Neurotoxins

What Is BOTOX® Cosmetic?

BOTOX® Cosmetic (onabotulinumtoxinA) is a prescription injectable treatment derived from a purified form of the botulinum toxin protein. Used to soften dynamic facial lines, it works by temporarily relaxing targeted facial muscles that cause wrinkles and expression lines—most commonly frown lines, crow’s feet, and forehead creases.

First approved by the FDA on April 15, 2002, for the temporary improvement of moderate to severe frown lines in adults, BOTOX® Cosmetic was the first of its kind to receive such clearance. Today, it remains the only FDA-approved product to improve the appearance of frown lines, crow’s feet, and forehead lines in adults. With over 13 million vials sold in the U.S. and approval in 98 countries, it’s the world’s leading aesthetic injectable.

How Does BOTOX® Work?

Facial wrinkles develop from repetitive muscle contractions—like frowning, squinting, or raising your brows. BOTOX® Cosmetic targets these underlying muscle movements by blocking the nerve signals that cause them to contract. The result is a temporary reduction in muscle activity, allowing the overlying skin to appear smoother and more refreshed.

When Will I See Results?

Most patients notice visible smoothing of lines within 24 to 48 hours, with full results typically seen by day 7. Results can last up to four months, depending on the individual and area treated.

Will I Look Unnatural?

Not at all. BOTOX® Cosmetic is a technique-sensitive treatment. When administered by a skilled, licensed medical professional with deep knowledge of facial anatomy, the results are natural and subtle—you’ll look like yourself, just with fewer lines. At the Medi Spa at Ridgewood Hill, all injectors are highly trained and experienced, ensuring safe, precise, and beautifully balanced results.

What Should I Expect During Treatment?

Treatment is quick and well-tolerated. Most clients describe the sensation as a brief pinprick. We typically apply a cold compress beforehand to minimize any discomfort and reduce the risk of bruising. The entire procedure usually takes less than 15 minutes.

Is There Any Downtime?

Recovery is minimal. You may experience slight redness, swelling, or minor bruising at the injection sites, which generally resolves within a few hours. Most patients return to their regular activities right away.

Is There a Generic Version of BOTOX®?

No. BOTOX® Cosmetic has a unique formulation that sets it apart. It is also the most extensively researched product of its kind, with over 15 years of clinical data and 495 peer-reviewed articles supporting its safety and effectiveness.

Do Men Use BOTOX® Cosmetic?

Absolutely. Cosmetic treatments among men have increased by 325% over the past two decades. In recent years, over one million botulinum toxin treatments have been performed on men annually. Surveys show that men are particularly interested in softening crow’s feet (80%), forehead lines (74%), and frown lines (60%) to maintain a youthful, confident appearance.

Are There Any Side Effects?

As with any medical procedure, side effects are possible but typically mild and temporary. In clinical trials:

• 3% of patients experienced eyelid drooping (frown lines)

• 1% experienced eyelid swelling (crow’s feet)

• 1% experienced brow drooping (forehead lines)

• Other potential side effects may include:
  • Headache
  • Neck pain
  • Injection site discomfort
  • Dry mouth
  • Fatigue
  • Eye symptoms (e.g., blurred vision, double vision, dry eyes)
  • Allergic reactions

This is not a complete list. For full safety information, including the Boxed Warning and Medication Guide, please consult with your provider.

Important Safety Information

BOTOX® Cosmetic may cause serious side effects that could be life-threatening. Seek medical attention immediately if you experience any of the following symptoms, which may occur hours to weeks after treatment:

• Difficulty breathing, swallowing, or speaking

• Muscle weakness across the body

• Vision changes or drooping eyelids

• Loss of bladder control