Botulinum Toxin (Botox) Injections

Botulinum Toxin - or Botox - can soften facial lines and wrinkles, making you look years younger without surgery. It works especially well on forehead lines, crow’s feet and frown lines.

Treatment involves the injection of purified botulinum toxin into the facial muscles. The toxin weakens the muscles, which in turn lessens the severity of facial lines. Results last 4-6 months. Especially when combined with peels, daily alpha hydroxyacid and tretinoin cream, Botox injections can help achieve a dramatic overall effect.

Botox injections are available at Family Dermatology’s Atlanta, Cartersville, Lilburn and Marietta locations.


You should not receive Botox injections if you:

  • have myasthenia gravis
  • have neuromuscular disease
  • are allergic to human albumin
  • are allergic to botulinum toxin
  • are pregnant or breast feeding
  • have consumed any alcohol in the previous week
  • have taken any aspirin or anti-inflammatory medication in the previous two weeks

Before your appointment

  • Do not drink any alcohol for one week prior to the procedure.
  • Do not take any aspirin or anti-inflammatory medications for two weeks prior to the procedure.

After the procedure

  • Do not lie down for four hours after treatment.
  • Do not massage the treated muscles. This can cause the Botox to spread to the muscles around the eyes.
  • Exercise the muscles in the treated area every 15 minutes during the first hour following treatment. The toxin attaches better to active muscles.
  • Expect it to take 5-10 days before the treated areas soften. If you do not see results after two weeks, the injection may not have worked properly. You should make an appointment at Family Dermatology for a touch up, which will be provided at a reduced fee.
  • Your facial lines should remain softened for 4-6 months. When lines begin to reappear, you can repeat the Botox treatment without fear of long-term side effects. As time passes, you may find you can go longer between treatments as you get out of the habit of contracting the muscles that cause facial lines.

Possible side effects

Most patients tolerate Botox quite well, but side effects occasionally seen can include:

  • A small bruise or hematoma, which will resolve itself in a few weeks. This occurs in about one in 10 patients.
  • Drooping of an eyebrow or eyelid. This is a rare occurrence. It can last 3-6 months but will always eventually go away.
  • Double vision. This is reported extremely rarely. It can last 3-6 months but will always eventually go away.

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