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Botox Injections
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Botox Injections
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Botox injections treat minor imperfections in facial skin, including laughter lines, wrinkles, creases and crow’s feet.

Length of Surgery

20 minutes – 1 hour


Out patient


None – a numbing cream may be applied to the area to be treated

Back to work in...


Back to the gym in...

A few days

Treatment Frequency

Repeat treatments will be needed to maintain your desired results


Muscle weakness; drooping of the upper eyelid muscles (ptosis); headaches; severe respiratory problems ; difficulty swallowing ; allergic reactions

Duration of results

Three to six months

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Click links below for detail.

Botox Injection Costs*

The American Society of Plastic Surgeons quoted the national average for Botox injection around $417. However the costs vary widely depending upon the doctor, where you live, and the extent of the Botox treatment.  However, you should factor in the cost of future top-up Botox treatments, around two or three per year.

Board-certified cosmetic surgeons and dermatologists typically charge more for Botox as they are better equipped to perform your procedure. Ask the doctor to provide you with a complete Botox treatment price during the initial consultation that covers all aspects of the Botox procedure.

You may also want to ask your doctor about Botox injection financing and payment plans. Most cosmetic surgeons and surgical clinics offer flexible Botox injection financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES. When comparing Botox injection prices between different cosmetic surgeons, be aware that the cosmetic surgeon's fee does not include any medications, which may also be additional costs to consider.

If you are considering having a Botox treatment but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE. You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the smooth facial appearance you have always desired.

To find out more about financing options available please click here.

Am I a candidate for Botox Injection? 

Ideal candidates for Botox injections are young to middle aged men and women, usually between 35 and 60, who do not have significant sun damage but want to eliminate lines and wrinkles on their face and neck.

It is important that you have realistic expectations for the Botox procedure, and you must be prepared for having repeat Botox injections every three or four months in order to maintain results.

You may be a good candidate for Botox if:

  • You are in good physical and emotional health.
  • You have reasonably good skin tone
  • You are concerned about along the forehead and/or around the eyes
  • You have realistic expectations for the outcome of your Botox treatment.


Unsuitable candidates for Botox injections include: 

  • Pregnant or nursing women
  • People with allergies to bovine products
  • People with certain medical conditions such as neurological diseases
  • People with severe allergies (anaphylaxis) or allergy to injected local aesthetics
  • Patients taking antibiotics, heart medication and other drugs
  • Realistic in their expectations.
  • Patients with skin infections on the areas to be treated

 Botox cannot treat:

  • Sagging, drooping skin
  • Sun-damaged skin


Your doctor will take a complete medical history in your initial consultation. If you are taking any medications that reduce blood clotting, such as aspirin, anti-inflammatory agents, warfarin and some herbal medications, you will be told to stop taking these as they may increase the chance of bleeding.

Before you choose to have a Botox treatment, make sure that you have realistic expectations for what Botox injections can do for you, and ensure that you choose an experienced and reputable practitioner who can advise you on whether you are a good candidate for a Botox procedure.

What is a Botox Injection?

Botox injections involves administering injections directly into the muscles that cause moderate to severe facial lines and wrinkles to smooth the appearance of facial skin. Botox treatments are a diluted form of botulism which paralyzes or weakens the muscles that form wrinkles.

Botox injections treat minor imperfections in facial skin, including laughter lines, wrinkles, creases, crow’s feet, and acne scars, making it appear more youthful.

Botox (the trade name of botulinum toxin type A) is the fastest growing cosmetic procedure in the United States. Botox cosmetic injection is a simple procedure in which cosmetic surgeons carefully inject a low dose of the toxin into an individual’s facial muscles, causing temporary relaxation of the injected muscles.

Doctors first used botulinum toxin for health conditions and as a muscle relaxant to treat many muscle disorders, before realizing its cosmetic potential. Pioneered for cosmetic use in 1987, botulinum toxin is a purified form of one of the world’s most poisonous substances. However, when carefully injected by cosmetic surgeons in minute doses, botulinum toxin ‘type a’ can reduce the signs of aging. Botox was approved for cosmetic use by the FDA in 2002.

