Botox Injections

Thanks to the media, Botox is a household word today. Even though its name is often used in a comical fashion, it is a miraculous product and an excellent tool in the arsenal of today’s war on wrinkles. Botox has been used for more than 20 years to treat a variety of conditions, although it is most well known for its use in the cosmetic realm. In 2002, Botox gained FDA approval for treatment of moderate to severe frown lines between the eyebrows. Botox is a wonderful product for patients seeking aesthetic improvement of their face and neck. For some patients it may be the only treatment needed; for others, Botox is used in combination with other aesthetic treatments such as fillers or laser. 



  • Botox is most commonly used in the upper third of the face, but it may be used sparingly around the mouth and on the neck.
  • Botox treatments are individualized for each patient’s desired results.
  • Botox is administered by several small injections with minimal discomfort.
  • Effects may be seen within 5-7 days and full effects are seen at two weeks after injections. Touch ups will be performed on an as-needed basis at two weeks after your initial treatment to ensure that you are pleased with your results

Complications Are Manageable

  • Bruising at the injection sites may be minimized by avoiding aspirin-containing compounds, ibuprofen and vitamin E.
  • Eyelid drooping occurs in about 1% of all patients treated with Botox. This is avoided by not treating too close to the mid-brow area, especially in a person who raises their eyebrows to keep their upper eyelids open. Eye drops may be used to correct the droop during the 3 weeks it takes to self-correct
  • When treating around the mouth for lip lines or ‘pencil thin’ lips, there may be temporary lip weakness for 1-3 weeks.

Fear Factor

We have all heard of the tragic misuse of botulinum toxin. In those cases the injector was inexperienced and did not use the brand-name ‘Botox Cosmetic’. Allergan, the manufacturer of Botox, has a controlled, standardized production process to ensure patient safety.


Click here for Botox Before and After Gallery.

Botox™ For Hyperhidrosis (Excessive Sweating)

  • FDA approved- click here for more information.
  • Recommended for patients who are not adequately managed with oral and topical agents.
  • Duration of results varies, but 3-12 months per treatment is typical.
  • Works by blocking the chemical signals from the nerves that stimulate the sweat gland.
  • The medication is administered by a series of tiny injections.
  • Effects are usually seen during the week following treatment.
  • Touch ups may be necessary at 3 weeks if any areas still sweat. A starch-iodine test may be performed to pinpoint the area that needs additional treatment.
  • Insurance considerations:
  • Insurance may cover the cost of the procedure; however, this requires a lengthy approval process prior to scheduling your appointment for treatment. Once the medication has been received from a pharmacy designated by your insurance company, our office will contact you to set up an appointment.
  • If your insurance does not cover the cost of the treatment, the cost is based on the amount of medication used – typically $1,000 to $1,500 per treatment.


Are you interested in Botox treatments? 
Call SkinMD at 615.279.5656 to schedule a consultation today!