OnabotulinumtoxinA is a protein that has been injected for decades for medicinal purposes. The product works by temporarily blocking signals to specific muscle fibers around the area of injection. This results in relaxation of those muscles. The end result is that the skin overlying those muscles in the face does not fold onto itself, and so the wrinkles become less prominent or disappear entirely. Treatment duration varies among individuals, but generally some effect is noticeable for between 3 to 4 months and even up to 6 months in some cases.

BOTOX® was FDA approved in 2002 for cosmetic use to treat the vertical wrinkles between the eyebrows, often called the “elevens” because of their shape. In 2013, BOTOX® was approved for treat of the wrinkles toward the sides of the eyes, sometimes referred to as “crow’s feet.” At Schmidt Facial Plastic Surgery, we also use the medication in a number of other areas to achieve a smoothing, rejuvenating, and very natural appearance to the face. These techniques are very well established but are not necessarily performed by all physicians injecting these types of medications.

We treat the following problems using BOTOX® and XEOMIN®:

  • horizontal wrinkles/lines of the forehead
  • vertical lines between the eyebrows
  • wrinkles toward the sides of the eyes (crow’s feet)
  • horizontal wrinkles of the nose (sometimes called bunny lines)
  • wrinkles around the lips
  • excessively mobile upper lip during smile (gummy smile)
  • cobblestoned or dimpled chin
  • prominent neck bands (lizard neck appearance)

Other companies offer similar and effective products that contain the same or a similar protein, and these products go by a different brand names (e.g. XEOMIN® versus BOTOX®). The medication is extremely effective at treating wrinkles, particularly those that are only present with movement of the muscles of the face. As with most types of medical treatment, there is potential for risk. We disclose these risks while discussing your customized treatment plan.

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With over 10 years of surgical experience, Dr. Schmidt focuses on each patient’s unique needs, concerns, and goals to provide a beautiful, natural result for cosmetic, reconstructive and non-surgical procedures. View Dr. Schmidt’s before and after photos to see the results other patients have achieved.

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