BOTOX®

BOTOX® Cosmetic


Look younger, feel rejuvenated.

You’ve probably heard of BOTOX® Cosmetic, but did you know: It’s the first and only FDA-approved treatment to temporarily smooth moderate to severe forehead lines, crow’s feet lines, and frown lines in adults? BOTOX® Cosmetic is a one-of-a-kind formulation—there’s nothing exactly like it!
So, if you’re bothered by those deepening lines and have thought about treatment to temporarily reduce them, ask for BOTOX® Cosmetic by name. 
Because only BOTOX® Cosmetic gives you BOTOX® Cosmetic results. Make it part of what you do—for you!

  • REDUCE THE APPEARANCE OF FINE LINES AND WRINKLES

    Contraction of the muscles of the forehead and eyes results in the formation of wrinkles. Botox® works by causing relaxation in the muscles of the forehead and the eyes, which is where worry lines start. Administering the treatment takes about 10 minutes, and results last up to six months. There is absolutely no downtime and very minimal discomfort.

    BOTOX® PATIENT TESTIMONIALS

    Eliana, 32

    “I’m going to be a bridesmaid for the first time in my friend’s wedding. There’s going to be a lot of photos taken and I wanted my crow’s feet and my frown lines to be less noticeable.”

    Clint, 54

    “I’m a competitive person by nature and my appearance is important to me.”

    Clint, 54

    “I’m a competitive person by nature and my appearance is important to me.”
    • WHAT IS BOTOX® COSMETIC?

      BOTOX® Cosmetic is the first and only FDA-approved product to temporarily improve both moderate to severe frown lines between the brows and crow’s feet lines around the sides of the eyes in adults.

    • HOW DOES BOTOX® COSMETIC WORK?

      BOTOX® Cosmetic targets one of the underlying causes of frown lines and crow’s feet—the repeated muscle contractions from frowning and squinting over the years. Your doctor will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You’ll begin to notice a visible smoothing of these lines.

    • HOW IS BOTOX® COSMETIC (onabotulinumtoxinA) ADMINISTERED?

      To temporarily improve moderate to severe crow’s feet, your doctor will inject BOTOX® Cosmetic into the muscle surrounding the sides of your eyes—called the orbicularis oculi.


      For temporary improvement of moderate to severe frown lines, BOTOX® Cosmetic is injected into 2 muscles—the corrugator and procerus muscles.


      Treatment with BOTOX® Cosmetic takes approximately 10 minutes and requires minimal downtime or recovery—it’s often called a lunchtime procedure.


      Think 2 treatments, 1 visit. Ask your doctor aboutreceiving BOTOX® Cosmetic for moderate to severe frown lines and crow’s feet at the same time.

    • WILL BOTOX® COSMETIC MAKE ME LOOK LIKE I'VE HAD WORK DONE?

      When BOTOX® Cosmetic is administered by an experienced injector, you should not lose the ability to show expressions. BOTOX® Cosmetic is a techniquesensitive procedure that should only be performed by a licensed and trained aesthetic provider who has expertise in facial anatomy.


      Talk to your doctor about your expectations and the results you want to achieve with treatment.

    • IMPORTANT SAFETY INFORMATION

      BOTOX® Cosmetic (onabotulinumtoxinA) Important Information


      Indications


      BOTOX® Cosmetic (onabotulinumtoxinA) is indicated in adult patients for the temporary improvement in the appearance of:

      - moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity

      - moderate to severe lateral canthal lines associated with orbicularis oculi activity

      - moderate to severe forehead lines associated with frontalis activity


      IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING


      WARNING: DISTANT SPREAD OF TOXIN EFFECT


      Postmarketing reports indicate that the effects of BOTOX® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses, including spasticity in children, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower doses.


      CONTRAINDICATIONS


      BOTOX® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.


      WARNINGS AND PRECAUTIONS


      Lack of Interchangeability between Botulinum Toxin Products


      The potency Units of BOTOX® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.


      Spread of Toxin Effect


      Please refer to Boxed Warning for Distant Spread of Toxin Effect.


      No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 40 Units (for forehead lines with glabellar lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines), and 64 Units (for simultaneous treatment of lateral canthal lines, glabellar lines, and forehead lines) have been reported.


      Serious Adverse Reactions With Unapproved Use


      Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX®. The safety and effectiveness of BOTOX® for unapproved uses have not been established.


      Hypersensitivity Reactions


      Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.


      Cardiovascular System


      There have been reports following administration of BOTOX® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.


      Increased Risk of Clinically Significant Effects with Pre-existing Neuromuscular Disorders


      Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).


      Dysphagia and Breathing Difficulties


      Treatment with BOTOX® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).


      Pre-existing Conditions at the Injection Site


      Caution should be used when BOTOX® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).


      Human Albumin and Transmission of Viral Diseases


      This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease (vCJD). There is a theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD), but if that risk actually exists, the risk of transmission would also be considered extremely remote. No cases of transmission of viral diseases, CJD or vCJD have ever been identified for licensed albumin or albumin contained in other licensed products.


      ADVERSE REACTIONS


      The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for glabellar lines was eyelid ptosis (3%).


      The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for lateral canthal lines was eyelid edema (1%).


      The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for forehead lines with glabellar lines were headache (9%), brow ptosis (2%) and eyelid ptosis (2%).


      DRUG INTERACTIONS


      Co-administration of BOTOX® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX® Cosmetic may potentiate systemic anticholinergic effects.


      The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.


      Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX® Cosmetic.


      USE IN SPECIFIC POPULATIONS


      There are no studies or adequate data from postmarketing surveillance on the developmental risk associated with use of BOTOX® Cosmetic in pregnant women. There are no data on the presence of BOTOX® Cosmetic in human or animal milk, the effects on the breastfed child, or the effects on milk production.

    READY FOR YOUR CLOSEUP?

    We will assess which products will give you a look you'll love, and often recommend using a combination. For example, the products used for this makeover are BOTOX®, JUVÉDERM VOLUMA® XC, and Dysport®, and of course the skilled technique and precision of Dr. Amy Litchfield. Photos are taken by our staff and are untouched.

    Schedule your appointment today to achieve the younger, more radiant appearance you desire!

    READY FOR YOUR CLOSEUP?

    We will assess which products will give you you'll love, and often recommend using a combination. For example, the products used for this makeover are Botox®, JUVÉDERM VOLUMA® XC, and Dysport®, and of course the skilled technique and precision of Dr. Amy Litchfield. Photos are taken by our staff and are untouched.

    Schedule your appointment today to achieve the younger, more radiant appearance you desire!
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