From the Desk of Dr. Keefe

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This month we’re featuring the top 10 myths about Botox – 5 this week and 5 next week.  Within each misconception listed you’ll find helpful links to more info.


If you want us to send you the entire list – drop us an email with your contact info from our ContactUs page.  We’ll send you the download free with no obligation.


Hands-down one of the most popular cosmetic procedures around is Botox®.  So what exactly is it? “Getting Botox”  involves injecting botulinum toxin into areas of the face to help deliver a youthful and fresh appearance. To ensure the best outcome and the most success from the procedure it is essential to seek a qualified professional who is not only well-trained in the techniques of the procedure but also one who has a thorough understanding of the anatomy and musculature of the face.

Generally, the more popular something is, the more misconceptions that abound. This is also the case with Botox injections and procedures. If any of these ten most common Botox myths have prevented you from opting for the treatment, then it’s time to reconsider whether it might be just the think you’re looking for!  Here are the first five:

Myth #1:  Botox® is not safe.

Patients who are skeptical of getting a Botox® treatment often believe that Botox itself unsafe. In fact, the drug present in injectable Botox® has been researched for over a century.  

The FDA found that Botox when injected in a regulated amount is safe for both cosmetic uses and therapeutic uses such as for patients with neurological disorders, bladder issues, hyperhidrosis (excessive sweating) and more. Treatment should only be administered by a well-qualified practitioner. Any issues that might arise during the process is typically due to untrained professionals and not the drug itself. Regulations about the treatment vary from State to State. In some regions it is not well regulated at all; the responsibility is on the patient to ensure that the practitioner is qualified before seeking the procedure.

Myth #2:   A Botox® injection is very painful.

It's common to hear how excruciatingly painful cosmetic procedures are. Such stories are enough to scare anyone. If pain is the only thing stopping someone from getting a Botox® treatment, then they will be happy to know that Botox® injections are not as painful as they are often described.

Patients who have received Botox® injections have reported that only mild discomfort is felt when an administrator injects Botox®. Regardless of how low someone’s pain threshold is, it is highly unlikely that the Botox® injection will be very painful. This is because the needles used for Botox® injections are very thin and only a small amount of Botox® is injected. Patients only feel a tiny pinch for a second or two during the process. Often multiple injections are required, and several pinches may make the experience a bit uncomfortable but each often lasts only a few seconds and are tolerable. The most common reaction we have from both seasoned Botox patients and new ones: "Wow! That didn't hurt at all! I was expecting it to be really painful!"

Myth #3:  Botox® injections are addictive.

One of the biggest Botox myths surrounding Botox® is its addictive properties. In fact, Botox® drugs do not have any addictive properties or elements. Since there are no psychoactive ingredients in the product, it cannot possibly be addictive or cause anyone to get “high”. What the comment may refer to is the pattern of increasing injectable services once a patient starts. They start on crows feet around the eyes, and are so pleased, they decide to try it in their forehead, etc, etc.

There are various medical issues where symptoms may be lessened by using Botox®. However, in terms of making a patient physically addicted to the drug, this is not the case. Patients can become increasingly dependent on getting Botox, much like they become dependent on keeping or changing their hair color. It helps them look and feel more youthful. But the desire to keep up with the routine of Botox injections is due to the value they perceive they are getting from the treatment for their personal appearance and confidence level. It is not a physical dependency.

Myth #4:  The effects of Botox® are permanent.

Sometimes the result from a cosmetic treatments and/or procedures can be disappointing. The result and what the patient envisioned misses the mark. This can also be the case with Botox® procedures. There is a misconception that Botox® effects are permanent and are therefore irreversible.

This is not true. Instead, Botox injections yield temporary results. After a period of three to six months, the effects wear off. To keep the desired result however, a regimen of regular Botox is recommended. Your provider will help you get to a good schedule for the results you are looking for on an ongoing basis. Anyone looking for a permanent solution will need to understand the only way it will be "permanent" is a continual commitment to having injections. Once you stop getting injections, the effects of the Botox wear off completely.

Myth #5:  Botox® is just meant for wrinkles and facial lines

While such myths surround the procedure, the truth is that Botox® can be, and is, used for a plethora of medical conditions. Currently, Botox® is used to treat strabismus,migraines, back pain, TMJ conditions and hyperhidrosis. But Botox is also being used successfully as a preventative measure by creating muscle memory responses before fine lines appear. When used early, before the deeper lines and wrinkles set in, muscle responses under the influence of Botox will lessen the effects over time that create the wrinkles we are trying to avoid.