Botox is be used in the treatment of wrinkles which appear
or deepen with the actions of the small mimetic muscles of the face. Most common areas treated with botox are transverse forehead lines, frown lines, crow’s feet lines just lateral to the eyelids and vertical lip lines. Botox may also be used in the treatment of visible muscle bands of the neck, migraine headaches and excess sweating in the armpits, hands and feet.

Technically, botox solution is injected into the small muscles under skin in the regions of the wrinkles. Botox acts by temporarily inhibiting the small muscles which cause these mimetic wrinkles. In general, the wrinkles disappear in
3-5 days and the effect last about 4-6 months. Repeat injections are done not earlier than 3 months apart.
In general, as the wrinkles appear again after each treatment, they become less apparent.

Duration of the procedure is about 10 minutes and anesthesia is not required. Normal daily activities and  exercises may be resumed the same day. Situations in which botox injection can not administered are pregnancy, breast feeding, infection
at the treatment area, neurological disease like myasthenia gravis, patients who use antibiotics of the aminoglycoside type ending with “mycin” which weakens the immunity system, patients with rheumatoid arthritis and patients using malaria drugs like chloroquine.

Main risks are of the procedure are temporary swelling and bruising, asymmetry, headache, fatigue, eye watering, drooping of the eyelid, and very rare allergy. With too frequent injections, eg. less than 3 months apart, the effectiveness of the botox may decrease due to the development of resistance. For this reason, botox should not be injected earlier than 3 months. It is usually ideal to reinject botox in 5-7 month intervals.