Botulinum Toxin Treatments (Botox)


Botulinum Toxin treatments utilize either Botox ®, Xeomin® or Dysport™ products to weaken or paralyze various muscles of the face temporarily to minimize or reverse wrinkle formation. Facial wrinkles occur either due to the action of facial muscles on the skin or from a combination of other factors (sun exposure, genetics, smoking, etc.). In weakening or paralyzing various muscles of the face, the overlying skin is able to relax, which decreases the depth of existing wrinkles or prevents future wrinkle formation. Botulinum toxin treatment is well-tolerated in the office with few to no side effects experienced by most patients.

How Does Botulinum Toxin Work?

Botox, Xeomin, and Dysport act to relax the muscles that produce dynamic wrinkles. Dynamic wrinkles are those wrinkles caused by the activity of the facial muscles (e.g., frowning, squinting, smiling, and raising the eyebrows).

What Parts of the Face Can be Treated with Botulinum Toxin?

Botox, Xeomin, and Dysport are used primarily to treat frown lines, crow’s feet lines, and/or forehead lines. They may also be used to treat vertical lip lines, horizontal neck bands (for some patients), and droopy outer corners of the mouth.

How is Botulinum Toxin Administered?

Botox, Xeomin, and Dysport are administered with very small needles, which allow for a relatively fast and painless injection.

What Can You Expect During a Consultation?

During your consultation, Dr. Pero will ask you about your aesthetic goals and will review your medical history with you. He may ask you specific questions about

  • Any medications you are currently taking, including any over-the-counter medications
  • Any plans you may have for future surgeries
  • Any medical conditions you may have, including muscle or nerve conditions

For women, you should let Dr. Pero know if you are currently pregnant, planning to get pregnant or are breastfeeding.

You should also let Dr. Pero know if you have had any other Botulinum Toxin treatments in the last 4 months

After a thorough review of your medical history, Dr. Pero will determine if Botulinum Toxin treatment is right for you. If it is, he will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you.

How Many Treatments will you Need?

The number of treatments you will need depends on your goals and needs. During your consultation, you can discuss this and any questions you may have with Dr. Pero, so you have a clear understanding of your proposed treatment plan.

Why Choose North Texas Facial Plastic Surgery?

Botulinum toxin treatments are offered by many “health care providers.” At North Texas Facial Plastic Surgery, treatments are administered by a Board-Certified physician with specific fellowship training in Facial Plastic and Reconstructive Surgery. We feel this level of expertise sets our practice apart and helps us deliver results that you will appreciate beginning with your initial consultation.

Botulinum Toxin Treatment – FAQs

Botulinum Toxin treatment is safe for qualified candidates. Please alert Dr. Pero if you have any medical conditions, especially any affecting the nervous systems or muscles.

Common but temporary side effects can include slight pain, numbness, and headaches.  More moderate side effects include droopy eyelids, sore throat, and muscle spasms. On rare occasions, botulinum toxicity may be seen. Signs of this serious side effect include breathing, speaking, and swallowing difficulties.  

It is recommended that you wait at least 90 days before you have another Botulinum Toxin treatment.

Treatments usually last up to 3 to 4 months.

You will start to notice the effects of treatment within 1 to 3 days after treatment. Full effect may take 2 weeks to be seen.

There is usually minimal swelling after treatment. Swelling usually resides within 2 hours of treatment. You may apply an ice pack to the area treated to reduce any local swelling.

Most patients tolerate treatment very well and return to their normal activities or work immediately after treatment. You should, though, refrain from any strenuous activity or exercise for the rest of the day.

Most patients say the injection feels like a pinch to the skin. If you are concerned about discomfort, a topical numbing cream can be applied before administering your treatment.

Treatment usually takes 10 minutes to be administered.

Yes, Botox, Xeomin, and Dysport can be combined with other cosmetic procedures, such as facelift or eyelid surgery, for an improved appearance.

Botox, Xeomin, and Dysport are all botulinum toxin products, and they are the only muscle relaxants approved by the FDA for cosmetic use. Botox is the registered trademark of the toxin produced by Allergan, Xeomin is the registered trademark name of the toxin produced by Merz and Dysport is the registered trademark name of the toxin produced by Medicis.

The main difference between Botox, Xeomin, and Dysport is the potency of trace proteins, which may make one treatment more effective than the other for some people.

If you are interested in receiving Botulinum Toxin treatment, please call North Texas Facial Plastic Surgery at (214) 382-5100 to schedule an appointment with Dr. Pero.