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BOTOX® Cosmetic FAQ

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Request a Consultation Although most people are by now familiar with BOTOX, our Orlando, Florida patients still frequently have questions about this popular treatment. As a facial specialist and top distributor of BOTOX Cosmetic, Dr. Edward J. Gross is exceptionally qualified to answer questions about the product, the procedure, and the effects. Here, he and his team have provided answers to some of the most common questions our patients ask about BOTOX Cosmetic.

Dr. Gross is a double board-certified facial plastic surgeon who is committed to patient education. Request a consultation today, or call our office at (407) 333-3040.

Before & After Photos
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Individual results may vary.

Common Questions

How does BOTOX Cosmetic work?

BOTOX Cosmetic is made of a neurotoxin called OnabotulinumtoxinA, which blocks nerve impulses to the tiny muscles that contract during repeated facial expressions. Wrinkles that form from repeated facial expressions are called "dynamic wrinkles," and they include frown lines between the brows, crow's feet at the corners of the eyes, and horizontal lines across the brow. As we age, those lines tend to linger even once we relax our faces. BOTOX Cosmetic injections relax those underlying muscles.

Is BOTOX Cosmetic safe?

Yes, particularly when it is administered by a board-certified facial specialist. Any cosmetic procedure comes with inherent risks, but those are minimized by the experience and training of a plastic surgeon such as Dr. Gross, whose safety record is remarkable. BOTOX's safety is one of the reasons it's frequently the top non-surgical treatment in the country.

How much does BOTOX cost?

The cost of each patient's treatment differs depending on how many units of BOTOX Cosmetic they use, regional standards, and other variables. In the Orlando, Florida, area, a BOTOX treatment tends to range from $300 and $600.

Do the injections hurt?

Since the needle is extremely small, most patients describe the injection as mildly uncomfortable but not painful. We can use a topical anesthetic to numb your face before beginning the injections to make the process even more comfortable.

Are there any precautions I need to take prior to a BOTOX treatment?

We often advise our patients to avoid certain medications that encourage bleeding in the days before their appointments, such as ibuprofen and aspirin, to keep bleeding and bruising to a minimum at the injection site. Other than that, you don't need to do anything special to prepare for these simple treatments.

How long until the results of a treatment are visible?

Because it takes the active ingredient in BOTOX a few days to have an effect, your results will develop gradually over about a week. At 10 days, your final results should be visible. Many patients say they like the gradual development of results because it is very discreet.

How long do BOTOX Cosmetic results last?

Most results of a single session of BOTOX last about 3 or 4 months, sometimes longer. One benefit of getting regular treatments, though, is that they seem to have a cumulative effect for many patients, meaning you may be able to wait longer in between sessions.

Will my results look natural?

Dr. Gross is an advocate of a conservative approach. Using his trained aesthetic eye and many years of experience, he precisely targets very small, specific muscles. He injects just enough BOTOX to achieve the desired correction without causing an "overdone" appearance. This ensures your results are subtle and natural-looking and that your face remains expressive.

Can BOTOX Cosmetic be combined with other treatments?

Yes. Dr. Gross frequently uses BOTOX in conjunction with dermal fillers such as RADIESSE®, Restylane®, and JUVÉDERM VOLUMA™ XC.

Are there any alternatives?

Dr. Gross also offers injections of Dysport®, a product that is very similar to BOTOX Cosmetic. Some patients see better results with one or the other or a mix of both products.

Do the treatments have any other uses?

BOTOX has been approved by the FDA for a number of medical uses, including treating migraines, excessive sweating, incontinence, and muscle spasms near the eyes.

Are there any risks or side effects I should know about?

The most common side effects are minor and are related to the injection site, such as swelling, bruising, and redness. These typically diminish within a day or two, and we offer Arnica gel as a temporary remedy to reduce these minor side effects. We also recommend patients take the supplement Arnica 30x®, which helps with bruising and swelling. More serious side effects include a drooping brow or eyelid, but this is extremely rare, particularly in the hands of a facial specialist who has a thorough knowledge of the musculature of the face.

Can BOTOX Cosmetic prevent wrinkles?

Yes. It is becoming more common for patients to begin getting BOTOX injections at younger ages. Because the product limits the activity of the wrinkle-causing muscles, these patients tend to stave off dynamic wrinkles until later ages.

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