
• Eye muscle problems
• Back pain
• Muscle spasms
• Hyperhidrosis (excessive sweating)

Botox is being tested for early treatment of facial scars as well. It is believed that these treatments will reduce the long-term effects of the scars. This treatment has not yet obtained FDA (Food and Drug Administration) approval.

What won't it treat?

Not all facial wrinkles can be treated with Botox. Sun damaged skin can not be repaired through Botox injections. The effectiveness is determined by the thickness of your skin and the amount of wrinkling you have. Botox is also not effective for lines surrounding the mouth because it would affect the muscles needed to talk and eat.

How do you prepare?

If you have decided to undergo Botox treatments you should consult a qualified cosmetic surgeon. During your initial consultation, you and the doctor will determine if this type of treatment is right for you. Factors include your medical history, your expectations, condition of your skin and your surgeon's predictions as to the outcome of the treatments.

What are the side effects?

As with any type of cosmetic procedure , there will be some uncomfortable, but temporary side effects. These may include:

• Redness
• Pain and bruising at the injection site
• Nausea
• Headache
• Flu-like symptoms
• Facial weakness or drooping
• Possible spread of the toxin outside of the treatment area (This may cause temporary trouble swallowing, muscle weakness, slurred speech or breathing problems)

If you are considering Botox injections, seek a board certified cosmetic surgeon to perform the procedure. Be sure the doctor has experience with Botox treatments and ask a lot of questions during your consultation.