Cosmetic uses for Botox include treating common signs of aging such as horizontal lines on the forehead, vertical lines between the eyebrows and on the bridge of the nose, fine lines and crow’s feet at the corners of the eyes. Botox injections are an increasingly popular cosmetic procedure since they are non-invasive and require little or no recovery time.

Botox typically reduces wrinkles by 80%. Patients are usually between the ages of 35 and 60, and results will vary from person to person.

Botox treatment takes just a few minutes, and during the procedure very small doses of Botox are injected into the muscles underneath the wrinkled area to be treated. The exact location of the injection depends of the location, size and use of the muscles. The Botox procedure does not usually require anesthesia, although sometimes an anesthetic cream will be applied to the area to be treated.

The Botox then binds to the nerve endings which in turn virtually blocks the release of the chemical acetylcholine that is released by the nerve cells. This blocks electrical signals for the muscles to contract and move. The injected muscle is paralyzed or weakened, then it relaxes, creating a smooth surface and reducing the appearance of the wrinkles and lines on the skin, but the surrounding muscles remain unaffected.

This smoothing effect lasts around three to four months before the muscle recovers its original strength. However, due to the way Botox® works, even when the effects have worn off, the remaining lines will not be as deep as before and don’t return to their original condition.

Botox procedures typically last about half an hour, and the results of Botox injections are most noticeable one to two weeks after the procedure. Botox results last approximately three to six months. The effects of Botox treatment can be maintained by small ‘top-up’ Botox injections two or three times a year.

While Botox treatments don't completely eradicate the signs of aging, they can significantly reduce the appearance of moderate to severe frown lines, smooth wrinkles and even prevent new wrinkles from forming. Skin often appears smoother and more youthful-looking after Botox injections.

Botox can be a beneficial cosmetic ‘middle ground’ for patients who do not want to undergo invasive cosmetic surgery such as facelift yet who need treatment that is more effective than creams etc. For people in their 20's, 30's and over, Botox treatment can postpone or eliminate the need for more invasive facial cosmetic procedures in the future such as surgery or laser resurfacing.

Botox injection can be used in conjunction with Botox alternatives, including collagen, Restylane and injectable fillers such as Hylaform (an injectable filler made from hyaluronic acid found in the body), and fat fillers such as Sculptra (an injectable filler that corrects fat loss, including sunken cheeks and eyes).

Your doctor may also recommend additional treatments such as chemical peel, laser skin resurfacing or micro-dermabrasion for you to consider in conjunction with Botox, depending on your aesthetic goals and objectives. If you are considering Botox treatment, consult a qualified doctor about your goals and expectations from the treatment.

There are many practitioners that perform Botox injections, and it is very important that you consult a qualified, experienced doctor specifically with extensive experience in administering Botox injections, to avoid risks and complications during and after your Botox treatment.

Botox Injection Steps

Botox injections are usually performed in the doctor's office, usually without anesthesia. However, a numbing cream may be applied to the treatment area. Patients may experience some minor discomfort at the injection site. Depending on the extent of the Botox treatment required, the procedure can take a few minutes up to 20 minutes. Generally, Botox patients may return home shortly after the treatment is complete.

Step 1 – Preparation

  1. The doctor may apply a numbing cream, cold press or ice to the area being treated which will cause the vessels to constrict and reduce potential bruising as well as numb the treatment surface
  2. Antiseptic is applied to the areas to be treated with Botox injections.
Step 2 – The injections
  1. The selection of Botox injection points is critical to the success of the procedure. The points of injection are first scored with a marking pencil - numerous injection points may be chosen for each location to be treated.
  2. The doctor will then determine the amount of Botox to be used for the Botox procedure
  3. Botox is then injected into the marked points into the muscle beneath the skin. You will feel minimal discomfort where the Botox is being injected. The toxins in Botox fasten to the muscles' nerve endings, which inhibits the release of the chemical acetylcholine. This will stop the muscle contractions that wrinkle the skin.
  4. Depending on the extent of the Botox procedure you will receive approximately three injections for each muscle. You will feel a small pin prick and then experience a mild sense of warmth in the area as the Botox flows into the muscle.
Step 3 – The results
  1. The results of Botox become visible within several days and its full effect is evident at seven days. Effects last about three to six months.


