A Dermatology Provider’s Guide to BOTOX® COSMETIC

Cheerful woman holding hand of a senior man against sky

In the Spring of 2022, BOTOX® Cosmetic celebrated its 20th year since being approved by the FDA as a temporary cosmetic treatment for moderate to severe frown lines in adults. Today, it is a popular and safe treatment for different types of lines and wrinkles. We asked Advanced Practice Nurse, Adria Thomas, APRN, at Bend Dermatology Clinic in Ashland to answer your top questions about BOTOX Cosmetic.

Q: What is BOTOX Cosmetic, and how does it work?

BOTOX Cosmetic is a neuromodulator that blocks communication from your nerves to your muscle. This action results in the muscle relaxing. There are two classifications of wrinkles. Static wrinkles are the ones we have at rest. In contrast, dynamic wrinkles are those created with muscle movement such as frowning, laughing, or raising your eyebrows. BOTOX Cosmetic is excellent for these because it improves the appearance of the dynamic wrinkles you already have and can prevent new ones from forming.

Q: What is the difference between BOTOX Cosmetic and fillers?

This is a great question, as the two are often confused! BOTOX Cosmetic works by preventing muscle contractions, thus helping prevent fine lines and wrinkles. Fillers add volume, structure, and support in areas such as the lips and cheeks. Some of the fillers we offer at Bend Dermatology Clinic in Ashland include Restylane®, RADIESSE®, and JUVÉDERM®.

Q: At what age should I start using BOTOX Cosmetic?

This truly varies from patient to patient. It depends on the degree of your fine lines and wrinkles. It also depends on how comfortable you are getting this type of procedure and doing what feels right for you. I think starting in your 30s is a great time to begin preventing wrinkles from forming.

Q: How long do results last?

BOTOX Cosmetic results last two to three months. If you need a touch-up or want to start a maintenance schedule, consult with your Provider to formulate a plan specific to you.

Q: If I want to get BOTOX Cosmetic before a special event, when should I get the treatment?

I recommend four to six weeks before your event. BOTOX Cosmetic takes about two weeks to fully take effect. In two weeks, we can reassess to see if you need a touch-up in any areas. If a touch-up is necessary, this will allow an additional two weeks for the BOTOX Cosmetic to take effect. However, I suggest starting six months in advance if you are planning for a big event like a wedding. If you are new to BOTOX Cosmetic, this gives you time to see if you like it or allows us to make adjustments. It also allows us to create a customized treatment plan to prepare you for your big event!

Q: Can I use BOTOX Cosmetic to prevent lines from forming?

Absolutely! BOTOX Cosmetic is fantastic as a preventative treatment to keep lines and wrinkles from forming. Now, let’s be clear, BOTOX Cosmetic can postpone wrinkles, but it cannot stop the aging process.

Q: Is everyone a candidate for BOTOX Cosmetic?

No. Upon consultation, we will discuss risks and explore your health history to see if you are a good candidate for BOTOX Cosmetic. Pregnant or breastfeeding clients are not candidates for these injectables.