BOTOX® Cosmetic has become so synonymous with the portrayal of Plastic Surgery in the media that many people are confused about how, where and indeed why it is used. In this entry, I shall try to clear up the confusion.
Both BOTOX® Cosmetic (onabotulinumtoxinA) and its major competitor, Dysport® (abobotulinumtoxinA), are derivatives of Botulinum Toxin A, a toxin produced in nature by the bacterium Clostridium Bolulinum and responsible for the paralyzing illness ‘Botulism.’ The action of the toxin is to paralyze muscles for lengthy periods of time (up to a year). In medical doses, specific muscles may safely be put out of action to produce a cosmetic benefit. The medication is administered by injection, using a fine needle, into or near the target muscles, which are usually muscles of facial expression. The paralysis then takes a few days to take effect. BOTOX® Cosmetic is not, therefore, a filler (a common misunderstanding), and because it paralyses facial muscles, the physician must be very selective in its use if a blank expression is to be avoided.

“My role is to guide—not dictate. I encourage every patient to express their goals and take ownership of their decisions. When patients feel confident in their choices, the results are not only beautiful—they feel authentic, effortless, and entirely their own.”
BOTOX® Cosmetic lasts for a number of months up to about a year, depending on the individual, the dose and the location of the injection. Repeating the treatment every four months is said to ‘train’ the muscle not to contract and produce a long term benefit. However, this has not been proven conclusively.
Side effects include paralysis of adjacent muscles leading to mild disabilities such as ptosis (droopiness) of the upper eyelid when the glabella is injected. Fortunately, such problems are short-lived, as the action of BOTOX® Cosmetic is limited.

Some images may be models.
Before and After Photos - individual results may vary.
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