INJECTABLES
Wrinkle Relaxers
Botox® Cosmetic and Xeomin® are prescription medicines that are injected into muscles and used to temporarily improve the look of moderate lines on the face.
Wrinkle Relaxer treatment areas include:
- Forehead Lines: 10 – 20 units
- Frown Lines (11’s): 20 – 30 units
- Crow’s Feet: 18 – 28 units
- Bunny Lines: 4 – 8 units
- Fine Lip Lines: 4 – 6 units
- Jaw Shaping: 30 -50 units
- Chin Dimpling: 4 – 9 units
* Typical wrinkle relaxer amounts for female patients. Male doses are typically higher.

Before & After
Additional Information
While Botox® and/or Xeomin® is a no downtime procedure, the following are some guidelines to be aware of following your treatment.
- No rubbing or massaging the injected area for 4 hours after treatment (this includes receiving a facial treatment).
- No strenuous exercise for the remainder of the day.
- Keep upright for 4 hours (avoid lying down).
- Avoid headwear that is tightly fitted across the forehead for the next 4 hours.
- Avoid excessive alcohol and blood thinning medication (such as Aspirin) for the remainder of the day.
Possible side effects
In most cases there will be no side effects from your Botox® and/or Xeomin® treatment. However, because everyone’s physiology is different, people can be affected in different ways. The most common side effects are:
- Bruising – There is a complex highway of blood vessels beneath the skin. Any time we receive an injection, it is a possibility to have a bruise at the injection site.
- Bumps – For some people, a bump may be apparent at each injection site and typically disappears within 30 minutes.
- Headache – Temporary headache is the most common reported symptom following Botox® and/or Xeomin®. If desired, painkiller medication may be taken. Ibuprofen/Advil is preferable to Tylenol/Aspirin, as the latter can increase bruising if taken the day of treatment.
Results and Future Appointments
- Results of Botox® and/or Xeomin® usually start to appear within a few days of injections, but can take up to two weeks to see full effect. If you feel you may need an adjustment to your treatment, you may schedule an appointment for two weeks from your initial appointment.
- Although some people may experience shorter or longer lasting results, scientific evidence shows that the effects of Botox® and/or Xeomin® usually lasts 3-4 months when dosed optimally.
- It is highly encouraged to schedule your next appointment as soon as your Botox® and/or Xeomin® wears off (at 3-4 months) to keep up smoothness and/or maintain progress.
1-2 Days Post: Nothing happening yet, except for the bruises patients may have, and possible minor tenderness just from being poked.
3-5 Days Post: Patient should see that their Botox has begun working. Exciting! Some people at this stage may wonder if they should have gotten more, because…
14 Days Post: Your Botox is officially in full effect! The full potential from receiving treatment is now visible to the patient. At/after day 14 is the appropriate time to return if any tweaks need to be made, or if the patient needs more.
2.5-3.5 Months Post: Sometime in this range is the typical time to start noticing some movement return. At this time you’ll want to call and set up your next appointment. It’s important to keep up with your treatments and not let significant time lapse in between.
3-4 Months: When the average person needs their next treatment. (Some patients may be a little earlier or a little later.)