If you’re interested in how BOTOX® Cosmetic injections can enhance your appearance, you probably have many questions about the treatment. At Ditesheim Cosmetic Surgery, board certified plastic surgeon Dr. Jeffrey A. Ditesheim will address each of your concerns to help you feel comfortable and confident about your decision to pursue either surgical or nonsurgical cosmetic treatments.

Am I a candidate?

BOTOX® can be ideal for treating dynamic wrinkles, which are most commonly seen around the mouth, corners of the eyes and forehead. These form from repeated muscle movements combined with the natural aging process, and are exacerbated by factors like sun exposure, smoking and genetic tendencies. If you’ve noticed deepening frown lines or crow’s feet and want to turn back the clock a few years, you may be a good candidate for BOTOX®.

How does BOTOX® work?

Many of the wrinkles that we see in our natural features are caused by the muscles in our face—furrowing our brow, smiling, squinting our eyes and so on. These facial muscles form creases in our skin as we flex them with our facial expressions, creating defined lines over time. BOTOX® is a chemical injection that works by relaxing the facial muscles that create these wrinkles. When the facial muscles responsible for wrinkling are temporarily paralyzed, the wrinkles diminish or can disappear completely.

Are the results permanent?

BOTOX® injections are a temporary cosmetic treatment. While the individual time of effect will vary for each patient, most men and women see results that last from 3 to 4 months. Results typically become visible 24 to 48 hours after your procedure. The treatment itself is quick, taking only about 15 to 30 minutes.

Will it be obvious that I’ve had BOTOX®?

When properly administered by a skilled injector, BOTOX® injections should leave you looking naturally refreshed. Although BOTOX® relaxes the muscles of your face to reduce the appearance of wrinkles, your facial expressions shouldn’t be visibly limited.

Can BOTOX® fix my laugh lines?

Laugh lines, technically known as the nasolabial folds, are typically caused by age-related loss of natural volume in the face rather than repeated facial expressions. Although BOTOX® won’t restore lost volume, injectable fillers or facial fat grafting may offer a solution. Like BOTOX®, these injectable treatments can be administered during a quick, in-office procedure with minimal downtime. During your initial consultation, you can talk about your cosmetic goals in more detail to determine which treatment options may be best for you.

Will I have scars?

One of the great things about BOTOX® is that it’s delivered via local injections directly into the treatment area. This means that you don’t have to worry about needing anesthesia or incisions, and you won’t see any visible scarring from your treatment.

What can I expect after my procedure?

Your BOTOX® session should likely only take 15 to 30 minutes. After treatment, most patients are comfortable returning to work, though some patients prefer to take 24 hours off to rest and recuperate. Your procedure shouldn’t need any external maintenance, though you may notice some tingling or slight discomfort as the injections act on your facial muscles. Results should be visible in just a day or two.

Can BOTOX® be combined with other treatments?

BOTOX® is frequently combined with dermal fillers to address multiple types of lines and wrinkles. Additionally, patients who schedule eyelid surgery may opt for BOTOX® after their recovery to smooth away crow’s feet that surgery didn’t address. BOTOX® can also be used to complement the results of a facelift to help you maintain a youthful look for even longer.