What is botox?

Botox is a generic term most people use to describe a toxin produced by the bacteria clostridium shutterstock_240061474botulinum.  The toxin works by blocking the release of a chemical that causes muscle contraction.  As a result, certain muscles can be weakened or paralyzed for cosmetic and functional purposes.  Almost every field of medicine has a therapeutic usage for this class of drug. There are several different brand names for this toxin  including Dysport, Xeomin, and Botox.  In our practice we use the toxin for cosmetic purposes in the face and for muscle spasms in the hand and forearm.

Do I need botox?

Botox injection addresses very specific wrinkles of the face.  Wrinkles can be caused by aging, sun exposure, or muscle contraction.  Botox addresses the wrinkles that are a result of muscle contraction.  Most specifically, Botox treats the transverse and horizontal wrinkles of the forehead, the crows feet by the eyes, and some of the wrinkles below the mouth and chin.  In addition to making one look younger, the Botox can make certain people look happier and less angry.  Botox can sometimes even give someone the appearance of a browlift, while avoiding surgery.

Where is the botox injection performed?

Botox injection is performed in the procedure room of Dr. Graham’s office.

Why should I choose Dr. Graham to perform my botox injection?

Dr. Graham is a board certified plastic surgeon.  He has had specific training in botulinum toxin and other injectables.  As required by his advanced surgical training and board certification, he has an intimate understanding of the anatomy involved with botox injection and the specific indications for its use.

Is botox safe? Can it cause an infection? What happens if I get an overdose?

Botox is extremely safe.  It does not contain actual bacteria, only the toxin that
the bacterium produces.Therefore, the Botox itself Botox-Logocannot cause infection, although you can get a local infection from bacteria on the skin.The lethal dosage of Botulinum toxin in humans is 3000 units.  Most people will have less than 50 units per treatment.  Therefore, it is extremely unlikely to get too much.  However, if too much is given in one area, and the injector is not careful, then this can result in undesired paralysis of surrounding muscles.

How long does it take until botox works? How long does botox last?

Botox begins to work in 4-7 days.  It lasts for 3-6 months.

What are the risks of botox injection?

Please refer to the following publication by the ASPS:


How much does botox cost?

The price of botox varies based on the amount of drug needed and the experience of the injector? Average prices are $8-20 per unit. As an example, frown lines of the forehead are typically 20 Units. Dr. Graham’s pricing  can be found here.

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