What is BOTOX® Cosmetic?

Botox Cosmetic

Botox is the brand name of the neurotoxin protein developed by Allergan Inc. Originally invented to help treat crossed or wandering eyes, Botox is most commonly used today to treat the effects of aging and give users a youthful appearance. When applied by a Certified Injector, Botox is very effective at removing wrinkles by temporarily paralyzing muscles.

How Does Botox Work?

The bacterium where Botox comes from, clostridium botulinum, is naturally found all over the world, including in forests, lakes, soil, and more. It’s also commonly found in mammals, fish, shellfish, and other animals. For the most part, it’s harmless. But if the bacteria spores transform, it can become a neurotoxin that disrupts the signaling process allowing neurons to communicate. And that is how muscles are frozen and lines disappear.

Because of this, it’s very important, always, to find a licensed injector or doctor that specializes in Botox treatments. When in doubt, it’s essential to work with someone who has this certification to ensure you’re getting the best care.

Popular BOTOX®  Treatment Areas

  • Forehead Lines – Horizontal forehead lines are the lines that traverse your forehead and can extend from one side to the other. They can be seen when you raise your eyebrows. In some people, who frequently and consistently make facial expressions, the horizontal forehead lines are also seen at rest. They are caused by using the muscle in your forehead called the frontalis to raise the eyebrows. When you repeatedly raise your eyebrows, these wrinkles will slowly appear over years. Botox® will relax the frontalis muscle used to raise your eyebrows. This will prevent the horizontal forehead lines from getting deeper and often times make them disappear completely.
  • Frown Lines & Furrowed Brows – Glabella lines (frown lines) are the vertical creases that appear between the eyebrows, resulting in a tired or angry look. These lines—sometimes referred to as “elevens” thanks to their shape—are the result of repeated gathering or knitting the area between the eyebrows over time and a loss of elastic tissue as we age.  BOTOX®  is extremely effective when applied to this area. An experienced injector can subtly smooth these frown lines, resulting in a rejuvenated and more relaxed appearance. If the glabella lines are deep-set, the practitioner is likely to recommend treatment with dermal filler in combination with BOTOX®, which is a highly effective way to fill and smooth the area simultaneously.
  • Crow’s Feet – Crow’s feet are the fine lines that form around the eyes.  They are primarily caused by sun exposure, but smoking will also contribute to the formation of crow’s feet.  Loss of skin elasticity as we age will also contribute to the formation of crow’s feet. One of the quicker, easier Botox® treatments – crow’s feet can be treated with Botox® injections into the lateral orbital lines for optimal results.
  • Bunny Lines Bunny – Bunny lines describe straight, slightly diagonal lines that extend from both sides of the nose, beneath the bridge, when someone smiles or laughs. Bunny lines also appear when you scrunch up your nose, such as when you laugh or smile deeply. Presumably, they’re named as such because they vaguely resemble a pair of rabbit ears or whiskers. Botox® injections applied to the transverse nasal muscles on both sides of the upper nose will greatly decrease the appearance of Bunny Lines.
  • Jelly Roll (Undereye Small Bags) – “Jelly rolls” are bulges located just below the eyes that are visible when you’re laughing, smiling, or squinting. They may cause puffy eyes or the appearance of exhaustion. A small amount of BOTOX® Cosmetic under the lash line should help provide a more alert appearance with a softer, less puffy under-eye area.
  • Gummy Smile – “Gummy smile” refers to when a large portion of your upper gums show when you smile or laugh. Individuals who have a gummy smile are typically self-conscious when they talk or smile and will usually try to hide it. BOTOX® has been shown to effectively treat the appearance of a gummy smile and is a much more manageable procedure to receive than surgery. With two or more injections on either side of the mouth & under the nose the muscles on the face can relax and the lips can begin to cover up the gums, thereby creating a more aesthetically appealing smile.
  • Lip Flip  A lip flip is a quick, in-office cosmetic procedure that lasts about 10 to 20 minutes. It involves the injection of Botox® into your Cupid’s bow, which is the middle of your upper lip, and into the corners of your mouth. The injection temporarily relaxes the muscles around your lip. This causes the part of your upper lip that’s inside your mouth to “flip” upward and outward, giving your lip a fuller appearance.
  • Peri-oral Lines (Smoker Lines) – Peri-oral wrinkles are the fine or deep lines that occur around the mouth and lips. As we age this area is often one of the first to develop wrinkles. Like most wrinkles on the face, sun exposure, genetics and smoking (smoker’s lines) and loss of skin elasticity contribute to fine lines around the mouth. Botox® applied to the orbicularis oris muscles can soften the lines surrounding the mouth allowing for a more youthful, smooth appearance around your lips and mouth.
