Botox® Cosmetic is a simple, non-surgical treatment that can temporarily smooth moderate to severe facial wrinkles in people from 18 to 65 years of age. According to the American Society of Plastic Surgeons®, botulinum toxin type A administrations were the number one minimally invasive cosmetic procedure administered in the United States in 2014, with 6.7 million procedures occurring that year. Botox® Cosmetic is the only treatment of its type approved by the Food and Drug Administration (FDA).

This treatment takes about 10 minutes and consists of a few small injections. Within days this procedure creates a noticeable improvement in moderate to severe frown lines between the brows. The results of this short procedure can last for up to 4 months. Results may vary. At Skin Specifics Medical Spa, we use Botox® Cosmetic to decrease the severity of facial lines, lines between the brows, forehead lines, and around the eyes (crow’s feet).

Botox Cosmetic is an injectable wrinkle muscle relaxer. It uses botulinum toxin type A, specifically OnabotulinumtoxinA, to temporarily paralyze muscle. This reduces the appearance of facial wrinkles.

A Botox treatment is minimally invasive. It’s considered a safe, effective treatment for fine lines and wrinkles around the eyes. It can also be used on the forehead between the eyes.

Botox was originally FDA approved in 1989 for the treatment of blepharospasm and other eye muscle problems. In 2002, the FDA approved the use of Botox for a cosmetic treatment for moderate to severe frown lines between the eyebrows. It was approved by the FDA for treatment of wrinkles around the corners of the eyes (crow's feet) in 2013.

According to a 2016 clinical study, Botox is a simple, safe, and effective treatment for reduction of forehead wrinkles.

In 2016, over 4.5 million procedures were performed using Botox and similar medication to fight wrinkles. This type of procedure is the number one nonsurgical cosmetic procedure in the United States.



  • Wrinkles in Facial Skin
  • Gum-Revealing Smile
  • Excessive Sweating
  • Sagging Breasts
  • Overactive Bladder
  • Neck Spasms


First and most importantly, we sit down with you to discuss your desired results. Then we take into consideration your age, sex, and the areas that need treatment. As noted above, the number of units varies between patients and will be thoroughly explained during your consultation.


Below is a list of the approximate number of units used to treat each type of condition. *Please keep in mind that the number of units may vary depending on the age, sex, anatomy, and physiology of the individual. Results may vary.

  1. Horizontal Forehead Lines: 8-16 units
  2. Glabella or Frown Lines: 12-30 units
  3. Lateral Brow Lift: 2-3 units
  4. Crows Feet: 8-16 units (per side)
  5. Bunny Lines: 3-6 units
  6. Upper Lip Lines: 4-8 units
  7. Masseter: 15-25 units (per side)
  8. Chin: 4-6 units
  9. Neck: 20-30 units
  10. Hyperhidrosis of the Axilla: 50 units (per axilla)


Preparing for Botox Cosmetic

Botox Cosmetic involves a nonsurgical, in-office treatment. It requires minimal preparation. You should let your treatment provider know about your medical history, allergies, or medical conditions before your procedure. Your treatment provider should be a licensed physician, a physician assistant, or a nurse.

You might need to remove all your makeup and cleanse the treatment area before the procedure. You may also need to avoid blood-thinning medicine like aspirin to reduce the risk of bruising.




Botox is not permanent and its administration is ideally repeated multiple times throughout the years to achieve the best outcome.

Everyone gets wrinkles—even those who take exemplary care of their skin by applying sunscreen, staying out of the sun when possible, or implementing a skincare regimen. Dynamic wrinkles, which are caused by routine muscle movement, are the result of actions such as smiling, squinting in a bright light, and laughing… In other words, living your life! Botox is an ideal non-surgical process to manage the unwelcome side effects of a healthy, happy life. We use Botox on the upper and lower face as well as the neck. We also use it to shape the jawline. Most of our clients receive Botox for both prevention and treatment of wrinkles and are very happy with the results!


