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BOTOX® and Nuceiva for Fine Lines and Wrinkles

Frequently Asked Questions (FAQs)

What is Botox® Cosmetic?

BOTOX® Cosmetic is the #1 selling treatment of its kind*:

  • Its the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults
  • Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office
  • You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days
  • It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines

Will my face look overdone or unnatural?

BOTOX® Cosmetic is a technique-sensitive treatment. You can trust BOTOX® Cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself—only with less noticeable lines. No one should be able to tell you’ve had anything done.
Compare the before and after pictures of real patients in our gallery, and see the difference for yourself.

How much time does Botox® cosmetic treatment take? Will it hurt?

Your specialist will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. If the HCP deems you to be an appropriate candidate, the injection may take place on that same day. Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your specialist may use ice to numb the treatment area. Or, if you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment.
Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.

Will I see results quickly? How long does Botox® cosmetic last?

You may begin to notice results within 24 to 48 hours, with full results in 30 days, with results lasting up to four months for moderate to severe frown lines. Remember that results vary from patient to patient though, so your physician will plan your next appointment based on your results and aesthetic goals.

How long is the recovery time after treatment?

Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.

How many injections will I receive?

Treatment with BOTOX® Cosmetic is customized to your goals and needs. When you meet with Dr. Arora,  she will determine the appropriate treatment for any areas you wish to address, including moderate to severe frown lines, crow’s feet and forehead lines. Remember, only BOTOX® Cosmetic is approved to treat all three of these areas.

For the crow’s feet area, Dr. Arora will inject 3 areas of the muscle that frames the side of the eye. This will be repeated on the muscle that frames the other eye.

For the frown lines area, your specialist will administer 5 injections into the muscles between your brows and in your forehead. For the forehead lines area, your specialist will administer 5 injections into a muscle in your forehead.

What are common side effects with Botox cosmetic?

Three percent of patients experienced eyelid drooping in the frown lines studies, one percent of patients experienced eyelid swelling in the crow’s feet studies, and one percent of patients experienced brow drooping in the forehead lines studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are not all of the possible serious side effects of BOTOX® Cosmetic. Please see the Important Safety Information including Boxed Warning and Medication Guide and talk to your specialist.

Pre Treatment

  • Please advise any changes in your medical history, medications or history of any allergies.
  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil, Motrin, Aleve, Celebrex, Fish oil and essential fatty acids, Ginko Biloba, St. John’s Wort, Vitamin E, anticoagulants 7 days  prior to procedure.
  • Do not stop taking any medication that has been prescribed or recommended by your doctor.
  • Please advise if you have recently finished antibiotics.
  • Avoid alcohol 48 hours prior to procedure.
  • Avoid waxing, microblading, laser hair, bleaching and tweezing the treated areas.
  • Please wait two weeks after receiving any vaccination before having Botox®.
  • If you have any history of Herpes Simplex (cold sores) on your face, with please contact the office. Antiviral medication can be prescribed to prevent an outbreak.

PRECAUTIONS

You should not have Botox® if you have any of the following:

  • Myasthenia Gravis
  • You have an active infection in the area where it would be injected
  • Allergy to Botulinum Toxin
  • Neuromuscular disorder
  • ALS
  • Peripheral Motor Neuropathic Disease
  • Pregnant or breastfeeding or plan to become pregnant
  • Allergy to human albumin

After Treatment

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  • Exercise the injected muscles for the first 30 minutes after treatment: practice frowning, raising your eyebrows and squinting. This helps work Botox® into your muscles. Although this is thought to help, this will not impact your treatment negatively if you forget.
  • Do not lie down or touch your face for 4 hours after treatment.
  • The results of your treatment can take up to 14 days to take full effect. Usually patients notice a change in 4-5 days. It takes time for the muscles to lose strength and the lines to fade following Botox® treatment. Please wait until 14 days have passed before assessing if you are pleased with the results.
  • Do NOT touch or rub injected site for 24 hours following treatment. Do NOT do strenuous exercise for 4 hours after treatment Avoid facials or saunas 4 hours after your treatment to minimize the risk if temporary bruising.
  •  Be assured that any tiny bumps or marks will go away within a few hours of treatment. Temporary bruising may occur at the injected sites.
  • Avoid facials, microderm abrasion,facial lasers or massage for two weeks after treatment.
  • Avoid Ibuprofen, Advil or Motrin, NSAIDS, Vitamin E, Ginko, Fatty acids and Fish oils after treatment. You may take Tylenol  if experiencing discomfort (if not contraindicated) or apply cool compresses to the treated areas.
  • Please wait two weeks after your Botox treatment to receive any vaccines.
  • Botox® Cosmetic is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. If you maintain your treatment appointments with the frequency recommended by your clinician, the duration of each treatment results may last longer than 4 month.