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What is BOTOX® Cosmetic?

BOTOX® Cosmetic is injected to improve or erase mild to moderate wrinkles in the face, allowing patients to achieve smoother, more youthful skin. The results of this popular treatment can be very natural-looking and are usually noticeable soon after injections. Furthermore, the younger-looking appearance often achieved with BOTOX® Cosmetic has been shown to last three to six months, with touch-up treatments available as needed to preserve results. As one of the most widely-used facial rejuvenation treatments in the United States, BOTOX® Cosmetic is a popular choice for non-surgical enhancement at OC Facial Plastic Surgery.

Our board-certified facial plastic surgeon, Ali Sepehr, MD, personally performs BOTOX® Cosmetic and all cosmetic injections in our office to help ensure the highest level of patient care and safety. In most cases, treatment can be completed in as little as 15 minutes with no downtime after injections.

How Does BOTOX® Cosmetic Work?

BOTOX® Cosmetic is designed to prevent the overuse of facial muscles in areas prone to wrinkling. When you smile, frown, squint, or make other expressions, these muscles repeatedly contract and cause deep wrinkles to develop in the brow and between the eyes. Derived from a form of the neurotoxin botulinum type-A, BOTOX® Cosmetic works by temporarily relaxing these muscles, thereby smoothing lines and producing a more rejuvenated appearance.

Who is a Candidate for BOTOX® Cosmetic?

Patients who can benefit from BOTOX® Cosmetic injections typically:

  • Want to smooth creases, expression lines, and wrinkles in the upper face

  • Seek to address their concerns with a non-surgical treatment

  • Have no allergies to the ingredients in BOTOX® Cosmetic

  • Exhibit good overall health

During your consultation, Dr. Sepehr will discuss your aesthetic goals and examine your anatomic needs to determine if BOTOX® Cosmetic can help you achieve your desired outcome. He will also perform all injections himself to provide an exceptional experience from start to finish.

How is BOTOX® Cosmetic Treatment Performed?

When Dr. Sepehr performs the procedure, he will utilize an ultra-fine needle to deliver the solution into the targeted areas. If requested, he can also apply a local anesthetic to enhance your comfort if requested.

One of the many benefits of BOTOX® Cosmetic is the brief treatment time. Many patients come in on their lunch breaks to undergo treatment and return to work immediately after. While every person’s needs are unique and procedure times can vary, BOTOX® injections are generally administered within about 30 minutes. The effects of BOTOX® Cosmetic should be apparent a few days following treatment with the full results generally realized in one week.

How Long Does BOTOX® Cosmetic Last?

BOTOX® Cosmetic has been known to last up to six months. The duration of results will vary from patient to patient. In general, the average outcome from BOTOX® Cosmetic can be expected to last approximately three to four months. Regular maintenance sessions can help to extend its rejuvenative effects.

Is BOTOX® Cosmetic Safe?

BOTOX® Cosmetic has been safely administered to countless patients for decades. Since Dr. Sepehr, our board-certified facial plastic surgeon, meticulously performs each injection himself, you can feel confident that you are receiving the utmost level of safety and expertise during your BOTOX® Cosmetic treatment.

Does BOTOX® Cosmetic hurt?

We take great care to make your experience as pleasant as possible, and most patients report only minimal discomfort, if any. Dr. Sepehr can apply a topical anesthetic to the treated areas, if desired, to make your treatment more relaxing and comfortable.

Are there any side effects from BOTOX® Cosmetic?

Some patients experience mild bruising or swelling, but this is a normal reaction to the injections and should subside within a few days. If symptoms persist one week after your BOTOX® Cosmetic treatment, please reach out to Dr. Sepehr for any concerns you may have.


BOTOX® Cosmetic and Dysport® are extremely popular treatments that may reduce facial lines and wrinkles without surgery, and can be done with virtually no downtime, and the results may be dramatic.

If you would like to pursue treatment with BOTOX® Cosmetic or Dysport®, a consultation at Kaiser Permanente Cosmetic Services will provide confidential and personal answers to your questions.

About BOTOX® Cosmetic and Dysport®

These are nonsurgical treatments that may minimize dynamic wrinkles, which often appear as fine lines and wrinkles on the forehead and brow, or at the outer corners of the eyes. Made of botulinum toxin Type A, which is a naturally occurring protein, BOTOX® Cosmetic and Dysport® relaxes the targeted muscles in the face that create eye and forehead creasing. Because these targeted muscles do not contract, the skin stays smooth and undisturbed, creating a younger-looking, more relaxed face.

What Is Treatment Like?

Treatment consists of a series of gentle, small injections into specific facial muscles, typically at the outer corners of your eyes or on your forehead and brow. The treatment takes place in a medical office, usually taking less than 30 minutes to complete, and you will not need anesthesia or medication.

Am I a Candidate?

You’re a candidate for treatments if you aren’t ready for a facelift or brow lift, but want to smooth out dynamic wrinkles typically found around your eyes and on your forehead. BOTOX® Cosmetic and Dysport® may also work well as an additional treatment if you are receiving other cosmetic procedures such as skin resurfacing or dermal fillers.

What Can I Expect Before and After Treatment?

Because these treatments are performed quickly, it may be easy to squeeze a treatment into your busy schedule. There is no major preparation required before treatment, and most people find that they can resume their normal, non-strenuous activities immediately afterward. The smoothing results will slowly begin to emerge a few days after treatment and are typically realized about a week after treatment. The results of the first treatment usually last about 3 months.