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Botox (botulinum toxin A) is a popular non-surgical injectable product that temporarily reduces or eliminates wrinkles. It was originally introduced for ophthalmological purposes: to treat blepharospasm (uncontrolled blinking) and strabismus (misaligned eyes). Doctors later started using it for cosmetic purposes to improve the appearance of glabellar lines (frown lines), crow’s feet, forehead creases and horizontal neck bands. Botox is now the most commonly performed non-surgical cosmetic procedure in the country, and has helped millions of people enjoy a more relaxed and youthful-looking expression.

How Does Botox Work?

Botox essentially paralyzes wrinkle-causing muscles. It is injected under the skin into specific facial muscles, and it blocks the chemicals in the body that cause those muscles to contract. Once the muscles relax, the facial lines and wrinkles become smoother.

Botox should only be administered by a trained physician with plenty of experience. In order to produce the most natural-looking result — and avoid over-correction or a frozen or surprised expression — the physician must have a thorough understanding of the specific facial muscles that cause wrinkles and lines.

What to Expect During Treatment

Botox treatment is quick and not painful. It typically takes about 15 minutes, so it can be conveniently scheduled on a lunch break from work.

First, the treatment area will be cleansed and possibly numbed with local anesthesia in preparation of the injections. The doctor will carefully plan out the injection sites based on your facial anatomy and desired results.

The doctor will then carefully inject small amounts of Botox into the targeted facial muscles. The number of injections depends on the treatment area and the degree of correction needed.

After treatment, you can resume your normal activities almost immediately. The treated area may be slightly bruised or sore for a few hours, but the side effects are only temporary.

It’s important to refrain from rubbing the injection sites right after treatment, as that could cause the product to spread and cause a complication.

Botox results usually appear 24 to 48 hours after treatment, and will continue to improve for about another week. Results last for three to four months on average, at which point repeat treatment is needed for maintenance.

Ninety-seven percent of Botox patients report satisfaction with the results of treatment.

Learn More

If you would like more information about Botox treatment, please visit our contact page to schedule a consultation with one of our experienced doctors. Dr. Darrell Wolfley treats patients out of the Birmingham, Huntsville, Gadsden, Montgomery and Oxford-Anniston AL facilities, while Dr. Kristin Madonia also treats patients at our Birmingham location. Dr. Michelle Nguyen treats patients at the Nashville, Columbia, Franklin and Murfreesboro locations in TN.


We have various locations throughout Alabama and Tennessee. Select a state to locate an Eye Health Partners center near you!


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