Confidence Beyond The Skin-The Truths and Myths Behind Botox…

botox photoOn a weekly basis I am asked about forehead wrinkles by someone who is curious about Botox, but afraid that it may be dangerous or harmful to their overall health. The truth of the matter is that Botox is actually quite safe. I spend a lot of time sharing the “truths” and “myths” about Botox to my patients and I thought it might be helpful to share them with you.

Myth Botox is a poison.


Botox is derived from botulinum toxin type A and is combined with human albumin and sodium chloride. It has been studied for over 30 years and is considered to be very safe when used properly. Many of the initial studies were performed by ophthalmologists to improve “lazy” eyes over 30 years ago.

Myth: My face will look frozen if I get Botox.botox forehead


An experienced injector will know how much Botox you need. It can be injected as a very “light” dose to maintain a natural appearance without looking “frozen faced”.

Myth: I had Botox once and I was stuck with one eyebrow higher than another for 2 months.


Sometimes one area of muscle fibers will absorb more Botox than another area and cause some asymmetry. It is very simple to correct this by injecting a few units of Botox in the area that still has significant dynamic movement.

Myth: Botox injections hurt.


Botox in injected using a tiny needle and is not very painful. You can apply ice and some numbing cream prior to your appointment if you are nervous about needle injections. The entire treatment only takes a few minutes.

Myth: A common side effect is a drooping or closed eyelid.

Truth: This is called Ptosis and it is a rare side effect of Botox. If this side effect occurs, it usually resolves itself in a few weeks. The more common side effects are temporary bruising and temporary headache.

Myth: Botox is only for women.botox image


More and more men are concerned about forehead lines and are scheduling appointments for Botox treatments.

Myth: Botox is what makes people have “duck lips”.

Truth: Botox is best used on the upper face. It is used for lines between the brows (the 11’s), the forehead horizontal lines, and crow’s feet lines around the eyes. It is possible, but not common to use Botox in the lip area. The general rule is that Botox treats lines above the nose and fillers(Juvederm, Restylane) treat lines below the nose.

I hope that helps clear up any misconceptions that you may have about Botox treatments. It is not a treatment that is for everyone, but if you are considering trying it, this Feb may be a good time to take the plunge. The company is offering a limited number of instant $50 rebates for the month of February!

Check out the beauty corner of the main newsletter/blog page where I will highlight a different beauty product every month!

I am always looking for new blog topics or interesting products. Send your ideas to

I have been asked if I receive any financial incentive to mention products in my newsletter/blog and the answer is no. I only comment on products that I have used myself or that I recommend to patients because they have unique benefits. However, I am a clinical trainer for both Medicis (Dysport/Restylane) and Allergan (Botox/Juvederm).

Author: Kasey

Kasey Drapeau D'Amato is an Aesthetic Dermatology PA based in Los Angeles and Chicago and treats many high profile patients. Kasey is also Co-Founder of Airelle Skin, along with her husband, the first natural and medical grade skin care and she is president of Certified PA Consulting. Kasey's passion is inspiring others; patients, clients, colleagues, friends, family, and anyone that she encounters. Because after all life is too short to not live everyday happy and fulfilled! Inspire. Laugh. Love...Live!

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