Tiny injections of the neurotoxin botulinum temporarily immobilize the muscles that cause lines in the forehead and around the eyes. Injections can be done in the office, without anesthesia. Botulinum-derived products such as Botox have been used for many years with good results, but periodic follow-up treatment is necessary. The products cannot remove deep wrinkles. Patients can gain some savings by using newer products or waiting for advertised specials, which often offer reduced prices or rebates. Results last three to four months. In clinical trials for FDA approval, according to surgeon Benjamin Cooper of Newark: Revance, a botulinum cream that is applied topically. “Will it last as long [as Botox]?” Cooper says. “I think that’s what they’re working on now.”
Risks Drooping eyelids, dry eyes, disappointment that it didn’t last longer or work better. Actual injury is extremely rare.
Recovery Minor redness and swelling fades in a day or two
Cost $300 to $1,000, depending on the amount of coverage or the number of units used
