Botox Cosmetic FAQ

Although BOTOX injections are fairly common in Orange County, you may still have some questions or concerns about this popular wrinkle treatment. Dr. Andrew Smith believes that by providing the information his patients need and answering their questions completely, they can make better treatment choices and enjoy more satisfying results. This page contains answers to some of the common questions Dr. Smith is asked about BOTOX at his Irvine, and Corona offices.

If you have other questions about BOTOX or would like to get started, contact us online or call (949) 653-7000 to reach any of our offices. Dr. Smith and his staff look forward to meeting you.

Is BOTOX safe?

The United States FDA approved BOTOX for cosmetic use in April 2002 and in 2004 expanded its approved uses to include treatment of excessive underarm sweating (axillary hyperhidrosis). The main ingredient in the product has been used for medical purposes for many decades. When performed by an appropriately trained and experienced practitioner, these treatments are very safe and have a low risk of complications for most people.

How does BOTOX work?

Dynamic wrinkles such as horizontal forehead lines and crow’s feet around the outer corners of the eyes are caused by repeated contractions of facial muscles. BOTOX Cosmetic contains a purified protein (onabotulinumtoxinA) that temporarily stops the contractions of facial muscles that cause dynamic wrinkles. Once the facial muscles stop contracting, the associated wrinkles gradually smooth away.

What’s the difference between BOTOX and dermal fillers?

BOTOX treats wrinkles indirectly, by addressing the muscle contractions that cause them. Injectable fillers such as Restylane® and JUVÉDERM® add volume, smoothing out wrinkles and folds from underneath the skin.

What’s the difference between BOTOX and Dysport®?

Both BOTOX and Dysport are used to treat dynamic wrinkles by relaxing targeted facial muscles. Here are some differences:

  • BOTOX usually takes 5 to 7 days for noticeable results; results from Dysport tend to appear within 2 to 5 days of injection.
  • Dysport spreads farther from the injection site than BOTOX, which is helpful when treating larger areas such as the forehead.
  • In some cases, Dysport treatments may cost less than BOTOX treatments because comparable results can be achieved with less of the product.

Will BOTOX treatments make my face look unnatural?

Our experienced team consistently provides natural looking results by placing the injections precisely and injecting the proper amount of BOTOX (just enough, but not too much). Our BOTOX patients can expect to look naturally refreshed, not “frozen” or expressionless.

How can BOTOX give me a non-surgical brow lift?

When injected into specific facial muscles, BOTOX treatments can provide results similar to a subtle brow lift. Placement of the injections depends on whether you want the whole brow or outer brow lifted, but focuses on relaxing facial muscles that naturally pull the brow down. The BOTOX brow lift is a good choice if you aren’t ready for surgery, but unlike surgery the results are temporary.

What is a “liquid facelift”?

A “liquid facelift” is a non-surgical option for taking years off of the face through the use of injectable products. This procedure is a good choice for women and men who do not wish to have surgery, and for patients who have early signs of facial aging such as wrinkles, thinning lips, and volume loss on the cheeks and around the eyes. To rejuvenate the face without surgery, we use:

  • Dermal fillers to reduce folds around the mouth, smooth out wrinkles, restore volume to the cheeks and lips
  • BOTOX or Dysport to soften dynamic wrinkles and enhance the results of fillers

Together these complementary treatments provide beautiful facial rejuvenation without surgery or downtime.