Wrinkles form due to a combination of multiple factors. The lines that form on your face over time are a combination of skin aging, collagen depletion, and muscle movement. Wrinkles that are a result of overactive muscles, called “dynamic lines”, are perfect candidates for treatment with Botox and Dysport.
Botox Cosmetic and Dysport are similar products with a purified protein that is injected into the muscles underlying these areas to help smooth and diminish the appearance of the wrinkles to create a more relaxed and youthful appearance.


  • Botox is naturally derived purified botulinum toxin that is FDA approved to reduce facial expression lines as well as to minimize perspiration. It has been used for medical purposes for more than 2 decades. Botox prevents the unwanted facial expression lines that eventually develop into permanent wrinkles and furrows. Sometimes, even wrinkles and furrows at rest, seem to improve or disappear after treatment with Botox.

  • Facial expression lines develop from the movement of the underlying muscles on the overlying skin. Although these lines help us to convey to others a range of emotional states, some facial expression lines always seem to connote fatigue or anger, even if those appearances do not represent how we are feeling. This is especially true of lines of the forehead and between the eyebrows. Other lines, such as crow’s feet, may make us appear older than our chronological age. By the time we are in our 3 rd or 4 th decade and sometimes younger, permanent creases and furrows, known as Wrinkle lines, develop in the skin along these facial expression lines.

  • During treatment, very low doses of Botox and Dysport are administered by a few tiny injections directly into the muscles that are responsible for the lines that we are trying to reduce (such as frown lines between the eyebrows). By blocking the  release of a chemical that causes these muscles to contract, Botox and Dysport enables these muscles to relax. The effects are very localized and, when administered by an experienced injector, do not affect your ability to smile, laugh, or otherwise show expression. Botox and Dysport treatments typically need to be done every three to five months to maintain the results, depending on the area and the individual client.

  • Prominent facial expression lines, especially horizontal lines on the forehead, vertical lines between the eyebrows, and crow’s feet are most dramatically and safely improved with treatment.

  • Prominent facial expression lines, most commonly, the frown lines between the eyebrows (the glabellar lines), the lines across the forehead, and “crow’s feet” (the smile lines at the outside corners of the eyes). Other concerns such as chin dimpling, jaw line definition, and excessive gum line are candidates. Another effective treatment application for Botox and Dysport is to reduce sweating in the underarm area, called hyperhidrosis.

  • Botox and Fillers are used for different purposes. Botox reduces the activity of the muscles that produce Facial Expression Lines. However, it may not significantly affect those wrinkles and furrows that have already developed and are present in the absence of active facial expression. Fillers, such as Juvederm Ultra Plus, Juvedermx XC, and Restylane, treat these at-rest wrinkles lines and furrows by plumping up the skin. Although Fillers reduce the appearance of lines when there is no facial expression, the moment that you smile or frown, the lines reappear.

  • This will depend upon whether you want to treat Facial Expression Lines or Wrinkles Lines. Some people benefit more from Botox than Fillers while others more from Fillers than Botox. However, many benefit from a combination of Botox and a Filler. During a consultation, it will be determined whether Botox, a Filler or a combination will provide the most benefit to you.

  • For the treatment of expression lines, a small quantity of this clear, colorless solution is injected directly into the underlying muscles that produce the facial expression lines. Several injections are administered, each one lasting about one second. For the treatment of excessive sweating, the solution is injected just under the skin.

  • The treatment is a quick and minimally invasive procedure consisting of a few tiny injections, usually taking only 10 to 15 minutes and there is no downtime  afterward. We will determine exactly where to administer these injections to achieve the best results for you. No anesthesia is required, although we may use numbing cream or a cold pack prior to injecting. 

  • The effects of Botox are temporary. Reduction in facial expression lines usually lasts for up to 4 months. Reduction in excessive perspiration usually lasts for up to 6 months. When the effect of Botox wears off, treatment can, again, be administered. There is not limit to the number of times that Botox can be administered.

  • About 24 hours after treatment, reduction of the facial expression lines can be noticed. One to 2 weeks after treatment the maximal benefit is attained. Reduction in perspiration can sometimes be noticed within hours after treatment.

  • Immediately after treatment there may be mild redness and swelling at the treated sites, which usually fades within an hour after treatment. Occasionally there is mild bruising, which can take a few days to dissipate. The skin feels normal and there is no unusual sensation.

  • No. Immediately after treatment you may resume all normal activities, including strenuous exercise.

  • Side effects from Botox and Dysport are rare. Side effects would develop if Botox or Dysport affected an adjacent muscle, which was not meant to be treated. This has been reported in about 1% of those treated and, when reported, appears as eyelid drooping. These undesirable changes are temporary, persisting a few months. 

  • No. Extraordinarily small amounts of Botox are administered. These quantities are insufficient to cause botulism or any related illness.

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