  • Marionette Lines – Marionette lines are one of those aptly named wrinkles that conjure up a pretty clear visual.  Marionette lines run from the outer corners of the lips to the outer corners of the chin. Because of their drooping quality, marionette lines can make a face look perpetually pouty and unhappy. Botox® applied to the depresssor anguli oris and/or trangularis muscles will soften the lines allowing for a more youthful, happy appearance around the mouth and lower face.
  • Mentalis Dysfunction (Chin Dents) – The mentalis muscle is a pair of muscles located at the tip of the chin. It acts as the primary muscle of the lower lip. This muscle provides stability to the lower lip to allow it to pout.  Loss of elasticity can cause chin dimples or dents.  A light Botox® injection applied to the mentalis muscle relieves the problem of “chin dents.”
  • Massetters (Hypertrophy of and Jawline Slimming) – Botox® application to the masseter muscle is ideal for patients who are grinding and clenching their teeth or for individuals who have frequent tension or migraine headaches.  This treatment is also extremely effective for women who do not like the shape of their face due to a square or masculine jawline and desire a more feminine appearance.Patients can expect headaches and clenching to go away within a week and will see the full effects of jaw thinning about one month after treatment, when the muscle has had time to atrophy.
  • Deprssor Anguli Oris Injections (DAO) – These are the muscles on either side of the mouth that depress the corners of the mouth (hence the Latin name Depressor Anguli Oris). Some people tend to carry a lot of tension around their mouths which causes unintentional habitual frowning. Botox® injections into the DOA allows other muscles to elevate the corners of your mouth and reduce your frowning expression.
  • Vertical Platysma Bands – Botox® is specifically intended to manage the hanging platysma muscle. The platysma appears as two muscle bands that hang down vertically and has also been called a “turkey neck”.  The best candidate is someone who has very early platysmal neck sagging or athletes whose muscles bulge when they grimace or move their neck excessively.  Botox works by weakening the platysma muscle and provides counterpull and lifts the neck upward.
  • Brow Lift – Botox® injections create a lifting effect by relaxing the muscles that pull down on the eyebrows. This not only raises the ends of the eyebrows into a more pleasing arch, but also opens the eyes, making you look looking rested and rejuvenated.
  • Both men and women love this popular that can take years off of your appearance, with zero downtime and minimal pain – so it can easily be done during a lunch break.
  • Hyperhydrosis or Hyperhidrosis (Excessive Sweating)
  • Hyperhidrosis is the medical term for excessive sweating. It refers to any abnormal sweating, such as sweating when it’s not hot. People who sweat excessively often soak through their clothing or drip sweat. Regular antiperspirants don’t work well for those with this condition.
  • Botox injections are a fantastic treatment option for people with hyperhidrosis. You may be a candidate for Botox if your sweating fails to improve with prescription antiperspirants. Botox can also be used to reduce sweating in other areas, such as the palms of your hands, feet, and face.
  • When you receive Botox injections directly into the area of your body that sweat excessively, your overactive nerves are essentially paralyzed blocking the release of acetycholine.  Acetycholine is the body’s chemical which stimulates the sweat glands.
  • Our male and female patients are extremely happy with the results of this treatment.
  • Horizontal Neck Lines and Text Neck – As we get older, horizontal creases or bands naturally form on the neck. Also repetitively looking down at your phone can also cause neck lines or “text neck”. These lines can be reduced by injecting small amounts of BOTOX® above and below the wrinkles wherever they appear – this could be all the way around the neck. Some practitioners refer to this as a BOTOX ‘necklace’. These types of lines can be treated with a combination of BOTOX® and dermal fillers.
  • MesoBotox – “Meso Botox” delivers Botox in a new way via diluted microdroplets.  Rather than inject right into the muscle layer, a diluted Botox mixture is injected into the surface of the skin where the oil and sweat glands are located. Because superficial muscle fibers attach to the skin’s surface, partially blocking the activities of these muscles, oil glands, and sweat glands will diminish fine lines & wrinkles, sweat secretion, acne and rosacea. Pore size will also improve for better skin texture due to decrease in the oil and subsequent sweat plugs that create blackheads. MesoBotox is a less potent strength that is injected superficially over a larger area it is expected to last approximately four weeks.
  • Depression – And if we didn’t already LOVE Botox® enough, now we have another reason! A recent study using safety surveillance data of Botox® found significant associations between its use and antidepressant effects, across several indications and different injection sites, according to the study’s authors.  Previous high-quality studies have found Botox® treatment has been associated with antidepressant effects when administered to the glabellar or forehead region of the face, they noted. Read more about Botox’s benefits for depression.