Botox Injection recovery and healing times

You will need little or no recovery time after having Botox Injection. You can resume your normal activities immediately, but your doctor may advise you to stay out of the sun.

You should not rub or massage the treated area for at least twelve hours after your Botox injections. Your doctor will also instruct you to avoid bending or lying down for three to four hours after your Botox treatment, to keep the toxin from moving to other facial areas and allow it to make a solid connection to the muscle.

Any discomfort, bruising or swelling can be treated with mild over-the-counter painkillers such as ibuprofen. Do not use aspirin as this may make the bruising worse.

Call your doctor immediately if you experience any severe pain or symptoms that are progressive or seem unusual to you. Ensure that you talk to your doctor to fully understand the risks, complications and remedies of Botox treatment.

Avoid strenuous exercise, sun exposure and drinking alcohol for the first two weeks after Botox injections. You may need to return to the doctor’s office in two to three weeks so that the results can be checked and topped up with more Botox if necessary. After that, you should not need to return for top-up Botox treatment for three to six months.

Botox Injection Side Effects and Risks

Botox injections are commonly performed and generally safe. However, there is always a risk of adverse reactions or side effects after a Botox injection, so patients need to be in a medical setting that is equipped to handle an emergency situation. Also, drinking alcohol at or around the time of injection could worsen any bruising at the injection site.

Botox Injection side effects may include:

  1. Headache
  2. Nausea
  3. Flu-like symptoms
  4. Infection
  5. Bruising
  6. Facial pain
  7. Dry eyes
  8. Double vision
  9. Redness and pain at the injection points
These Botox side effects are usually temporary. Rarely, Botox patients may experience Botox risks and complications such as:
  1. Muscle weakness
  2. Drooping of the upper eyelid muscles (ptosis) - caused by the injection of too much Botox or injection into the wrong area. This side effect usually resolves itself within days, or in rare cases, months after the procedure.
  3. Headaches (which usually resolve within 24 to 48 hours)
  4. Severe respiratory problems
  5. Difficulty swallowing
  6. Allergic reactions
There is no risk of contracting botulism from a Botox procedure. If your Botox treatment has been administered by an experienced physician, the possibilities of serious Botox side effects and Botox risks and complications are significantly reduced.


Questions to Ask a Surgeon About a Botox Injection

Knowledge is power so arm yourself with the facts before making any decision about Botox treatment. Here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for Botox treatment?
  2. Are my described expectations realistic?
  3. Where is the Botox treatment performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing Botox treatment?
  7. Can I see your qualifications?
  8. Ask to see any before and after Botox treatment photographs of recent procedures?
  9. What percentages of your Botox treatment patients have had significant post-surgical complications? (surgeons should disclose this information to you)
  10. How much will my Botox treatment cost?
  11. Do you offer patient financing? (Flexible payment schemes for your surgery)
  12. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  13. Ask to observe the exact procedure you are considering before you decided to have surgery if you are unsure (this could be on videotape or in real life).
  14. What is the recovery and healing period for Botox treatment? When can I resume full normal activity?
  15. Have you ever had your malpractice insurance coverage denied, revoked, suspended
  16. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)


Skin Rejuvenation Checklist

Skin Rejuvenation Checklist

Knowledge is power so arm yourself with the facts before making any decision about Botox Injections procedures; click here for an essential check list to help you find the right Perfect Yourself skin specialist.

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Be sure to also visit our Expert Advice page where you can find great questions from real visitors, Answered by real plastic surgeons, cosmetic dentists, and skin rejuvenation specialists.