BOTOX® Cosmetic

Discover the Benefits of BOTOX® Cosmetic for Fine Lines and Wrinkles

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a popular treatment designed to reduce the appearance of wrinkles and fine lines, giving the skin a smoother, more youthful appearance. Derived from a purified form of botulinum toxin, BOTOX® temporarily paralyzes the muscles that cause wrinkles, effectively smoothing out the skin.

This treatment is commonly sought after by men and women in their late 20s to 60s and beyond who are experiencing signs of aging and desire a safe and effective non-surgical solution.

FDA Approval and Common Uses

In 2002, the FDA approved BOTOX for cosmetic use to treat glabellar lines (frown lines between the eyebrows), crow’s feet (lines at the outer corners of the eyes), and forehead lines (horizontal lines across the forehead). However, trained aesthetic injectors commonly use BOTOX for “off-label” treatment areas, addressing a wider range of cosmetic concerns. BOTOX was the first neurotoxin used for cosmetic purposes in the US and remains one of the most popular treatments for reducing wrinkles and fine lines.

Quick and Effective Treatment: BOTOX Options in Wilmingtons, NC

The procedure is quick and relatively painless, with results lasting for several months before gradually wearing off. Here at The Dermatology & Skin Surgery Center of Wilmington, BOTOX® is commonly used to treat wrinkles, forehead lines, crow's feet, and frown lines between the eyebrows. Our skilled providers ensure that each treatment is tailored to your unique needs, delivering natural-looking results that enhance your appearance.

Benefits of BOTOX

  • Wrinkle Reduction: Diminishes the appearance of fine lines and wrinkles, particularly on the forehead, around the eyes, and between eyebrows.
  • Non-Invasive: A procedure that involves injections, offering quick results without significant downtime.
  • Youthful Appearance: Provides a youthful and rejuvenated look by relaxing targeted facial muscles.
  • Versatility: Addresses various concerns beyond wrinkles, such as excessive sweating (hyperhidrosis) or migraines.

Common Side Effects of BOTOX

  • Temporary bruising at the injection site.
  • Mild swelling.
  • Redness.
  • Temporary mild headache.

What to Expect at Your BOTOX Appointment

When you visit our office for BOTOX, you can anticipate a relatively quick, straightforward appointment during which your comfort, safety, and satisfaction are our highest priorities.

We begin by gently cleansing your face to clear away oil, makeup, and other debris. We then make a series of quick injections in or around your primary areas of concern. We may ask you to make certain facial expressions during this time to ensure accuracy. Each injection lasts only a moment and feels like a small, quick pinch. Afterward, we offer you a cold compress to help minimize swelling.

You can expect to be at the office for about 30 minutes. Immediately following your treatment, you can resume nearly all of your regular activities. However, it's important to avoid movements that require you to bend forward or lower your head for the remainder of the day. This allows the product to be distributed evenly for attractive, natural‐looking results.

BOTOX Maintenance Recommendations

The frequency of BOTOX treatments varies from person to person and depends on several factors, including individual metabolism, muscle activity, and the desired outcome. Generally, BOTOX injections for cosmetic purposes last for about 3-4 months on average before the effects gradually wear off.

After receiving BOTOX injections, it's essential to follow specific maintenance recommendations to optimize results and ensure safety. Here are some common guidelines:
  • Avoid Rubbing or Massaging: For the first 24 hours after treatment, refrain from rubbing or massaging the treated area to prevent the spread of Botox to unintended muscles.
  • Stay Upright: Maintain an upright position for about 4 hours post-injection. Avoid lying down or bending over excessively during this time to prevent the migration of BOTOX to unintended areas.
  • Avoid Strenuous Exercise: Refrain from engaging in vigorous exercise or activities that increase blood flow and body temperature for 24 hours post-treatment, as this might disperse the BOTOX.
  • Follow-Up Appointments: Attend any scheduled follow-up appointments recommended by your healthcare provider to assess results and determine if touch-up injections are needed.
  • Be Patient: Results from BOTOX injections usually start to appear within a few days but may take up to two weeks for full effect. Be patient and allow the treatment time to take its full course.

