Before & After Images


BOTOX® Cosmetic

BOTOX® Cosmetic is one of the most popular treatments in all of facial plastic surgery.  In fact, in 2012 over 6 million BOTOX® Cosmetic procedures were performed in the United States, and that number continues to rise. Wrinkles result from a combination of many factors. It's not just aging of the skin and sun damage. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and wrinkle. Similarly, when you squint, the muscles around your eyes contract, causing “crow’s feet”. Over time, the constant pull of the muscles on the overlying skin causes deep creases to form.  BOTOX® Cosmetic temporarily blocks the ability of those muscles to contract and form wrinkles on the surface of the skin.  With continued use, the wrinkles will begin to soften and smooth out over time.

How long does BOTOX® Cosmetic last?

The duration of BOTOX® Cosmetic is dependent on many individual factors, but most people see results that last for at least 3 months, and sometimes longer.

How long does it take for BOTOX® Cosmetic to start working?

The effects of BOTOX® Cosmetic are not immediate.  You will begin to see the effect 2-3 days after the injection, with peak effect taking place around 2 weeks after your treatment.  

What areas of the face are treatable with BOTOX® Cosmetic?

BOTOX® Cosmetic is approved for use in frown lines (LINK) and crow’s feet (LINK).  However, it is often used “off label” successfully to treat wrinkles in the forehead and around the mouth.  In addition to cosmetic uses, BOTOX® Cosmetic is also approved for the following: treatment of excessive sweating, migraine headaches, synkinesis (a complication of Bell’s Palsy) and facial spasms.

Is BOTOX® Cosmetic injection painful?

BOTOX® Cosmetic treatment is very well tolerated and causes very little discomfort. Dr. Wudel uses ice to numb the skin over the treatment area and uses a very small needle to perform the injection.  Most patients describe the feeling as a small pinch and some feel nothing at all.