Frequently Asked Questions About Botox

Advanced Laparoscopic, Bariatric, Endoscopic & General Surgery

What is BOTOX Cosmetic?
BOTOX Cosmetic (Botulinum Toxin Type A) is a purified protein that is administered in a simple, nonsurgical procedure to temporarily reduce the 11’s-those moderate to severe frown lines between the brows-in people 18 to 65.

Most Popular. BOTOX Cosmetic has been the most popular of all physician-administered cosmetic procedures for 6 years running.
Established. Approximately 9.4 million BOTOX Cosmetic procedures have been administered in the United States since 2002.
Satisfying. 97% of patients surveyed (1048 respondents) were satisfied with the results of their BOTOX Cosmetic treatments.

Is BOTOX Cosmetic right for me?
People ages 18 to 65 choose to talk to their doctors about being treated with BOTOX Cosmetic for a variety of reasons. They may be concerned that their frown lines between the brows make them look tired, stressed or unapproachable. You may have your own reasons, so talk to your healthcare provider today to find out if BOTOX Cosmetic is right for you.

What Causes Frown Lines?
The 11’s –those vertical lines that appear between your brows-actually result from powerful muscle contractions. When you concentrate or frown, the muscles between your brows contract, causing your skin to furrow and fold. After years of frequent contractions, those creases can linger even after the muscles have relaxed.

How does BOTOX Cosmetic work?
Very low doses of BOTOX Cosmetic are administered via a few tiny injections directly into the muscles responsible for the frown lines between the brows. By blocking the release of the chemical that causes these muscles to contract, BOTOX Cosmetic enables them to relax, so the skin appears smoother.

What is BOTOX Cosmetic treatment like?
BOTOX Cosmetic is administered during a simple, 10 minute treatment in your healthcare provider’s office.
-Nonsurgical. Tiny injections are administered directly into the muscles that cause frown lines between the brows.
-No downtime. Often called a lunchtime procedure, treatment is brief and requires no recovery.
-Minimal and brief discomfort. No anesthesia is required, although your healthcare provider may choose to numb the area with a cold pack or anesthetic cream prior to injecting. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.

How quickly will I see a difference?
Within 1 to 2 days, you may notice a softening in the appearance of your frown lines. The area between your brows may continue to improve for up to a month.

How long can I expect my results to 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.

Will I still be able to make facial expressions?
With BOTOX Cosmetic, you won’t look like you’ve had work done. The muscle activity that causes frown lines is simply reduced, so you can still show expression-smile, frown, or look surprised-but without the wrinkles and creases between your brows.

Will I experience any side effects?
The most common side effects following injection include temporary eyelid droop and nausea. Localized pain and/or bleeding/ bruising may be associated with the injection.

Are there any serious side effects?
Serious heart problems and serious allergic reactions have been reported rarely. If you think you are having an allergic reaction or other reactions, such as difficulty swallowing, speaking or breathing, call your doctor immediately. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis or Lambert Eaton syndrome may be at increased risk or serious side effects.

Will a treatment with BOTOX Cosmetic affect my skin color?
Men and women of varying ethnicities and skin types have been successfully treated with BOTOX Cosmetic. Because it works only on the underlying muscles, you needn’t be concerned that it will affect your skin or texture.

Is BOTOX Cosmetic expensive?
Actually, BOTOX Cosmetic is affordable. According to the American Society for Aesthetic Plastic Surgery (ASAPS), the cost per treatment in the United States averages between $300 and $500, with results that last up to 4 weeks.

How can I be sure I’m getting real BOTOX Cosmetic?
Only licensed and trained healthcare professionals have the experience necessary to administer BOTOX Cosmetic. Allergan, Inc., the maker of BOTOX Cosmetic, is the only source for healthcare professionals to purchase the product. Each FDA-approved label bears the Allergan hologram.

BOTOX Cosmetic is approved for the temporary treatment of moderate to severe frown lines between the brows of people ages 18 to 65.

Alma Office

Warwick Medical Plaza
315 Warwick Drive, #3
Alma, MI 48801

Phone: (989) 463-6699
Fax: (989) 466-2574

Office Hours:
Monday - Friday
8am - 5pm

Mt. Pleasant Office

4851 E Pickard St
Mt. Pleasant, MI 48858

Phone: (989) 463-6699
Fax: (989) 466-2574

Midland Office

MidMichigan Medical Center-Midland
Towsley Building
4201 Campus Ridge Drive, Suite 4050
Midland, MI  48640
Towsley Building Entrance - take elevator on right to 4th floor

Phone: (989) 463-6699
Fax: (989) 466-2574

Office Hours:
Thursdays - Bi-Weekly
1pm - 5pm

Clare Office

602 Beach Street
Suite 2240
Clare, Michigan 48617
Across from the Dougherty Hotel, behind the hospital

Phone: (989) 463-6699
Fax: (989) 466-2574

Hospital Affiliations

All of the surgeons at Great Lakes Surgical Associates have full, unrestricted privileges to practice general surgery at the two major hospital systems in Gratiot and Isabella Counties: Gratiot Medical Center and Central Michigan Community Hospital. We perform surgery at the following locations:
    MidMichigan Medical Center - Gratiot
    Mount Pleasant Surgery Center - Mount Pleasant
    MidMichigan Medical Center - Midland
GLSA Offices are also equipped with surgery suites for indicated office procedures.

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