Denny Eye and Laser Center - Botox FAQs

What is Botox® Cosmetic?

Botox® Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows, on the forehead and around the eyes (crow’s feet) in people from 18 to 70+ years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

Botox® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time. Over 4 million people have been treated with FDA-approved Botox® Cosmetic since it was FDA approved in 2002.


How does it work?


Hyper dynamic wrinkles are the most common indication for Botox® Cosmetic treatments, and are caused by repeated contractions of the delicate underlying facial muscles every time you smile, laugh, or frown. A very animated individual who contracts these facial muscles frequently will have greater facial muscle tone, and deepening of unwanted lines of the face.

Botox® Cosmetic is injected into the small facial muscles through a tiny needle, and it works in two ways. First, Botox® Cosmetic relaxes hyper dynamic muscles, dramatically softening or eliminating wrinkles within three to ten days. Second, over the ensuing months the relaxed muscle slowly thins down to a more normal state, providing further cosmetic benefit for unwanted wrinkles. This secondary effect has been seen to last as long as two years.


What can I expect?


Before beginning the Botox® treatment process, Dr. Denny will instruct you to contract your facial muscles in order to determine precisely where to place the first injection. Next, Dr. Denny will use a very small needle to administer Botox® injections directly into the muscles that cause frown lines, furrows, and horizontal wrinkles. You will not see the full effect for three to ten days.

Will it hurt?


Because the procedure is quick and has minimal discomfort, no anesthesia is required. The needle is so small that 95% of patients do not require any anesthetic cream. If you are sensitive to pain, however, we may numb the targeted area with a cold pack prior to Botox® treatment.

What is the recovery time?


None. You can return to work the same day and resume most of your regular activities.


How long will the effects last?


Given its unique mechanism of action, Botox® Cosmetic offers sustained relief, dose after dose over the course of long-term treatment.  The relief you will feel from a single treatment of Botox® will normally be sustained for approximately three to four months.  You will notice a gradual fading of its effects.  At this point, you will return to us for your next treatment.

Usually, Botox® treatment is required only three or four times a year.  Symptoms may vary throughout the course of the condition, and so the degree of relief and duration of effect varies from person to person. 

Are there any special instructions I need to follow before I undergo a Botox® Cosmetic treatment?


You are strongly advised to avoid blood thinners such as aspirin, Motrin, Advil, ibuprofen, naprosyn and other non-steroidal anti-inflammatory medications for one week before your procedures as these medicines increase the risk of a slight bruise.


Are there any special instructions I need to follow after I undergo a Botox® Cosmetic treatment?


We encourage patients to use the treated muscles for a few hours after the procedure as this permits the medication to bind better to its receptor. We advise our patients to wait 24 hours before taking part in any strenuous activity. We also advise our patients to avoid lying down for four hours following the treatment and to avoid massaging the treated area.

What are the side effects?


With more than 4 million treatments performed and a superb safety track record, Botox® Cosmetic has rapidly become one of the most popular cosmetic procedures performed in the United States. Most side effects are rare and temporary. Botox® injection side effects and risks include:

·         Mild numbness or tingling in the injection area

·         Minor swelling or bruising around the injection area (temporary)

·         Headache (temporary)

·         Nausea (temporary)

·         Drooping eyebrow or eyelid (usually temporary and can last 2-3 weeks)

·         No improvement after undergoing treatment

·         An allergic reaction to Botox® Cosmetic

·         Flu-like symptoms

Many of these side effects can be avoided if proper injection techniques are used, and if the patient avoids rubbing the injection area for approximately 12 hours after treatment. The possibility of experiencing Botox® injection side effects can be greatly reduced by choosing a qualified physician who has experience in performing the Botox® injection procedure. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. Minor complications that do not affect the outcome occur occasionally.

Is there anyone that should NOT undergo Botox® Cosmetic treatments?  

Botox® Cosmetic can react adversely with certain herbal remedies, antibiotics, anti-inflammatories, and heart and Alzheimer's drugs, so the prospective Botox® candidate should provide us with a full accounting of prescribed and over-the-counter medications that he or she is currently using or has taken in the recent past. Patients with neurological disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.  Botox® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation.  Pregnant women and nursing mothers should avoid Botox® injections because the risks to a fetus or nursing baby have yet to be determined.

Botox® Cosmetic is administered by physicians and is available only by prescription. Call to make an appointment with Dr. Kevin Denny and see if Botox® is right for you!