Botulinum Toxin


Botox®, Dysport® and Nuceiva™

We offer three different types of botulinum toxins, also known as neuromodulators, anti-wrinkle injections or by their trade-names: Botox Cosmetic®, Dysport® and Nuceiva™. They are all the same type of bacteria, Botulinumtoxin Type A but are formulated with different proteins which may effect onset and duration of action, formulation of antibodies and product diffusion. Each has a similar net effect of diminishing lines and wrinkles created by muscle contraction. Most clients can use each product interchangeably without being able to differentiate between them. However, you may already have a preference based on previous response to treatment or in rare cases of antibody development to one product, we can use another brand to achieve your desired results.


Choose the brand medical providers and patients know and trust: BOTOX® Cosmetic. It’s the #1 selling treatment of its kind*:

  • 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

Ask for BOTOX® Cosmetic by name.


BOTOX® Cosmetic is an established brand that delivers consistent results. In a survey, people treated (n=381) with BOTOX® Cosmetic say it:

  • Is a brand they trust
  • Produces predictable results
  • Provides subtle results

When surveyed, 62% of respondents (n=342) say treatment is worth the investment. In fact, BOTOX®Cosmetic is the only treatment of its kind evaluated by the FDA for safety and efficacy in three treatment areas, as well as for patient satisfaction in frown lines and forehead lines in adults.

*Data collected through 2020.  Survey of patients (n=342).1BOTOX® Cosmetic Prescribing Information, 2020

Treatment Areas

  • Frown/11’s/Glabella
  • Forehead
  • Crow’s Feet/Eyes
  • Brow Lift
  • Bunny lines
  • Gummy Smile Correction
  • Lip Flip/Lip Eversion
  • Smoker’s/Feather Lines
  • Downturned Smile/Marionette Lines
  • Chin Dimpling/P’eau D’Orange
  • Masseter Reduction/Facial Slimming
  • Platysmal Bands/Necklace Lines/Nefertiti Lift
  • Trapezius Reduction/Slimming
  • Calf Reduction/Slimming
  • Axillary Hyperhydrosis/Excessive Underarm Sweating


Before and After

Frequently Asked Questions


A combination of factors can cause facial lines. It’s not just about the cellular changes that may occur, or reduction of collagen, or damage caused by free radicals from the sun and the environment.

Repeated muscle contractions from frowning, squinting, or raising eyebrows cause skin to furrow and fold, gradually resulting in the formation of facial lines. BOTOX® Cosmetic works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults – to help them look visibly smoother.


Treatment areas where BOTOX COSMETIC® injections can be used include frown lines between eyebrows, horizontal lines that run across the forehead and crow’s feet around outer eyes.

Some patients receiving BOTOX® Cosmetic report the injections feel like a pinch. You may begin to notice a visible smoothing of frown lines, crow’s feet and forehead lines within 24 to 48 hours, with full results in 30 days lasting up to 4 months for moderate to severe frown lines.

BOTOX® Cosmetic is not a permanent treatment. If you discontinue treatment the moderate to severe frown lines, crow’s feet and forehead lines will gradually return.

Only BOTOX® Cosmetic is backed by more than 16 years of published studies. It uses a unique manufacturing process, and its potency is measured in units that cannot be compared to any other product. This is why there is no such thing as “generic” BOTOX® Cosmetic.


Did you know the FDA has stated that BOTOX® Cosmetic is “non-interchangeable”? That means its safety and effectiveness cannot be claimed by another product. The potency – or strength – of BOTOX®Cosmetic is measured in scientifically defined units that cannot be compared to any other product, due to its unique manufacturing process. There are no substitutes for our product. People who are prescribed a biologic product have a right to know exactly what they are receiving; be sure to ask for BOTOX®Cosmetic by name.

Only BOTOX® Cosmetic has been evaluated and approved by the FDA to help make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults. Make sure you receive authentic BOTOX® Cosmetic—by taking a few simple steps.

  • Ask to see the vial of BOTOX® Cosmetic that the specialist will use during your treatment. The vial will have the BOTOX® Cosmetic logo and also have a holographic image that says Allergan. If the vial has another logo or marking, then it is not BOTOX® Cosmetic.
  • See a reputable medical provider who purchases BOTOX® Cosmetic directly from Allergan such as LSG or a distributor authorized by Allergan.

BOTOX® Cosmetic is manufactured by Allergan in a state-of-the-art facility under the strictest quality and safety standards. Every vial is filled and sealed in a completely sterile environment where the air is filtered and refreshed in excess of 200 times an hour.

Dermal fillers add volume in order to correct hollowness, volume loss, wrinkles and folds. Common treatment areas are lips, cheeks, chin and jawline. Botulinum toxins act on the muscle by temporarily inhibiting their connection to the brain. Common treatment areas are frown lines (11’s, glabella), forehead lines and crow’s feet (around the eyes).

Unfortunately, we encounter a lot of clients who have had a bad experience with injectables and require corrections. Botulinum Toxins do not have an antidote or reversing agent, so undesired effects such as drooping brow, lid ptosis, asymmetrical smile, etc. are typically something you just have to wait out. We always encourage you to return to the injector who treated you so that the issue can be assessed and promote learning between you and the injector.

In the case of hyaluronic acid based dermal fillers, we have options. Perhaps you have lumps, asymmetry, migrated filler, filler “moustache” or “ridge” above the lip or a Tyndall effect (blueish appearance of filler too close to the surface of the skin). In these cases, we can remove the filler with an enzyme called hyaluronidase which breaks down filler quickly and effectively and eliminates it through your lymphatic system. Dissolving results are typically noticed within the first 24-48 hours. Repeat treatments spaced minimum of 2-3 weeks apart may be required, as the effects are less predictable than with other injectables. Hyaluronidase is not specific to filler, so it may also break down your own natural hyaluronic acid within your skin. Luckily for us, our bodies are exceptional healers and hyaluronic acid levels can easily be replenished within about a month after breakdown in a healthy individual. Drinking plenty of water, light activity and massaging the area encourages lymphatic drainage and supports optimal results and healing. Sometimes PRP (platelet rich plasma) treatments are recommended to help restore the health of the tissues. If you wish to refill the area, we recommend waiting at least 4 weeks after your last dissolving session for best results.

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