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Botox Treatments                        Back to Prior Page


Facial expression lines develop from the action of the underlying muscles on the skin. Although these lines help us to convey to others a range of emotional states, some facial expression lines always seem to express fatigue or anger, even if those appearances do not represent how we are feeling. In fact, there are recent studies showing that Botox can actually make you happy! This is especially true of the lines of the forehead and between the eyebrows. Other lines, such as crow’s feet, may make us appear older than our chronological age. Botox® is used to block the nerve impulses that tell those muscles to move, revealing a fresh, healthy look. Botox® is used to treat wrinkles that are found when you make facial expressions, giving you a younger, natural-looking face!




























Botox is a great non-surgical option to not only treat current lines but also to prevent lines from forming in the first place! Call now to book your cosmetic consultation with Dr. Cook and see if Botox is right for you. 



Frequently asked Questions:


What creates a wrinkle?

    Many wrinkles are actually creases that have been worn into the skin by making the same expression thousands

    of times. These "expression lines," often called frown lines or crowe's feet, are due to the contraction of a muscle

    under the skin in that area. 


What is Botox:

    Botox is a purified protein toxin produced by the clostridium botulinum bacterium.  Although Botox is a toxin,

    there have been no serious side effects.  This is because it is used in extremely small amounts in the muscle only

    and does not spread through out the body.   


How is Botox used?

    A few drops of Botox are injected with a tiny needle into the muscle that creates a wrinkle. When Botox is injected

    into a muscle, it blocks the nerve impulse from reaching that area and, as a result, the muscle weakens.  As the

    muscle weakens, the skin overlying the muscle relaxes and the wrinkles in the skin gradually soften and may



Who injects the Botox?

    At Maui Medical Group Dr. Cook, Board Certified Dermatologist, performs the injections. Although other 

    types of medical providers can inject Botox, it is important to choose an injector who has been specifically trained

    in the art of aesthetics. This is not only for the patient's safety but to ensure the best results.  


Does a Botox injection hurt:

    When Botox is injected, there is minor stinging for a few seconds. Once the injection is complete, there is usually

    no discomfort. 


Where can Botox be injected?

    The FDA approved areas for Botox injections are between the eybrows, 11 lines, and the area around the eyes

    known as crowe's feet.  Botox is used in a variety of other non-FDA approved areas known as: "off label."  


Does Botox affect other facial expressions or create numbness?

   Botox does not affect the nerves, so there is no numbness in the area of the injection. Also the effect of the Botox

   is only in the immediate area of the injection. Therefore, muscles related to other expressions are unaffected. 


How long does Botox treatment last?

    The effects of Botox usually last three to four months, at which time another treatment is required.  After several

    treatments, the effect of Botox may begin to last longer and may require less amounts of Botox. 


How safe is Botox?

    Botox has been used safely and successfully for over 10 years. In the amounts used for wrinkle therapy, the

    possible side effects are temporary and localized to the areas of injection. 


Is the Treatment for Everyone?

    There are very few restrictions regarding Botox treatments.  Patients who are pregnant, nursing, or have a

    neurologic condition should not be treated.  


What will I look like immediately after treatment?

    The injection points will appear as small pink bumps and usually resolve within 15 minutes after injection. 


What are my restrictions after treatment?

    The following restrictions are recommended to prevent the Botox from travelling to areas beyond the injection

    points and to prevent eyelid drooping. It is recommended that you keep your head UPRIGHT for at least six hours

    after the injection.  Therefore, no lying down for 6 hours. It is also advised to avoid the following immediately

    after injections:  Exercising, blow drying hair, coloring hair, wearing a hat, applying makeup, cooking over a hot

    stove, or engage in any activity that will potentially move the injected substance to a different area.  It is also

    recommended to not travel by airplane for 24 hours after the injection. Following these instructions will

    dramatically lower your risk of eyelid droop. 


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