BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in patients over 18 years old for a short period of time (temporary).

BOTOX® Cosmetic is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles.

This reduces muscle activity that causes moderate to severe lines to form between the brows. Individual results may vary.

Dr. Pierone is the leading injector of Bellafill® in the United States and is a nationally recognized trainer and researcher. He has performed over 20,000 procedures with dermal fillers.

botox lady

How it Works

botox how it works

Results are visible within one week after treatment and remain for a minimum of three months.

Unlike soft tissue fillers such as Juvederm® and Sculptra® Aesthetic that add volume to skin depressions, BOTOX® blocks the release of a chemical called acetylcholine which triggers the muscle contractions that create wrinkles.

BOTOX® essentially paralyzes the muscles and stops them from contracting.

Some surgeons suggest that Zytaze, a new prescription zinc supplement, can extend these results if taken in the days leading up to your BOTOX® injections. Ask your doctor about Zytaze before your next BOTOX® injection.

BOTOX® Side Effects

The most common side effects of BOTOX® include headache, nausea, flu-like symptoms and redness and pain at the injection site. Infrequently, patients experience muscle weakness or drooping of the upper eyelid muscles. This side effect usually resolves within days. In rare cases, however, upper eyelid drooping may last for months.

botox side effects

Before and After

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What to Expect

BOTOX® should only be injected with sterile instruments in a doctor’s office or a medical spa – not at BOTOX® parties at your local nail salon or neighbor’s living room. BOTOX® injection is usually performed with some local anesthesia or a numbing cream. You may feel some minimal discomfort from the shot, but today’s needles are so thin and fine that the procedure is often painless. Depending on the extent of treatment, the procedure can take anywhere from a few minutes to 20 minutes.

Selecting the correct injection points is critical to the success of the procedure. These points are first scored with a marking pencil. Your doctor will likely select numerous injection points for each location to be treated. (These points are located where the muscle contracts – not necessarily at the wrinkle you are hoping to erase.) The BOTOX® filler is then injected into the marked points beneath the skin.

You can resume normal activities immediately, but your doctor may advise you to stay out of the sun.

Come visit us for Botox®


FDA cleared


No surgery or incisions


No anesthesia necessary


Little to no discomfort


No down-time


No scarring


The cost for Botox® is $12 per unit.  Anywhere from 20-30+ units are used per treatment area. Multiple areas may be treated at one time. On average, repeat treatments are needed every 3-4 months.

When it comes to Botox ®and other injectables, you get what you pay for.

Buyer beware: bargain Botox® (old inventory dilutes product) may increase your risk of complications, including poor cosmetic results.

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How long does BOTOX® Cosmetic last?

Visible results have been shown to last up to 4 months. Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.

When will I see results from a BOTOX® Cosmetic treatment?

Within days, you may see a marked improvement in the moderate-to-severe frown lines between your brows. Lines continue to improve for up to 30 days, and results can last for up to 4 months. Individual results may vary.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of the “11s,” the moderate-to-severe frown lines between the eyebrows (glabellar lines). It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.

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Dr Gerald Pierone Jr

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If you'd like to speak with Dr Pierone directly via Skype, you can receive a private consultation when you schedule your appointment during one of the times he has specifically set aside for remote web visitors.

* Medical Disclaimer

The medical information on this site is provided as an information resource only. It is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual and is not to be used or relied upon for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment. More information

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