Your First Botox Appointment and What to Expect

Botox is a product that relaxes muscles in the face, smoothing away age lines and wrinkles. Botox injections temporarily paralyze the facial muscles by blocking neurotransmitters from reaching them.

The cosmetic effect of Botulinum toxin type A on wrinkles was originally documented by Dr. Richard Clark, a plastic surgeon from Sacramento, CA. Canadian husband and wife physicians JA and JD Carruthers were the first to publish a study on it.

They observed that patients who received injections around the eyes and upper face also enjoyed diminished frown lines between the eyebrows. Columbia University saw similar results. After the clinical trial, Botox Cosmetic was approved by the FDA in 2002.

Botox is derived from Botulinum toxin type A, a purified form of the toxin, and because it is purified, it is safe for cosmetic and medical use.

What to Expect: Your Botox Consultation

Before your first Botox treatment, you’ll need a consultation with Dr. Bared. During this consultation, the doctor will determine if this product best suits your needs and health.

You will need to inform Dr. Bared about your medications, medical conditions, surgical history, and any allergies you may have. Dr. Bared will guide you through the dos and don’ts to be followed before the procedure.

What to Expect: Before the Procedure

Dr. Bared will recommend against the use of blood thinners several days before the procedure to reduce the risk of bruising and bleeding.

Before the Botox injection procedure, Dr. Bared will review what was discussed during the consultation. You will be informed of how much Botox you are getting and in which areas. The doctor may suggest numbing the skin before the procedure, as it minimizes any pain that could otherwise occur.

What to Expect: During the Procedure

Dr. Bared will carefully identify and mark the areas to be treated. A mild cleanser will be applied to these areas. A narrow micro-needle will then be used to inject the Botox directly into the facial muscles. Ice and pressure will be applied to avoid swelling in the treated areas.

What to Expect: After the Procedure

You will be able to resume your normal activities immediately after the procedure. The results of Botox can be noticed in the first week following the treatment.

The doctor will give aftercare instructions to avoid unintended damage or side effects. These instructions include:
• Avoid rubbing the treated area.
• Following the procedure, do not lie down for four hours.
• Do not exercise or take part in strenuous activities for 24 hours after the procedure.

Botox is not a permanent treatment. Its effects can last up to four months. Scheduling treatments at regular intervals is a must for continuous results. Fine lines and wrinkles will gradually return over time if treatments are discontinued.

Scheduling Your Consultation

If you’ve decided that Botox is the right treatment option for you, the first step is setting up your appointment for a consultation. Dr. Anthony Bared, a double-board-certified facial plastic surgeon, will be happy to help you achieve your beauty goals.

Author Info

Dr. Anthony Bared

Dr. Anthony Bared, MD, FACS is a double board certified facial plastic surgeon who specializes in rhinoplasty, revision rhinoplasty, and hair restoration. You can schedule a consultation with Dr. Bared by calling 800-943-7295.

Out of town? A virtual, web-based consultation can be scheduled. Visit our Out of Town Patients section.