Washington Univesity Facial Plastic Surgery Center
Washington Univesity Facial Plastic Surgery Center
BOTOX® Therapy
Wisdom comes with age, as well as a worried brow and a drooping smile. Stay wise, but let us turn back the clock by diminishing your frown lines and smoothing that brow in one office visit – all without surgery.


A new alternative to surgery for frown lines and wrinkles, botulinum toxin injection therapy, is a nonsurgical procedure that is commonly used to restore skin to a more youthful appearance, smooth out frown lines and crow's feet at the corner of the eyes, eliminate forehead creases, and reverse the presence of scars. Two products are currently on the market; BOTOX® Cosmetic has been available for a number of years as a neuromuscular blocking agent, and a newer product, DYSPORT®, received FDA approval in April, 2009.

This simple treatment relaxes the overactive muscles that cause frown lines to form.
Botox therapy
It is safe for all skin types, even sensitive skin. If administered by a qualified and experienced physician, you should still be able to frown or look surprised—but without the wrinkles and creases between your brows.

A survey conducted by American Society for Aesthetic Plastic Surgery (ASAPS) in 2004 reported the most frequently performed cosmetic procedure was botulinum toxin injection, with the number totaling 2,837,346 men and women in the United States.

Battling the signs of aging in a noninvasive way, is part of the allure of the product--that and the fact that there are no unsightly scars, and very little recovery time.

BOTOX® Cosmetic received FDA approval in 2002 for the treatment of moderate to severe frown lines between the brows and is available by prescription only. It's use was approved for injections that occurred no more frequently than once every three months, and at the lowest effective dose.

Because this treatment is administered with tiny injections and no anesthesia is required, you can have this procedure performed during an office visit with minimal discomfort.

Your normal activities can be continued with ease. A marked improvement will be visible within several days and your appearance may continue to improve for as long as a week.

This injection therapy will not radically change your facial appearance, but within days you may see an improvement that will last between four to six months. Results may vary. If you do not continue treatments, the frown lines between your brows will gradually look like they did before treatment.

These treatments have proved beneficial to appearance-conscious women and men in all walks of life. Its effects are soft and subtle, so you will not appear dramatically changed as if you have had “work done”. Some common side-effects following injection are headache, respiratory infection, flu-like symptoms and nausea.

There are some risks associated with the procedure. If too much toxin is injected, for example, or if it is injected into the wrong facial area, a person can end up with droopy eyelid muscles (ptosis) that could last for weeks. Although not considered surgery, the administration of botulinum toxin injection therapy is a medical procedure with risks that depend on the training and experience of the clinician, the clinical setting and the technique used.

To watch videos or for more resource information on FDA-approved cosmetic injectable drugs, visit the Physicians Coalition for Injectable Safety web site at www.injectablesafety.org.