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Botox® Cosmetic is an FDA-approved treatment that temporarily reduces signs of aging like moderate to severe frown lines, horizontal forehead lines, and crow’s feet around the eyes. The treatment produces consistent results and is quite safe.

This injectable is not only used for cosmetic corrections but also for its medical benefits. It can address hyperhidrosis (excess sweating in the underarms and other regions), migraine headaches, and more.

How Do Wrinkles Form?

Repetitive facial movements can cause certain wrinkles to appear in the skin. Every time you form the same facial expressions and perform the same actions (like chewing or laughing), it becomes harder for your facial muscles to relax back to an at-rest position. This leads to visible wrinkles in the overlying skin. These age lines are called dynamic wrinkles and can make you look old and tired.

What Is Botox® Cosmetic?

The story began in 1989, when the FDA approved the use of OnabotulinumtoxinA for therapeutic purposes. Due to its safety in treating frown lines, in 2002, it was approved for use in the aesthetic field and was named Botox®. Since then, Botox® Cosmetic has been used in more than 98 countries and has been recognized as a trusted brand.

Botox® Cosmetic is the treatment of choice for dynamic wrinkles. It has become the most popular and safe, non-surgical cosmetic procedure performed today. This therapy involves injecting small amounts of the purified protein into the facial muscles responsible for movement associated with lines and wrinkles primarily in the upper face. This injection relaxes the muscle, thus drastically reducing the appearance of the associated lines and wrinkles.

The Consultation

The Botox® Cosmetic treatment starts with a consultation with Dr. Rivela. He will conduct a physical examination, along with reviewing your present health condition, medications, and allergies, in order to determine whether you are a suitable candidate.

You are not a suitable candidate if:

  • You are allergic to ingredients in Botox® Cosmetic.
  • You have a skin infection or an injury in the treatment area.
  • You have had certain other facial-rejuvenation treatments done recently.
  • You have had an allergic reaction to other botulinum toxin products like Dysport and Xeomin.
  • You have a severe muscle or nerve condition that can increase the side-effects associated with the treatment.
  • You have an underlying condition that can alter the results of this treatment.
  • You are pregnant, lactating, breastfeeding, or plan to be pregnant soon.

If you are a good candidate, a treatment plan will be created. This will include the intended injection sites, number of injections, and the amount of Botox® to be used.

The Procedure

During the procedure, the treatment area is cleaned with a disinfectant and the injection sites are marked. The treatment areas may be numbed using a topical cream or ice to reduce any discomfort, though the treatment is mostly painless. An ultra-fine needle is used to inject Botox® directly into the facial muscles. Ice and pressure are then applied.

After Treatment

After treatment, the overlying skin remains smooth and unwrinkled, while the untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected. No sedation is needed, and you can resume normal activities immediately. Results typically last for 3-4 months. 

Areas of Treatment

The most common areas that Botox® Cosmetic is used are the lines between the eyes, forehead wrinkles, crow’s feet, and, on occasion, around the mouth. This product can also be used for controlling excessive sweating of the underarms.

This FDA approved, purified protein has been in use for over 20 years in medical practice in the field of ophthalmology for the treatment of several muscular eye disorders including blepharospasm and stabismus. In addition, neurologists have more recently utilized Botox® in the treatment of certain types of headaches. The cosmetic use of this product began in the early 1990’s with specific use for wrinkle treatment of the upper face.

View BOTOX® Injections Gallery

BOTOX® Cosmetic and JUVÉDERM® are pleased to offer the Treatment Visualizer. Please click on the link below and follow the site directions. While just a representation, this tool will give you an idea of how BOTOX® can help you achieve the natural look you want.


For signing up for the Brilliant Distinction Program, and for more information about Allergan Botox Cosmetic watch the video.

When you register, you’ll automatically be entered in the Brilliant Distinctions Points Program, which rewards you with points each time you receive a Botox Cosmetic treatment from our office. Redeem them  for dollars off on select Allergan products and services, or donate them to a charity. The more you participate, the greater the rewards.  

Would you like your Botox result to last even longer?

ZYTAZE® is a prescription suppliment containing a unique blend of organic zinc and phytase, an enzyme that aids zinc absorption to improve Botox’s efficacy and extend the duration of results by almost 30%.

Call today before your next Botox treatment.