Botulinum toxin injections, often referred to by the product name Botox®, is a biological toxin (botulinum toxin) transformed into a therapeutic agent. Work with Botox began in the late 1960s to treat neurological disorders. Today, Botox is used for the treatment of frown lines, forehead furrows, "crow's feet", and lines and wrinkles of the lower face. Botox has proven to be a very popular nonsurgical cosmetic treatment. Dr. Metzner has found that the type of lines and wrinkles that respond to Botox injections are those caused by muscles—specifically those muscles that contract during facial expressions such as frowning or squinting. It works by relaxing the muscles that cause the lines so wrinkles smooth out.

Technique: Dr. Metzner will ask the patient to contract the muscles in the area being treated so that he can determine the proper location for injection. In most cases, Botox is injected through a tiny needle directly into the muscle. It takes a few days for the injections to take effect.

Benefits: No downtime. Patients can immediately resume normal activities.
Long experience has proven Botox to be safe. To date, no systemic complications associated with Botox injections have been documented.
Treatment is reversible within several months.
May be beneficial for treatment of migraine headaches.
Other Considerations:

Botox injections are a temporary solution for the treatment of wrinkles. The effects last from 3-4 months and require repeat treatments. Possible side effects include local numbness, swelling, bruising, or a burning sensation during injection. Some patients have reported temporary headache and nausea. Most complications are of short duration and can be avoided with proper injection techniques.

A small percentage of patients are reported to experience no improvement at all. Botox injections for aesthetic purposes appear to be safe and effective. Patients who show early signs of aging, as well as those who may not be suitable candidates for more extensive aesthetic facial surgery, may be good candidates for this procedure. Certain medications (some antibiotics, anti-inflammatories, or aspirin) and even some vitamins and herbs may increase the potency of Botox and may increase bleeding and bruising at the time of injection. Therefore, patients should be candid with their surgeon about all medications and supplements. Pregnant or nursing women should postpone undergoing this procedure. It is not known whether injection of Botox has any effect on a fetus or whether it is found in breast milk.