Botox FAQs

Is Botox safe?
Botox is a neurotoxin, but it doesn’t mean it is dangerous. When in the hands of a highly trained and credentialed injector, it is considered safe and part of a harmless, temporary solution.

How long does a Botox appointment take?
Most procedures last less than 30 minutes.

What else is Botox used for?
Botox can also be used to help treat fine lines and wrinkles, sweating, chronic pain, depression and migraines.

When was Botox discovered?
Although Botox is very popular today, it was first discovered in the 1800s.

What are the most popular areas for Botox?
Botox can be used for everything from worry and frown lines to lip lines and jowls.

How long does Botox last?
Botox isn’t permanent. Most procedures last between 3-6 months.

Do a lot of people get Botox?
It is the most common nonsurgical procedure in the U.S.

Can I get Botox if I’m pregnant?
Botox should not be used by pregnant or lactating women or by people who have had a reaction to the drug in the past.

What is the most popular use for Botox?
BOTOX® is FDA approved for cosmetic use to improve the look of fine lines and superficial wrinkles between the brows caused from every day brow furrowing as well as for migraine headaches.

I’ve heard using Botox can prevent wrinkles, is this true?
BOTOX® is also used in the prevention of wrinkles as well, by prohibiting you from making the facial gestures that cause wrinkles.

Who is a Good Candidate For Botox?

Any man or woman who desires natural-looking improvements may be a candidate for BOTOX® Injectable treatments. Being in overall good health and having realistic expectations is required. Our Certified Master Injector, will assess your desires and concerns during your initial consultation and customize your treatment plan. Often, patients choose to combine facial procedures – such as HydraFacials or Rejuvapen Treatments to achieve the best results for healthy glowing skin.

An at-home topical skincare routine is also recommended to provide optimal results for beautiful skin to enhance your injection results. Talk to one of our Licensed Medical Aestheticians about the Medical Grade skincare products we offer in our office.

Do I Need a Consultation?

Dr. Rudderman believes the first consult is critical. It is during this time that you and your injector achieve a mutual understanding, trust and respect. The information you provide is essential to tailoring the right treatment plan and realistic goals. Your Expert Injector will listen carefully and sensitively before developing your personalized treatment plan.

See the Results

Botox Results for Moderate or Severe Forehead Lines
Botox Results for Moderate or Severe Frown Lines
Botox Results for Crows Feet in Women
Botox Results for Crows Feet in Men

BOTOX® – About Its New Uses

Botox® Cosmetic is also being used effectively to offer great pain relief to migraine sufferers and is being effectively applied in cases of excessive underarm and palm sweating with great results. Its safety and convenience of use assures us that Botox is here to stay.


