Facial wrinkles are the result of several factors, both environmental and intrinsic (genetic). The intrinsic factors include the action of the muscles of facial expression, which cause us to frown, raise our eyebrows and squint. These effects on wrinkle formation can be eliminated with the injection of Botox Cosmetic to paralyze the offending muscles. Botox is a protein substance that may be injected into the specific muscles causing wrinkle formation to stop their action. The most commonly treated areas are the frown lines, forehead wrinkles, and Crow’s feet ( the area around the eyes) and Botox Cosmetic is very effective in eliminating the signs of aging in these locations. In addition, Dr. Francis is highly experienced in a specialised injection of Botox Cosmetic into other areas of the face and neck. “Bunny” lines or “Wolf” lines, neck bands, and drooping mouth corners may all be effectively treated in Dr. Francis’ hands.

The paralytic effect of Botox was introduced into the cosmetic arena about a decade ago after many years of use for correction of eye and neck muscle spasm. It still maintains a place in the treatment of these conditions, as well as, for muscle contractures after stroke, excessive sweating of the palms of the hands, soles of the feet and underarms (hyperhidrosis), and for the treatment of migraines.

The procedure for facial rejuvenation is performed using very small needles (about the size of acupuncture needles) and is relatively painless when coupled with topical anesthetic creams. Each area to be injected takes less than 15 minutes and return to normal activities is immediate. The effects of the Botox treatment may be visible anywhere from one to 10 days after injection and last an average of 3 months.

This means that it may wear off anywhere starting from 2 months or may last up to, on occasion, 6 months and is dependent on how the body processes the protein. Risks include redness, swelling, bruising, and infection, all attributable to a needle being inserted into the skin. More serious risks attributable to the material itself, such as eyelid drooping are extremely rare and usually temporary. Millions of Botox Cosmetic injections are performed each year in the United States.