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What Creates a Wrinkle?

Many wrinkles are actually creases that have been worn into skin by making the same expression thousands of times.  These "expression lines", often called frown lines or crow's feet, are due to the contraction of a muscle under the skin in that area.  We have known for years that surgically cutting that muscle will improve the wrinkle.

What is Botox?

Botox is a purified protein toxin produced by the clostridium botulinum bacteria.  Although Botox is a toxin, there have been no serious side effects.  This is because, for the treatment described, it is used in extremely small amounts and does not spread throughout the body.

How is Botox Used?

A few drops of Botox are injected with a tiny needle  into the muscle that creates a wrinkle.  When Botox is injected into the muscle, it blocks the nerve impulse from reaching that area, and as a result, the muscle weakens.  As the muscle weakens the skin overlying the muscle relaxes and the wrinkles in the skin gradually soften and often disappear.

Does a Botox Injection Hurt?

When Botox is injected there is an initial minor sting for a few seconds.  Once the injection is complete, there is usually no discomfort.

Where Can Botox Be Injected?


The most common areas for the use of Botox are the frown lines between the eyebrows, the horizontal forehead lines, and the crow's feet.  On occasion, some other areas may be treated as well.

Does Botox Affect Other Facial Expressions or Create Numbness?

Botox does not affect the nerve, so there is no numbness in the area of injection.  Also, the effect of Botox is only in the immediate area of injection.  Therefore, the muscles related to other expressions are unaffected.

How Long Does a Botox Treatment Last?


The effects of Botox usually last three to five months, at which time another injection is required.  After several treatments, the effects of Botox may begin to last longer, sometimes up to six to eight months.

How Safe is Botox?

Botox has been used safely and successfully in opthalmology for over 10 years and for wrinkle therapy for over 6 years.  In the amounts used for wrinkle therapy, the only possible side effects are temporary and localized to the area of injection.

Is the Treatment for Everyone?

There are very few restrictions regarding Botox treatments.  Patients who are pregnant or have a neurologic disease should not be treated.

For more information call Potomac Skin Care at (301) 765-0990
10000 Falls Road, Suite 201, Potomac, MD 20854     Tel. (301) 765-0990
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Frown lines before Botox
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1 Week after Botox
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Eye wrinkles before Botox
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1 Week after Botox
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Crow's feet while smiling before Botox
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Crow's feet while smiling 1 week after Botox
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