Botox Cosmetic® is a purified protein called onabotulinum toxin A.  By using a tiny micro-needle, a very small amount of Botox Cosmetic® is strategically placed into a targeted facial expression muscle, thereby relaxing the muscle.  This causes the overlying skin to become smoother, with fewer lines and wrinkles, and allows the untreated muscles to contract in a normal fashion, thus allowing normal facial expression to be unaffected.  The effects are seen within 5 to 7 days and last between 3-4 months and with continued treatments less frequent injections may be possible.

We aim to achieve a natural, rested appearance with Botox Cosmetic ® treatments, not a ”frozen” appearance to the face.

Therefore it is our philosophy to inject the least amount of Botox Cosmetic ® as is necessary to achieve this result.  Occasionally, this may require a second “touch-up” treatment a week or so after the first injection.

Injection sites commonly include:

  • Between and above the eyebrows to soften or prevent frown lines
  • In strategic locations of the forehead to improve horizontal wrinkles
  • At the outer region of the eye to soften or prevent crow’s feet and squint lines
  • At the bridge of the nose to improve bunny lines
  • Below the outer corners of the mouth to release the tension that pulls the outer corners of the mouth downward
  • Around the mouth to soften or prevent lip lines
  • In the neck to soften vertical banding
  • In the underarms to prevent excessive sweating


Some of our patients express concern about the safety of Botox Cosmetic ®.  Botox® has been used for many years to treat medical conditions such as strabismus and muscle spasticity safely and effectively.  Botox Cosmetic® has been used safely on over 11 million individuals.  However, it is a medical procedure.  It is the philosophy of Dr. Kay and his staff that Botox Cosmetic ® treatments are performed in our controlled office setting by master injectors who are Registered Nurses.

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