Cosmetic Botox®

What is Botox®?

Botox® is a weakened form of Botulinum toxin. It works by weakening the muscles that control facial expressions. Botox® can be an extremely effective treatment for wrinkles in the upper third of the face, including the forehead, between the eyes, and around the eyes in the "crows feet" areas. Botox® is the only form of botulinum toxin currently approved by the FDA for cosmetic purposes.

Who is a good candidate for Botox®?

Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. In general, the best candidates for Botox® are individuals with mild wrinkling of the face. During the initial consultation, your physician will determine if you are a good candidate for Botox®, or if an alternative cosmetic technique will yield better results.

How is the procedure performed?

Using a very tiny needle, small amounts of Botox® are injected into the muscles to be paralyzed. Depending on the areas being treated, 5 to 15 needle pricks (or more) may be required. Discomfort is minimal and lasts only a few seconds. This paralysis is temporary, and re-injection is necessary within three to ten months.

List of Physicians Who Perform Botox® Injections

For details about education, experience, and specialty in this clinical area, please visit these physician profile pages:

  • David L. Brown, M.D.
  • Paul S. Cederna, M.D.
  • Robert H. Gilman, M.D., D.M.D.
  • Steven Kasten, M.D., M.H.P.E.
  • Tonyia Seeland, P.A.


Planning for Your Procedure

The first step is to schedule a personal consultation with your plastic surgeon. Communication is crucial in reaching your goals. You will have the opportunity to express your goals and the results you'd like to achieve. Together, you and your surgeon will reach an understanding about what you can expect from this procedure and the benefits you will experience. Every patient is different, and your surgeon will choose the technique and treatment plan that is right for you. During the initial consultation:

  • Provide a complete medical history, including information about previous surgical procedures; past and present medical conditions; and any medications or herbal supplements you are taking.
  • Expect your surgeon to conduct a complete physical examination.
  • Be prepared to discuss possible risks and complications of the procedure.

Preparing for Your Procedure

You will be given an information packet that explains everything you should do and know before your procedure date. Your surgeon will give you specific instructions on how to prepare and what you can expect during the recovery period.

Where Your Procedure Will Be Performed

Your procedure will take place at the University of Michigan Hospitals Domino's Clinic on an out-patient basis. Directions to the Domino's Clinic.

Types of Anesthesia

You'll remain comfortable throughout the entire procedure. In most cases, no anesthetic or only a topical anesthetic is needed.