A: Botox Cosmetic is FDA approved for glabellar frown lines (the 11’s) since 2002 and for the past 2 years, it is also approved for crow’s feet. Doctors, however, have been using Botox “off label” for many years to reduce: forehead lines, bunny lines, lipstick lines, downturned mouth corner, masseter hyperplasia (to reduce a square jaw), as well as neck banding. We also use it to define the jaw line, reduce dimples in the chin, and evert the lips to make then appear larger without filler.
Q: I am interested in Botox, but I keep hearing about side effects. Do you think Botox is safe?
A: I will answer that with a succinct and clear “YES!”. Botox is not only safe in my opinion, but it has been evaluated by the FDA and found to be safe and effective for a number of medical and cosmetic indications. Botox was being used by ophthalmologists for many years for crossed eyes and spastic blinking when an ophthalmologist noticed improvement in the wrinkles where it was being injected. The rest, as they say, is history. Botox was also being used for children with spastic, contracted muscles as a result of cerebral palsy. Today, Botox is FDA evaluated and approved as safe and effective for such various problems as frown lines, excessive sweating, overactive bladder, migraine headaches, and crow’s feet lines around the eyes. I was privileged to be an investigator for the study that resulted in the crow’s feet approval. I have been injecting Botox in my private practice and teaching others how to inject Botox since 1996. I would never use any product that I did not feel was safe as well as effective.
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