Botox Cosmetic is an injectable wrinkle muscle relaxer. It uses botulinum toxin type A, specifically onabotulinumtoxinA, to temporarily paralyze muscle. This reduces the appearance of facial wrinkles.

Botox treatment for cosmetic purposes uses a type of botulinum toxin type A, considered a safe, effective treatment for fine lines and wrinkles around the eyes. It can also be used on the forehead between the eyes.

Botox was originally FDA approved in 1989 for the treatment of blepharospasm and other eye muscle problems.

In 2002, the FDA approved the use of Botox for a cosmetic treatment for moderate to severe frown lines between the eyebrows.

It was approved by the FDA for the treatment of wrinkles around the corners of the eyes (crow’s feet) in 2013.

Though technically a toxin, when used properly and by a trained professional, Botox is a safe cosmetic procedure.

Botox Cosmetic involves a nonsurgical, minimally invasive, in-office treatment. It requires minimal preparation.

You should let your treatment provider know about your medical history, allergies, or medical conditions before your procedure.

Your treatment should be given by a licensed physician, a physician assistant, or a nurse.

You might need to remove all your makeup and cleanse the treatment area before the procedure. You may also need to avoid blood-thinning medication like aspirin to reduce the risk of bruising.

Cosmetically, the injectable can be used in the following areas:

  • the area between the eyebrows (glabellar region), to treat moderate to severe frown lines
  • around the eyes, commonly known as crow’s feet lines

Botox also received FDA approval to treat various medical problems, including:

Botox Cosmetic works by temporarily blocking nerve signals and muscle contractions. It does this by blocking acetylcholine, a neurotransmitter that signals muscles to contract.

This improves the appearance of wrinkles around the eyes and between the eyebrows. It can also slow the formation of new lines by preventing contraction of facial muscles.

It’s a minimally invasive procedure. It doesn’t involve incisions or general anesthesia. If you’re concerned about pain or discomfort, a topical anesthetic or ice can numb the treatment area.

During the procedure, your provider will use a thin needle to administer 3 to 5 injections of botulinum toxin type A. They will inject the targeted area between the eyebrows.

You will usually need three injections on the side of each eye to smooth out crow’s feet.

The entire procedure takes approximately 10 minutes.

Minor bruising or discomfort may occur, but should improve within a few days. Other side effects may include:

  • swelling or drooping in the eyelid area
  • tiredness
  • headache
  • neck pain
  • double vision
  • dry eyes
  • allergic reactions, such as rash, itching, or asthma symptoms

Contact your provider immediately if any of these side effects occur.

Avoid rubbing, massaging, or applying any pressure to the treated area. These actions can cause Botox Cosmetic to spread to other areas of the body.

When injected between the brows, do not lie down or bend over for 3 to 4 hours. Doing so may cause the Botox to slip under the orbital rim. This could possibly cause an eyelid droop.

There is little to no downtime expected after the treatment. In most cases, you should be able to resume normal activities immediately.

It’s important to understand possible improvements and have realistic expectations.

Noticeable results can be expected within 1-2 days post-treatment. The full effect of Botox Cosmetic typically lasts up to 4 months. It can also help prevent the return of fine lines by relaxing the muscles.

Additional Botox injections can be administered to maintain your results.

According to the American Society of Plastic Surgeons, Botox costs around $10 to $15 per unit. To treat the forehead and eye area, it could take about 35 units, giving an average cost of $450.

Costs may vary depending on the number of injections, the size of the treatment area, and the geographic location where you receive treatment.

Botox Cosmetic is an elective procedure. Health insurance does not cover the cost when used for cosmetic reasons.

While you may be able to find lower prices, it’s important to see a properly trained professional. It’s worth paying more for a safe treatment.

Botox Cosmetic is FDA approved for the reduction of fine wrinkles around the eyes and on the forehead. It’s relatively safe and noninvasive.

When choosing a provider, confirm that they’re licensed to administer Botox Cosmetic. Let your provider know about any allergies or medical conditions, and call them right away if you experience any side effects following your treatment.

Results should last about 4 months, and you can have additional injections to maintain the reduction in your wrinkles.