Do Botox Treatments Involve Downtime?

Dr. Rudderman’s patients rarely require downtime. Most of his patients typically resume normal activities right after their treatment.

What Are The Potential Side Effects From Botox?

Rarely – some patients may fail to see improvement in their condition after treatment. Some numbness, swelling and/or a burning sensation and bruising are normal in many cases and resolve on their own in a few days.

Does Insurance Cover Botox Treatments?

Insurance covers medically necessary treatments which does not include Botox Cosmetic treatments. When Botox is used for medical treatment, coverage should be available. Be sure to ask about this.

Is Financing Available For Botox Treatments?

YES – financing is available today for most cosmetic procedures. Ask about it in our business office.

What Does The Injection Do?

Botox® Cosmetic – also called botulinum exotoxin – is a neuromuscular inhibitor. When Botx is injected into a muscle – it prevents muscle contraction thus causing the muscle to relax. The relax muscle allows the wrinkles, furrows and creases to smooth out and become unnoticeable.

Am I A Good Candidate For Botox® Cosmetic Treatments?

If you desire to eliminate or reduce heavy vertical creases between your eyebrows, flatten deep forehead wrinkles and smooth out Crow’s feet or clean up ugly smoker’s lines above your upper lip –then you could be an ideal good candidate for Dr. Rudderman’s Botox treatments. You must be in overall good health and have realistic goals.

Is Botox® Cosmetic For Both Men & Women?

Absolutely! In today’s corporate world, men are constantly in career competition and realize they have to stay looking good! Women are also finding themselves in the same situation – and understand that good looks mean better jobs. Dr. Rudderman tailors Botox treatment plans for both men and women who are health conscious and who want to look as good as they feel.

Does Dr. Rudderman Perform Botox Treatments In-Office?

YES – Botox is an in-office treatment that can be performed during your lunch hour. Many people apply mineral make up and return to work – while others choose to be seen on Friday and are ready to return to work on Monday.

Is Anesthesia Needed During Botox Treatments?

NO – anesthesia is typically not needed, but Dr. Rudderman can use local anesthetic if needed.

Are Botox Injections Painful?

NO – Patients say they experience only a temporary burning sensation.

How Much Time Is Involved In A Botox Treatment?

Injectable appointments at Dr. Rudderman’s office are scheduled for 30 minutes. The length of time depends upon the extensiveness of your treatment.

Do Botox Treatments Involve Downtime?

Dr. Rudderman’s patients rarely require downtime. Most of his patients typically resume normal activities right after their treatment.

What Are The Potential Side Effects From Botox?

Rarely – some patients may fail to see improvement in their condition after treatment. Some numbness, swelling and/or a burning sensation and bruising are normal in many cases and resolve on their own in a few days.

Does Insurance Cover Botox Treatments?

Insurance covers medically necessary treatments which does not include Botox Cosmetic treatments. When Botox is used for medical treatment, coverage should be available. Be sure to ask about this.

  • Dr. Rudderman and his staff made the experience easy and comfortable. They were realistic communicating surgery expectations, expected pain levels and down time from work. Nurses were informative and friendly and wait times minimal. I also liked the fact that Dr. Rudderman does all his own work and doesn't let other less experienced people do parts of the surgery the way other doctors may. I'm only one week out of the surgery, but I am very satisfied with the results so far.

    Susan Parker | Atlanta, GA


Dr. Rudderman’s unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form. He understands that the body changes with time – as do desires. His primary goal is to deliver the best possible plastic surgery … specifically matched to each patient…in a safe environment with ultimate respect for every single individual…their concerns and goals. LEARN MORE »

“The best plastic surgery results must give each individual the opportunity to feel comfortable now and in the future…”

Dr. Randy Rudderman

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