Botox can be used to lengthen the upper lip and drop it down slightly, in order to reduce the appearance of the gums when smiling. The success of this procedure depends on the original length of the lip and prominence of the gums, and is only ideal for certain patients.


Some people experience excessive sweating under their arms, which is also known as hyperhidrosis of the axillae. For the most part, this can be resolved using deodorants, antiperspirant creams, or gels. However, when topical treatments do not resolve this condition, Botox can be injected into the underarm area to reduce the activity of the local sweat glands.


We can lift breasts that have minor sagging by injecting Botox into the pectoralis minor, which is the muscle that sits under the pectoralis major (commonly known as “pects”). This procedure will not reduce or augment a patient’s breast size, change their shape, or be beneficial in cases of major sagging.


Botox can be administered to address Overactive Bladder Syndrome (OBS). It is only used to help patients who urinate more than twice overnight and upwards of eight times daily. In these cases, a Botox injection sends a physiological sign to the muscle that controls the bladder, reducing the frequency of the patient’s feeling that he or she needs to urinate.


To treat recurring neck spasms, Botox is administered to the nerves of the neck via injection, which causes the corresponding muscles to loosen. This procedure reduces the frequency and intensity of a patient’s neck spasms.


Botox, a neurotoxin protein, may help treat symptoms of temporomandibular joint (TMJ) disorders. You may benefit most from this treatment if other methods haven’t worked. Botox may help treat the following TMJ disorder symptoms:

  • jaw tension
  • headaches due to teeth grinding
  • lockjaw in cases of severe stress


What areas of the body can be treated with Botox Cosmetic?

Cosmetically, the injectable can be used in the following areas:

  • the area between the eyebrows (glabellar region), to treat moderate to severe frown lines
  • around the eyes, commonly known as crow’s feet lines

Botox also received FDA approval to treat various medical problems, including:

  • overactive bladder
  • excessive underarm sweating
  • lower limb spasticity
  • chronic migraines


Wrinkle treatment options are increasingly abundant. There are numerous over-the-counter products, and people are also turning to their healthcare providers for longer-lasting options. Botulinum toxin type A (Botox) and dermal fillers are both long-lasting treatments. Each procedure can be used for wrinkles, but there are several differences between the two to consider.




Laser Therapy diminishes wrinkles and fine lines by applying laser technology to the affected areas. It also helps minimize some sagging facial skin. However, in the case of deep creases, Laser Therapy is not effective, making Botox the better option.


Ultherapy is short for ultrasound therapy, which encourages skin cells to produce collagen. Collagen is what lends skin its form and strength, helping it resist sagging and forming wrinkles. The ultrasound technology allows the doctor to view the substructure of the skin and to tighten it, creating an even, more youthful appearance. The technique is only effective on minor wrinkles. The results typically show within a few months since it begins working from the inside.


Patients with sagging skin under their eyes (commonly known as “bags”), might consider Eyelid Surgery to remove the extra skin. This procedure is also used to the same effect for extra skin on the upper eyelid. Some patients receive Botox injections in conjunction with eyelid surgery to minimize the fine lines that sometimes extend laterally from the outer eye, which are commonly known as “crow’s feet.”


Brow Lift Surgery addresses a furrowed brow by lifting the skin above the eyebrow and between the eyes. This procedure gives a younger and tighter appearance around the eyes and face, but is not effective in tending to deep lines.


Facelift Surgery is the surgical option of reducing wrinkles on the face. A facelift is the most thorough procedure for addressing facial wrinkles, and can vary from minimally invasive to a more extensive operation. Facelifts are used to address a variety of different complaints, including fat removal, wrinkle reduction, and the tightening of loose facial muscles.


