BOTOX®

What are Botox® injections? 

Botox is a concentrated form of botulinum and works by temporarily paralyzing facial muscles. Wrinkles disappear as the muscles relax. If you have crow’s feet, smile lines, or wrinkles between your eyes or on your forehead, Botox injections can help you reduce these lines and unlock a younger-looking you.

How long do Botox® injections last?

Many people who undergo a Botox procedure will notice results in only a few days, and these results can last an average of 3-5 months. However, because the botulinum’s results do eventually fade, it is necessary to repeat treatments if you are interested in maintaining your desired results. 


What are the contraindications?

  • Pregnancy or breastfeeding

  • Allergy to albumin or any other ingredients in product

  • Neuromuscular disorders (ex: Myasthenia gravis, ALS)

  • Gross motor weakness (ex: Bell palsy)

  • Actively undergoing chemotherapy

  • Active infection at injection site

  • Keloid scarring

How should I prepare for treatment?

  • Avoid skin therapies and treatments that could irritate and affect the integrity of the skin. Skin must be fully recovered before treatment.

  • No prolonged, direct sun exposure (more than 20 min) or use of tanning beds 2-3 days prior to treatment

  • Discontinue use of topicals that could irritate and affect the integrity of the skin 2-3 days prior to treatment (ex: retinoids and acids)

  • If you have a history of herpes or cold sores, take your antiviral prescription to minimize the risk of an outbreak.

  • 24 hours prior to treatment, avoid use of agents that can thin the blood such as alcohol, NSAIDs, certain vitamins and medications, etc to decrease the chance of bruising.

  • Do not wear makeup on the day of treatment.

  • Notify the clinic and provider of any/all changes to health history or medications prior to treatment, if different from intake form or last appointment.

What should I expect during and after treatment?

  • Pinching sensation at injection site 

  • Potential “heavy” feeling to the treated muscle (will resolve after a few days).

  • “Bug bite” appearance at injection site (will resolve within 20 minutes to 2 days).

  • Small bruising at injection site, especially if on blood thinning medication or recent NSAIDS/ASA use

  • It can take up to 3 days to start seeing improvements and reduction in fine lines and wrinkles and up to 12 days to see final results. 

  • Common side effects can include headache and flu-like symptoms. 

What are the aftercare instructions?

  • Contract and release the treated muscles every couple minutes to help disperse medication into muscle evenly for the first 2-3 hours.

  • Do not lie flat for at least 4 hours. 

  • Avoid massaging/applying pressure/touching treated areas for 24 hours.

  • Avoid excessive heat/sweating for 24 hours.

  • Avoid excessive alcohol or any other agent that could thin the blood for 24 hours.

  • Avoid irritating products such as tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc. for 72 hours

  • It is OK to use make-up post procedure. Make sure to wash hands and applicators and apply gently over treated areas.