Botox Procedure Explained

Treatment Procedure

  • Several tiny injections of BOTOX® Cosmetic are administered directly into the muscles of the areas you wish treated.
  • The location of the injections will be determined by examining your ability to move certain muscles in the selected area. The location, size, and use of the muscles that create a furrowed brow vary markedly among individuals.
  • No anesthesia is required, although you may choose to have the area numbed with a cold pack or anesthetic cream prior to injecting. Discomfort is usually minimal and brief. Most patients compare the sensation to a pin prick and treatment takes only a few minutes.
  • You may resume normal activity immediately.
  • You may see a marked improvement in the moderate to severe frown lines between your brows within days.
  • Improvement may continue for as long as a month, and could last 3 to 4 months.  After that, the muscle action returns. When frown lines reappear, a repeat treatment is necessary to regain the results.

Frequent Questions about Botox

Are there any side effects?

Side effects of BOTOX® are minimal, with slight discomfort upon injection of the solution. At Renu Facial and Body Aesthetics we use a special ordered, very fine gauge needle to minimize discomfort. Bruising at the site of injection may occur but is not common. One percent of patients develop a slight lowering or ptosis of one eyelid and, also rarely, asymmetry of facial expression. These effects are temporary and may not even be noticed by the patient.

What causes a facial wrinkle?

As an example we’ll look at the common “frown” of the glabellar lines. The lines that appear between your brows (glabellar lines) actually result from muscle movement and the passage of time. You may have heard the expression “wearing your emotions on your sleeve,” but in reality you wear them on your face. If you’re angry or annoyed, for example, you knit your brows together. Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you’re frowning.

After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men’s, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent. Glabellar lines are the dynamic wrinkles between the brows caused by the contraction of corrugator and/or procerus muscles.

BOTOX® Cosmetic works on the muscles that cause glabellar lines

BOTOX® Cosmetic is injected directly into the corrugator and procerus muscles, where it enters the nerve endings to block the release of acetylcholine, the chemical that causes muscles to contract. Once the muscles are at rest, skin becomes smoother.


Other above-mentioned wrinkles resulting from muscle contraction are treated in the same way. The resulting effect is of both smoother facial features and a “lifting” effect as the BOTOX® serum allows those muscle functions to become more dominate.

Men are becoming equal fans of BOTOX®, too. Erasing frown and worry lines give a more assured appearance. And a special added psychological benefit? Seeing yourself “look” less stressed or angry actually triggers more positive emotions.

Can Botox Be Combined with Other Treatments?

Botox-Juvederm or Botox-Radiesse

Using BOTOX® to relax the dynamic muscles that cause wrinkles is frequently combined with follow-up dermal fillers. Some lines on the face are a result of skin laxity aging and are not affected by BOTOX®. These lines are readily improved with the use of either Radiesse or Juvederm (both dermal fillers). In most situations the dermal filler can be injected during the same visit.

This particular combination treatment can affect a dramatic improvement for the entire facial area.

Learn About the Brilliant Distintions Program