Chiropractic Therapy and Acupuncture can be used to treat neck spasms and overactive bladders. Specifically, acupuncture can be used to stimulate the vertebrae of the sacrum, which has a suppressive effect on overactive bladders. Chiropractic therapy, including massages and spinal adjustments, help ensure the correct alignment of vertebrae in the neck and upper back, reducing stress and tension in the neck muscles. These treatments generally require several appointments to provide significant improvement, while Botox is a more instantaneous solution.


Physical Therapy is commonly used to help prevent neck spasms and reduce the activity of overactive bladders. These treatments, which include massages and targeted exercise, also generally require several appointments to produce significant improvement, while Botox is the quicker solution of the two options.


Periodontal Surgery can be used to reshape and diminish the appearance of the gums so they are not visible when the patient’s lips are pulled back in a smile. Patients with overly visible gums usually feel that their gums make their teeth look oddly shaped or disproportionately small when they smile. This procedure is a more permanent resolution than Botox for overly visible gums; however, it is invasive and has a significantly longer recovery period.


Botox is applied via a brief injection into the affected tissue. The procedure is done in the doctor’s office and the majority of patients have no problem resuming their routines immediately after the procedure. Many patients even return to work after leaving the doctor’s office!

While the area does not need to be numbed during the procedure, many patients request to have it numbed. In these cases, the doctor can apply a prescription numbing cream approximately 60 minutes prior to the procedure, or inject the area with a numbing agent. After the numbing effect is achieved, Botox is administered to the tissue via a fine needle. The Botox injection process itself is completed within a matter of minutes.


What to expect after Botox Cosmetic

Avoid rubbing, massaging, or applying any pressure to the treated area. These actions can cause Botox Cosmetic to spread to other areas of the body. This can negatively affect your results. When being injected between the brows, do not lie down or bend over for three to four hour. Doing so may cause the Botox to slip under the orbital rim. This could possibly cause an eyelid droop.

There is little to no downtime expected after the treatment. You should be able to resume normal activities immediately in most cases.

It’s important to understand possible improvements and have realistic expectations. Noticeable results can be expected within 1-2 days post-treatment. The full effect of Botox Cosmetic typically lasts up to four months. It can also help prevent the return of fine lines through relaxing the muscles.

Additional Botox injections can be administered to maintain your results.


What to know about Botox procedures and Botox risks

Most patients undergo a series of tiny injections at target areas in their face. There is no need for anesthesia or medication to undergo a procedure. In the average patient, the desired look remains in effect for 4 to 6 months.

For each individual patients, side effects vary with each patient, and some patients may present risk factors that increase the chance of a negative result. For example, an existing skin condition, extreme fear of needles or other issue could lead to complications; this is why Dr. Gorin and his medical experts take care to get to know their patients prior to the procedure, discussing your health and body as a whole, and take into account all factors when deciding what would be the best plan of action for you. There are occasional side effects such as temporary bruising, swelling and minor pain, but these tend not to last long after your procedure. There are some issues with drooping eyelids in a small percentage of all patients, though many report no droopiness within just 3 weeks of the injections.



Because Botox administration is non-invasive, patients are discharged shortly after the procedure is finished; there is no downtime! Some patients do experience muscle weakness temporarily and their upper eyelid muscles may droop. However, these side effects usually disappear just days after the procedure.

Are there any risks or side effects BOTOX?

Minor bruising or discomfort may occur, but should improve within a few days. Other side effects may include:

  • swelling or drooping in the eyelid area
  • tiredness
  • headache
  • neck pain
  • double vision
  • dry eyes
  • allergic reactions, such as rash, itching, or asthma symptoms


Botox is measured and purchased in units. It is best to always know how many units of Botox you are getting because this will determine your cost and treatment effectiveness! We do our best to use the minimum number of units to achieve subtle results. The cost of your procedure will be thoroughly explained during your consultation.


Your Botox and Fillers


Botox $11 per unit
Restylane $600 per syringe
Perlane $600 per syringe
Sculptra $1000 per vial
Voluma $1000 per syringe
Juvederm Ultra Plus $600 per syringe


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