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Botulinum Toxin Injections: What to Expect and How They Work

Writer's picture: Dr. LindsayDr. Lindsay

When it comes to non-surgical facial rejuvenation, botulinum toxin injections (commonly known by brand names like Botox, Dysport, Xeomin, and Daxxify) are among the most sought-after treatments. These injections offer a safe, effective way to smooth fine lines and wrinkles, creating a refreshed, natural look. Whether you’re new to neuromodulators or a returning patient looking for more information, here’s everything you need to know.


How Botulinum Toxin Works


Botulinum toxin is a purified protein that temporarily relaxes targeted muscles by blocking nerve signals. This prevents excessive movement that leads to the formation of dynamic wrinkles—lines that develop from repeated facial expressions like squinting, frowning, or raising your brows.


Common Treatment Areas:

  • Forehead lines – Softens horizontal lines across the forehead.

  • Frown lines (11s) – Reduces the vertical creases between the brows.

  • Crow’s feet – Minimizes fine lines around the outer corners of the eyes.

  • Bunny lines – Smooths wrinkles on the sides of the nose.

  • Lip flip & smoker’s lines – Enhances the upper lip and reduces vertical lip lines.

  • Jawline slimming – Relaxes the masseter muscles for a more contoured jawline.

  • Neck bands – Softens visible platysmal bands in the neck.


The Treatment Process: What to Expect


1. Consultation

A skilled injector will assess your facial anatomy, discuss your aesthetic goals, and create a customized treatment plan tailored to your needs. The goal is to enhance your features naturally—never frozen or overdone.


2. The Injection Process

  • The procedure typically takes 10-15 minutes.

  • A fine needle is used to inject small amounts of botulinum toxin into the targeted muscles.

  • Most patients report minimal discomfort—but some people sense a crunching sound with the injection points over the forehead.


3. Post-Treatment Care

  • Avoid lying down for 4 hours post-injection.

  • No strenuous exercise or excessive facial rubbing for 24 hours to prevent migration of the product.

  • Some redness, swelling, or tiny bumps may occur but usually resolve within 30 minutes to a few hours.


When Will I See Results?


  • Botox starts working within 2-3 days, HOWEVER, it takes up to a full two weeks for full results to develop. This makes it imperative that no additional treatments are done during this time to avoid overtreatment or adverse effects.

  • The effects typically last 3-4 months, with some patients only lasting 8 weeks and some lasting up to six months.


Are Botulinum Toxin Injections Safe?


Yes! When administered by a trained physician or injector, botulinum toxin is a safe, FDA-approved treatment with a long track record of effectiveness. Side effects are rare but may include temporary bruising, mild headaches, or minor asymmetry (which can often be adjusted).


Who Is a Good Candidate?


  • Anyone looking to soften wrinkles or prevent static lines from developing.

  • Individuals seeking a refreshed, youthful appearance without surgery.

  • THERE IS NO SPECIFIC AGE recommendation as many people start to show changes of aging as soon as their early 20s.

  • Patients over the age of 60 will not see as dramatic a result due to the natural loss of collagen and elastin in the skin. More aggressive procedures are required to rejuvenate signs of advanced age.

  • Patients with no history of neuromuscular disorders or other contraindications.


Beyond Aesthetics: Medical Uses


Beyond wrinkle reduction, botulinum toxin is also used to treat medical conditions such as migraines, excessive sweating (hyperhidrosis), jaw clenching (TMJ), and muscle spasms. Dosing for bruxism (teeth grinding) is 20-30 units per side however effect is typically up to 6 months and can eliminate the use of therapeutic bite blocks!


Final Thoughts


Botulinum toxin injections are an art and science, requiring expertise for natural, balanced results. Whether you’re considering your first treatment or are a longtime fan, Dr. Lindsay will ensure you achieve a refreshed, confident look tailored to you.


Schedule an appointment to determine if Botox or Dysport is right for you and to determine what areas would benefit from enhancement with wrinkle reduction.


Pricing is a sliding scale, with lower price per unit the more units purchased.







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