Botox® was the first FDA-approved treatment to deal with facial wrinkles and lines that develop over time through our facial expressions. Specifically, Botox® relaxes the muscles that are responsible for certain facial expressions in order to naturally remove the oftentimes deep wrinkles caused by those expressions. Typical types of wrinkles and lines that Botox® treats are vertical lip lines, frown lines, crow’s feet, forehead lines, chin dimples and laugh lines. In addition to the treatment of facial wrinkles, Botox® has been proven to treat excessive sweating, primarily in the underarm region. When Botox® is being used for sweat treatments it often times requires higher doses, closer to 1oo units compared to the average of 50 units.


Botox® treatments are quick, virtually painless, and can be done in office without a prior consultation; because of this Botox® has become one of the most sought after non-surgical cosmetic treatments for people with ages ranging from 18 through 65. Here at Thomas Dermatology, we have multiple providers who specialize in Botox® and other injectables and have been doing so for decades. We are committed to your safety and satisfaction. Thank you for choosing Thomas Dermatology. 

Are Botox injections painful?

Injections of Botox are generally well-tolerated by patients. Often patients report only minimal discomfort during the injections, as the needles are very small and the injections are quick.

How does Botox work?

Botox works by temporarily interrupting the activity of the nerve endings that cause muscles to move. Thus, eliminating the wrinkles and lines that those movements have created over the course of your life. 

When does Botox wear off?

Botox generally lasts between 3-6 months, but can vary dependent upon individual characteristics of the patient. It is recommended that a new visit is scheduled before the results completely go away, in order to maintain the desired look. Results can often last longer with repeat visits for a particular area. 

Where can Botox be used?

Botox is injected to many different muscles in the face and neck, including between the eyebrows, forehead, crow’s feet, and both according to the FDA label and off-label as well. Additionally, it is often injected into the palms, soles, and armpits to treat excessive sweating.

Will Botox get rid of wrinkles?

Generally, Botox works well to relax the wrinkles created by muscle movement. However, some of our wrinkles are created by loss of volume. These wrinkles are more difficult to improve with Botox and often require other treatments for improvement. During your appointment, your skilled provider will be able to offer you alternative options for deeper wrinkles that might not be able to be treated with Botox®. 

Should I expect bruising?

Bruising is a common side effect when receiving Botox® injections, although, it can be minimized by actions taken by the patient before the treatment. It is important to avoid taking ibuprofen, aspirin or any other types of blood thinners for up to a week before our appointment. Most patients are able to return back to normal activities within the same day.