BOTOX® is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults. Below Dr Alek Nikolic has listed the most Frequently Asked Botox questions.

Is It Painful?

The quick answer is no but everyone has a different pain tolerance so the general feedback from patients is that they either feel nothing or some feel a mild discomfort. However, each treatment point takes less than a second so the treatment is 100% tolerable by everyone.

What Do I See Immediately After?

Small bumps on the skin will be visible at the treatment points and these are normal and will disappear within 30 minutes or less.

Where would you typically inject them?

Botox is typically injected into muscles to reduce their activity; the aim is to relax the muscle but not to completely stop all movement. We can literally inject the entire face, neck, chest, for cosmetic reasons but Botox is also used to control headaches, migraines, reduce excessive sweating, bladder problems, neurological conditions, pain syndromes, etc.

How long until you see results?

Botox can start to work within a few days but typically people will notice visible changes within 5 to 7 days and full effects are seen 3 to 4 weeks following the treatment.

How long do the results typically last?

For cosmetic effects the typical duration is 3.5 to 4 months but some people are unlucky and only get 2 months while other are extremely lucky and get 6 months.

At what age would you recommend starting (should you be so inclined)?

The time to start is dependent on the person but if one would like to never develop a line or wrinkle then the best time to start is before they appear or just as fine lines start appearing.

We do see patients in their twenties because of this but it is vital that if you start at this age that you see a doctor who uses Botox to relax muscles and not to completely immobilize or stop muscle movement so that a natural end result is achieved. Today we have the ability to treat someone who comes to see me and says I work on stage but need movement to show emotion all the way to someone who wants no movement. We should approach patients differently so that we tailor make the end result. By treating certain muscles and leaving others out and by changing the dose used we can achieve natural end results and provide a specific effect that suites each person.

What are the potential side effects?

Possible side effects include allergic reactions (this is extremely rare), swelling at the site of injection (which disappears within 30 minutes), and eyebrow and/or eyelid ptosis (drop) but this is directly related to the experience of the injector. Very rarely headaches, nausea, muscle weakness, and even flu like symptoms have been reported but this does not require treatment as the symptoms disappear fairly quickly.

If you don’t like the effect, can it be reversed?

Unfortunately, no as once the muscle nerve ending has been effected we need to wait for the effect to wear off which may take 3 to 4 months. So, the effect is temporary.

Will I bruise?

There is always a potential to bruise following a Botox treatment but this is a fairly rare occurrence. However bruising is dependent on the experience of the injector and the use of good lighting and loupe magnification which helps one to avoid superficial veins thereby reducing the chance of a bruise appearing.

Is it painful afterwards?

In most cases there is no discomfort following the Botox treatment.

Will people know?

Immediately after one will see small swellings at the injection site but these tend to disappear within 20 to 40 minutes after which no one will know that you had a Botox treatment.

Can I apply makeup?

Yes but one needs to do this gently and carefully. As a good rule of thumb when applying makeup after a botox treatment always apply the makeup in an upward or outward direction (away from the eyes).

Can I go back to work?

Yes one can go back to work and resume normal day to day activities like driving, cooking, etc.