Indications for Treatment:

• Some facial expression lines
• Glabellar furrows (deep wrinkles between eyebrows)
• Forehead wrinkles
• Crows feet
• May diminish migraine headaches

Botox Client Consent Form

FAQ About Botox

Botox© Cosmetic

Facial expression lines are created by contractions of the underlying muscles pulling the skin together when you smile, laugh or frown. An injectible protein, called Botox, stops nerve impulses from making the contractions. A minute quantity of the Botox protein is very precisely injected by a physician or trained aesthetician into the wrinkle with a very tiny micro-needle. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injection is minimal. Following treatment expression lines will remain smooth. Normal facial expressions will not be affected. We call this the “Ideal Cosmetic Procedure” because it presents dramatic results, has no side effects and is non-invasive.

You should expect to see the effects of the injection within three to four days. However, because some muscle fibers may remain active for longer, it may take seven to 10 days to reach efficacy. Re-injection should be performed as the muscles appear to regain activity. For more information visit www.botoxcosmetic.com

About Botox:
FDA announced the approval of Botulinum Toxin Type A (Botox Cosmetic) to temporarily improve the appearance of moderate to severe frown lines between the eyebrows (glabellar lines. The product's manufacturer, Allergan, Inc., Irvine, California, is now allowed to market Botulinum Toxin Type A for this new indication.

• Works effectively on wrinkles from the cheekbone up (not sagging skin)
• Has been performed safely and effectively on thousands for over ten years
• FDA approved
• Is a simple and safe injection with a tiny micro-needle
• Has no more pain than a bug bite
• Requires no sedation or preparation
• Normal activity may be resumed immediately
• Effects last 3 – 4 months
• Creates a more youthful and pleasing appearance
• Safelyused on all skin types, male and female
• Slight bruising may occur
• On rare occasions, there may be temporary transient
  weakness of nearby tissue

Before Treatment:

• Sign the Botox procedure consent form
• No preparation is necessary
• The injections site(s) will be cleansed
• No anesthesia is required.
• The doctor or a designated fully trained associate will administer the injections with a very fine needle

After Treatment:

• The injection will feel like a small bug bite
• May have some redness at the injection sites, if so, apply an ice pack
• May be slight, temporary bruising or mild swelling at the injection sites
• May be numbness or rash at the injection sites
• My experience a slight headache
• In rare cases a temporary weakness may occur in nearby muscles, e.g. drooping eyelid
• No heavy exercise for 24 hours
• Look for improvement in 3-5 days
• Make your next appointment for three months for retreatment evaluation