BOTOX is the trade name for one of the many types of botulinum toxin type A available . It is a neurotransmitter blocker which stops signals to the muscle to contract. Thus the specific muscle that has been injected relaxes as it is not able to respond. The relaxation results in wrinkles softening or disappearing. The wrinkles that respond to BOTOX are the dynamic type, in that they appear with action of the muscle.

Static wrinkles are permanently etched on the face even at rest. Treatment options for static wrinkles are Fillers, Chemical peels, Fractional laser or Radiofrequency procedures such as Thermage or Sublime.

There is always a fear that one will look frozen. The frozen look is due to excessive BOTOX . An experienced BOTOX injector treats the lines but the patient is able to make facial expressions per normal.



BOTOX is used to –

  • To soften or erase lines on the forehead, around the eyes ( crow’s feet) and brow. When BOTOX is started early, the lines are prevented from worsening and eventually with the help of anti aging procedures and creams, the lines disappear. Thus its best to start BOTOX early.
  • Rejuvenation of aging facial skin and usually combined with fillers
  • Eyebrows can be elevated or reshaped to give either an arch or curved look
  • Reshape the face to achieve an aesthetically pleasing oval face. In the square jaw treatment, the angle of the jaw is tapered to give the face an oval shape. The procedure for slenderizing square jaws is 2 sessions 3 months apart and thereafter annually to maintain the result.
  • Tighten the skin around the jawline – Botox Lift aka the Nerfertiti lift. Botox injected along the jawline gives a sharper jawline and angle and thus creates a mini lift.
  • Reduce flaring of nostrils and gives the nose a slender look.
  • Reduce or erase tight neck bands
  • Reduce lower eyelid bulge that appears prominent when smiling
  • Treat bruxism ( grinding of teeth during sleep). Botox gives significant, simple and quick relief from bruxism. The procedure involves injection into the masseter muscle located at the angle of the jaw.
  • Slimming of bulky calf muscles
  • Hyperhydrosis or excessive sweating of the underarms and hands.


What to do before Botox treatment ?

Avoid taking blood thinning supplements such as gingko or medications such as aspirin and NSAIDs few days before treatment as there is increased chances of bruising.

What not to do after BOTOX treatment ?

Do not massage the area for a few days. Do not lie down for the next 4 hours.

How long does it take to have an effect ?

It takes 3 – 10 days to have an effect

How long does the effect of BOTOX last?

The effect last for about 3 to 4 months. However once BOTOX is administered consistently the duration lengthens and less BOTOX is needed. This is further aided by chemical peels and tightening procedures and topical creams containing peptides, retinol and vitamin C.

What are the complications?

Complications are usually bruising. Bruises take from 5 to 10 days to heal. Serious complications are rare and usually its eyelid ptosis being the commonest. Recovery starts within 4 weeks and full recovery in 3 months. In expert hands, complications are rare.

Does one age more once BOTOX treatment is stopped?

Not really. One goes back to original state. However everyone is continuously aging, some more than others. BOTOX reduces active lines but its effect on the aging process is small. Thus BOTOX should always be combined with anti aging procedures and creams.

Does Botox treatment result in frozen or shocked look?

The frozen look or ‘celebrity face’ (because most Hollywood faces have that look), though wrinkle-free is also expression-free. Unfortunately this is blamed on Botox but the real culprit is bad technique and excessive use of Botox. If the technique is right and with minimum amount of Botox the effect is radiant and fresh.