Procedure Frequently Asked Questions

BOTOX® Cosmetic FAQ

BOTOX® Cosmetic FAQ

BOTOX® Cosmetic FAQ


If you’ve been considering BOTOX® Cosmetic injections, you probably want to know more about what to expect. Here, Dr. Joseph J. Castellano answers the most commonly asked questions our patients have about BOTOX®. You can also request a consultation with Dr. Castellano, who has helped men and women from Tampa-St. Petersburg to Orlando feel and look their best through a variety of cosmetic procedures.

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a drug that’s made from a neurotoxin called botulinum toxin. Used in very small doses, BOTOX® temporarily paralyzes the muscles at the injection site, allowing wrinkles to smooth and soften. BOTOX® can also be used to treat other medical issues such as migraines and hyperhidrosis (excessive sweating). BOTOX® is FDA-approved for use on crow’s feet and the vertical frown lines that appear between the eyebrows. Some surgeons treat wrinkles in other areas with BOTOX® as well, such as the forehead, but this is an off-label use.

Am I a candidate?

The best candidates for BOTOX® are in good physical and mental health and want to improve the look of mild to moderate dynamic wrinkles without surgery. BOTOX® can also be used preventatively to limit the appearance of new wrinkles, and slow the progression of existing lines. BOTOX® is not a filler, and will not add volume to deeper lines or fill in facial scars.

Can I combine BOTOX® with other procedures?

In many cases, BOTOX® is combined with additional nonsurgical cosmetic procedures. For example, BOTOX® can improve the appearance of frown lines while dermal fillers can soften the look of laugh lines (the nasolabial folds). Many patients will schedule ongoing skin rejuvenation procedures along with their BOTOX® treatments, such as laser resurfacing or chemical peels. BOTOX® may also be included with some surgeries, like eyelid surgery or a brow lift, for more comprehensive results.

What should I expect during my treatment?

Before your appointment, Dr. Castellano will discuss your appearance goals so that he has a clear understanding of your hopes following your appointment. Next, he’ll study the way your facial muscles move when you make certain expressions to determine where to best place the injections for the greatest impact. Including prep and cleaning time, the entire injection process is finished in moments, and can often be completed over your lunch break. Appointment length may vary depending on whether additional procedures are being performed at the same time.

Will the injections hurt?

Dr. Castellano is a very skilled injector, and makes every effort to ensure the highest level of patient comfort during your appointment. Those with more sensitive skin may use a topical anesthetic before treatment as well.

What should I expect after my treatment?

Since BOTOX® is nonsurgical, downtime after your appointment is minimal if any. You can return to your typical daily routine right away, as long as you’re careful not to rub the treatment area directly for several hours. Some patients may see mild bruising after their appointment, but this should dissipate rapidly within a day or two.

How long until I see results?

Final results are usually visible within a few days, and should last about 3 to 4 months, with some patients showing results as long as 6 months before they need an additional treatment.

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