BOTOX® Cosmetic Injections

Over time, because we frequently squint, furrow our brow, and frown, muscle related wrinkles are gradually created between the eyebrows, in the forehead, and around the eyes. For some of us, this causes deep, chronic furrows, giving the appearance of a frustrated, angry look. Dr. Rapaport can improve these lines without surgery and without scars with a simple, quick treatment using BOTOX® injections.   

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is the trade mark of Botulinum Toxin Type A, a purified toxin produced by the bacterium Clostridium botulinum. In large amounts, this toxin blocks the nerve impulses to muscles, causing a form of paralysis called Botulism. By using extremely small doses of BOTOX® Cosmetic, injected directly into a specific muscle, only the action of that muscle will be paralyzed. Therefore, the problems that muscle cause, like a twitch spasm or frown line, will be stopped.

Where is the BOTOX® Cosmetic injected?

The frown line between the eyebrows is caused by the action of a muscle called the corrugator. You can feel this as a thickening just below the inside of your eyebrows, when you purposefully make yourself frown. Dr. Rapaport injects BOTOX® Cosmetic directly into this corrugator muscle and this stops your ability to draw eyebrows together when you frown. Once the muscle is paralyzed, it cannot contract, and the frown lines gradually fades away. BOTOX® Cosmetic is also effective in the treatment of crow’s feet, forehead wrinkles, and neck folds. Ask Questions

How long does it last?

When Dr. Rapaport performs a BOTOX® Cosmetic treatment, the actual treatment takes only a few minutes and the BOTOX® Cosmetic takes effect in three to ten days. Gradually, over three to five months the BOTOX® Cosmetic effect will fade, and the muscle action will return. When the frown lines reappear, a simple repeat treatment is all that is necessary to maintain the desired result. Ask Questions

Who can perform BOTOX® Cosmetic treatments?

Only physicians specially trained in BOTOX® Cosmetic should administer the injections. Dr. Rapaport has extensive training and has treated thousands of patients.

Side Effects

The side effects of BOTOX® Cosmetic are related to the local injection of the solution. There will be slight discomfort from the needle entering the skin, and a small chance of a bruise at the site of the injection. There have been few permanent side effects from the use of BOTOX® Cosmetic. Approximately 1% of patients will develop a slight lowering or ptosis of one eyelid. This is temporary and may not even be noticed by the patient.

Has BOTOX® Cosmetic been FDA approved?

Yes, it has been tested and approved by the FDA. BOTOX® Cosmetic has been used since 1980 for the treatment of strabismus (lazy eye) and blepharospasm (uncontrolled eye blinking). The use of BOTOX® Cosmetic Cosmetic for forehead wrinkles was pioneered by Dr. Carruthers of Vancouver. A Major study of this technique was completed in 1995, and a review published in the Journal of the American Academy of Dermatology.