Get the Facts About Common Cosmetic Procedures: Botulinum Toxins

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What is it? Injectable botulinum toxin type A treatments and other injectables are called "liquid facelifts" because they can provide noticeable results with nary a scalpel. Injectable neurotoxins (think Botox Cosmetic) temporarily reduce activity of muscles that cause wrinkles by blocking nerve signals required for muscle movement. These treatments are approved to reduce the appearance of frown lines between your eyebrows that sometimes look like an "11" and may be used elsewhere at your physician's discretion. Botox Cosmetic, the most well-known injectable, and Dysport, are the two brands available in the United States.

Who is it appropriate for? People who want to look younger or have a refreshed appearance without surgery.

How is it done? The product is injected into the muscles under your skin in a series of injections. The entire procedure takes about 20 minutes.

What is the pain factor? Some discomfort with injection. This can usually be relieved by using ice packs or anesthetic ointments.

How long does it last? Treatment can last up to four months.

Who does it? Numerous medical specialists offer botulinum toxin treatments, including plastic surgeons, dermatologists and even ophthalmologists. Make sure the doctor you choose has significant experience giving the injections and that the doctor, not a nurse or other health care professional, gives the injection. Also make sure they use the real thing; you can ask to see the vial of medicine. For instance, the Botox Cosmetic vial has a hologram with the name of its maker, Allergan.