BOTOX Maintenance Schedule

  • The frequency of BOTOX treatments range between 3 and 6 months but may change based on various factors like metabolism and how active one's facial muscles are.
  • Frequency also depends on your desired look resulting from the injections.
  • It's best to consult with your dermatologist or skilled injector to determine the best treatment plan for you.


On average, BOTOX effects last around 3 to 4 months. After this period, the muscle activity gradually returns, and wrinkles may reappear. To maintain the desired results, individuals often undergo follow-up treatments. It's important to note that the longevity of BOTOX effects can be influenced by factors such as individual metabolism, the amount of product injected, and the specific area treated. Always consult with your provider for personalized information and recommendations.

When administered properly by a skilled and experienced skin care professional, BOTOX treatments are designed to provide natural-looking results. The goal is usually to soften wrinkles and fine lines while maintaining facial expressiveness. However, the outcome can depend on the specific technique used by the injector and the amount of BOTOX administered.

If too much BOTOX is injected or if it is not placed correctly, it can potentially lead to a "frozen" or "unnatural" appearance. This occurs when the muscles responsible for facial expressions are overly relaxed, limiting movement. To avoid this, it's crucial to choose a qualified and trained professional who understands facial anatomy and can tailor the treatment to your individual needs.

During the consultation, discuss your aesthetic goals with the provider and express any desires about wanting a natural look. A skilled injector can adjust the dosage and injection sites to achieve the desired outcome while preserving a natural range of facial expressions. It's important to follow the provider's recommendations and, if needed, schedule a follow-up appointment for any adjustments.

BOTOX and Dysport: Both are injectable neurotoxins used to reduce wrinkles. BOTOX (Allergan) and Dysport (Ipsen) have similar effects but differ in onset, spread, and cost. Results last about 3-4 months for both. Consult a dermatology professional for personalized advice.

BOTOX, or botulinum toxin, is considered safe when administered by a qualified and experienced dermatologist or certified injector. It has been used for various medical and cosmetic purposes for many years with a well-established safety record. However, like any medical procedure, there are potential risks and side effects.

Common side effects of Botox are typically mild and temporary, including bruising, swelling, and redness at the injection site. Rare but more serious side effects may include allergic reactions or unintended muscle weakness if the toxin spreads beyond the intended area.

The appropriate age to start BOTOX can vary based on individual factors such as genetics, skin condition, and personal preferences. BOTOX is commonly associated with addressing dynamic wrinkles, which are caused by repetitive muscle movements. While it's often used as a preventive measure for wrinkles, there is no strict age requirement.

Generally, individuals in their late 20s to early 30s may consider BOTOX as a preventive measure to minimize the development of fine lines and wrinkles. However, the decision to start BOTOX is highly individual and depends on factors such as:

  • Visible Signs of Aging: If you have noticeable fine lines or wrinkles, regardless of age, BOTOX may be considered to address these concerns.
  • Preventive Measures: Some individuals choose to start BOTOX earlier as a preventive measure to slow down the formation of wrinkles.
  • Consultation with a Professional: It's crucial to consult with one of our certified dermatologists or injectors who can assess your skin and provide personalized recommendations based on your specific needs.

Ultimately, the decision to start BOTOX should be made in consultation with a healthcare professional who can evaluate your unique situation and help you determine the most appropriate timing for your cosmetic goals.

From Our QualDerm Family of Brands: Learn More About BOTOX

How The Dermatology & Skin Surgery Center of Wilmington Can Help

Consulting with one of our dermatologists, or skin care experts, is highly recommended. Our team can develop a suitable BOTOX treatment plan based on your aesthetic skin care goals. Through an effective skin consultation, we'll start you on a healthy, glowing skin care journey.

Schedule Your BOTOX Appointment

Experience the benefits of BOTOX Cosmetic at The Dermatology & Skin Surgery Center of Wilmington. Our expert injectors are dedicated to helping you achieve a more youthful and refreshed look.

Schedule a consultation today to learn more about how BOTOX can help you reduce wrinkles and fine lines, restoring your confidence and enhancing your natural beauty. Trust us to provide exceptional care and results with this popular and effective cosmetic treatment.