What is Botox?

Botox Cosmetic® (onobotulinum toxinA) is a highly purified, naturally occurring protein. It works by blocking impulses from the nerve to the tiny muscles in the face that cause expression lines. Once treated, the muscles gradually relax resulting in smoothness of the overlying skin. Botox Cosmetic® does not affect sensation so you will not have numbness in the treated areas.

What results can I expect?

The effect of Botox Cosmetic® is gradual and will begin to be noticeable within 3-5 days with the full result expected within 14 days. The desired result generally lasts 3-5 months, at which time a repeat injection is required to maintain the muscle relaxation. After several treatments the effect of Botox Cosmetic® may last longer and a smaller amount of the medication may be required to maintain the desired effect. If you wish to stop Botox Cosmetic® treatments at any time, you can be confident that you will gradually return to your pre-treatment appearance.

What will treatment be like?

With attentive consultation, Dr. Hickey will discuss whether Botox Cosmetic® is the appropriate treatment for your aesthetic goals. You will decide the degree of muscle relaxation that you desire. The treatment areas will be prepared and a very tiny amount of Botox Cosmetic® is injected with a fine needle precisely into the muscles being treated. These injections are brief and not considered painful. The use of a topical anaesthetic cream is optional but usually is not necessary. Bruising at the injection site is uncommon and any swelling is temporary and resolves within minutes. You may resume normal activities immediately. Post treatment instructions are few and include remaining upright and not rubbing the treated areas for the first 4 hours after the injections.


This medication has been approved by Health Canada since 2001 for the temporary relaxation of the muscles responsible for excessive frown lines and crows feet. Skillfully administered by Dr. Hickey, these simple and quick injections into appropriate facial muscles will soften or eliminate wrinkles in specific areas while still maintaining natural looking facial expression. With its safety well established, uses for Botox for both cosmetic and medical indications continue to grow. Botox Cosmetic® remains the most popular non-surgical cosmetic treatment in North America.