FAQ - Frequently Asked Questions


Botulinum Toxin Type A (onabotulinum toxin A), also known as Botox Cosmetic, is produced by Allergan and is an injectable neurmodulator, or “chemodenervation agent” made of purified protein derived from the bacterium Clostridium Botulinum. Botox Cosmetic acts to temporarily reduce the appearance of moderate to severe facial wrinkles by weakening the underlying muscles that cause the formation of wrinkles.

Who is a candidate for Botox Cosmetic?

Botox Cosmetic is an excellent treatment if you suffer from moderate to severe frown lines or other facial wrinkles. While a wide range of people can successfully receive this treatment, Botox Cosmetic is usually recommended for healthy men and women of at least 25 years of age.

What is the recovery time for Botox?

Dr. Kassay recommends that patients refrain from exercise for a period of 24 hours and lying down for no less than 4 hours following treatment with Botox Cosmetic.

Are there risks or side effects with Botox?

The most common side effect of Botox is bruising, usually slight and temporary. Applying ice to the affected areas both before and after the procedure can minimize the risk of bruising. Though rare, other possible side effects can include headache, which typically presents as a dull frontal headache and subsides within one week. The temporary development of a heavy brow and blepharoptosis (dropping of the upper eyelid) is also a well described, albeit rare risk of Botox Cosmetic.

Are there contraindications for Botox Cosmetic treatment?

There are several relative and absolute contraindications for Botox Cosmetic treatment. Absolute contraindications include pregnant women or women who are currently breast feeding, and patients who are experiencing skin or soft-tissue infections in the regions requiring Botox Cosmetic treatment. Relative contraindications include patients with defined neuromuscular disorders including, but not limited to as Myasthenia Gravis, Eaton-Lambert Syndrome, and Amyotrophic lateral sclerosis or ALS.

How long do the results last?

Most patients will notice results within two to fourteen days, with the effects of a treatment usually lasting between 3-9 months. Patients with high metabolisms such as athletes may experience a reduced duration of effect. Dr. Kassay will suggest a time frame for follow up treatments.