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BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate-to-severe frown lines between the brows in people 18 to 65 years of age for a short period of time (temporary).
BOTOX® Cosmetic is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.
How does BOTOX® Cosmetic work?
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of the “11s,” the moderate-to-severe frown lines between the eyebrows (glabellar lines). It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.
When will I see results from a BOTOX® Cosmetic treatment?
Within days, you may see a marked improvement in the moderate-to-severe frown lines between your brows. Lines continue to improve for up to 30 days, and results can last for up to 4 months. Individual results may vary.
How long does BOTOX® Cosmetic last?
Visible results have been shown to last up to 4 months.1 Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.
Who should administer BOTOX® Cosmetic?
To make the selection process easier, you may want to consider choosing a physician from the BOTOX® Cosmetic.
Is treatment with BOTOX® Cosmetic painful?
Discomfort is usually minimal and brief. Prior to injection, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Most patients are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.
Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, swelling, redness, and/or bleeding/bruising.
Will I still be able to make facial expressions?
Although the results are visible, a treatment with BOTOX® Cosmetic (onabotulinumtoxinA) will not radically change your facial appearance or make you look as if you’ve “had work done.” The muscle activity that causes frown lines between the brows is temporarily reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.
Who should not take BOTOX® Cosmetic?
Do not take BOTOX® Cosmetic if you:
- are allergic to any of the ingredients in BOTOX® or BOTOX® Cosmetic. See the Medication Guide for a list of ingredients in BOTOX® and BOTOX® Cosmetic.
- had an allergic reaction to any other botulinum toxin product such as Myobloc® or Dysport®
- have a skin infection at the planned injection site
You should not be treated with BOTOX® Cosmetic if you have:
- a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's disease], myasthenia gravis or Lambert-Eaton syndrome). See "What is the most important information I should know about BOTOX® and BOTOX® Cosmetic?" in the Medication Guide
- allergies to any botulinum toxin product
- had any side effect from any botulinum toxin product in the past
- a breathing problem, such as asthma or emphysema
- swallowing problems
- bleeding problems
- plans to have surgery
- had surgery on your face
- weakness of your forehead muscles, such as trouble raising your eyebrows
- drooping eyelids
- any other change in the way your face normally looks
- are pregnant or plan to become pregnant. It is not known if BOTOX® Cosmetic can harm your unborn baby
- are breast-feeding or plan to breastfeed. It is not known if BOTOX® Cosmetic passes into breast milk
What are the possible side effects of BOTOX® Cosmetic?
BOTOX® and BOTOX® Cosmetic can cause serious side effects. See "What is the most important information I should know about BOTOX® and BOTOX® Cosmetic?" in Medication Guide.
Other side effects of BOTOX® Cosmetic include:
- dry mouth
- discomfort or pain at the injection site
- neck pain
- eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes
- allergic reactions; symptoms of an allergic reaction to BOTOX® or BOTOX® Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Tell your doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of BOTOX® and BOTOX® Cosmetic. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What will happen to the moderate to severe frown lines between my brows if I choose not to continue treatments?
If you do not continue treatments, the moderate-to-severe frown lines between your brows will gradually return to the way they looked before treatment.
Do NOT massage or apply pressure on the treated area for 6-8hrs after treatment since Botox may migrate to areas of undesirable effectiveness.
Do NOT lie down for 6 hours after treatment. Also DO NOT lean forward, shower, cook over a hot stove.
You MUST keep your head UPRIGHT for at least 6 hrs after injection.
Avoid yoga or other rigorous exercise activities, extensive sun or heat exposure, and alcoholic beverages for the first 24 hours after treatment. This may cause temporary redness, swelling, and/or itching at the sites of the injection.
Avoid facials and saunas for 24 hours after treatment since this will decrease the chance of your blood pressure rising and thus decrease the chance of minor and temporary bruising.
Try to exercise your treated muscles for about 2 hours after treatment (e.g. practice frowning, raising your eyebrows or squinting). This helps to work Botox Cosmetic® into your muscles. It will NOT negatively impact your treatment if you don’t do this.
Headaches are common. Botox is even used to treat headaches. However, if you have a headache we recommend you avoid aspirin or aspirin containing products. You may opt instead to use Motrin, Tylenol, and/or cool compresses. If headaches continue or worsen, contact your physician.
Avoid taking Advil, Vitamin E, Ginger, Ginko, Bilboa, Ginseng, and Garlic for 2 weeks since this may increase the risk of bruising. You may shower and do most other regular daily activities.
Note that any bumps or marks will go away within a few hours. If you do develop a bruise it will resolve like other bruises you have had in about a week. There is occasionally some mild pain, swelling, itching, or redness at the site of injection similar to most other injections. Redness may last for 1-2 days, rarely longer. You may apply cold compresses or acetaminophen (Tylenol) to reduce swelling or discomfort.
Results of your treatment may take up to 14 days to take full effect although many people will recognize the benefits in 3-5 days after treatment.
Botox Cosmetic® is a temporary procedure. In most people the benefits of Botox last about 6 months. Sometimes a few wrinkles may start to return in 2-3months. The effectiveness of Botox will last longer with successive treatments.
Initially, the physician may want to see the patient between 2-4 weeks for a brief “touch-up” and checkup of the procedure. If you allow Botox Cosmetic® to completely wear off, it is difficult for the doctor to be able to see how your individual muscles reacted and therefore optimal results for your face can be more difficult to achieve.
Makeup: It is recommended that you wait 12 hours after the treatment before applying make-up.
Cold compresses may be used 10 minutes on 10 minutes off to reduce swelling 2-3x per day during the 1st 1-2 days if needed.
BEFORE AND AFTER