Before the administration of Botox a “Good Faith Exam” (GFE) is performed. This is to rule out any medical conditions which may contraindicate receiving treatment. A GFE is similar to a history and physical that you would get from your primary physician or nurse practitioner. Your past medical and surgical history is reviewed along with current medications. We also discuss prior aesthetic treatments and any complications you may have encountered.
Wrinkle-Relaxer
Treatments
Botox® is the trademark name for the drug “onobotulinumtodinA” which is made from the toxin bacterium clostridium botulinum. Botox is FDA approved to temporarily reduce the look of moderate to severe wrinkles.
Botox was the first medication to cause muscle paralysis with the use of botulinum toxin. However there are now several other products on the market that work similarly and used for both cosmetic and therapeutic reasons. These products include:
- Dysport ® – abobotulinumtoxinA
- Xeomin ® – incobotulinumtoxinA
- Jeuveau ® – prabotulinumtoxinA-xvfs
These group of medications are also called “neurotoxins” because they block chemical signals from nerves, preventing muscle contraction.

Areas that are commonly treated with neurotoxins
- Frown lines: Front lines, also known as worry lines are vertical lines that appear between the eyebrows as the result of forehead muscles contracting as you frown.
- Horizontal forehead lines: caused by movement in the forehead area by the frontalis muscles when eyebrows are elevated.
- Crow’s feet: Also known as smile lines, crows feet form as we smile. These lines are formed by the lateral orbicularis oculi muscle and form the wrinkles on the outer corners of the eyes
- Lower eyelid wrinkles: relaxing the muscles in these area decreases the bulge Diminishing lines and wrinkles under the eyes.
- Eyebrow lift: A non-surgical AI lift can be achieved when muscles that pull the eyebrows down or relaxed. The eyebrow is lifted and eyes appear larger and more open.
- Bunny lines: Minimize the appearance of wrinkles and fine lines that appear diagonally on both sides of the nose.
- Lip lines (upper): reduce muscle movement around the mouth which leads to a decrease in vertical lines above the upper lip. These lines are also known as smokers lines.
- Gummy smile: noninvasive treatment of gummy smile can be achieved with neurotoxin. Relax the muscle of the upper lip to help keep excessive gummy show less visible. This can be done while creating a more appealing and natural smile.
- Marionette lines: Reduce the movement of muscles around the mouth which cause marionette lines to form. Can be a combination treatment with dermal fillers.
- Chin: Smooth irregular bumpiness and wrinkles on the chin to reveals smoother skin, tighter pores and decrease acne and redness to this area
- Neck bands: Relax vertical bands of the neck, making them look less prominent and achieve a smoother, younger looking neck in about 1 week. The neurotoxin is injected directly into the bands helping them to relax.
- Axillary hyperhidrosis: Block the autonomic innervation of sweat glands with neurotoxin. This treatment is used for severe underarm sweating when topical products are not effective.

Frequently Asked Questions
