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Botox® Cosmetic

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.

Lines in different areas of your upper face largely share one of the same underlying causes: repeated muscle contractions. BOTOX® Cosmetic (onabotulinumtoxinA) temporarily reduces this muscle activity for noticeable smoothing of these lines.

BOTOX® Cosmetic is the first and only product of its kind approved for moderate to severe forehead and crow’s feet lines, in addition to being approved for moderate to severe
frown lines in adults.




For temporary improvement of moderate to severe forehead lines, BOTOX® Cosmetic is injected into the frontalis muscle above your eyebrows.
For temporary improvement of moderate to severe forehead lines, BOTOX® Cosmetic is injected into the frontalis muscle above your eyebrows.


For temporary improvement of moderate to severe crow’s feet lines, BOTOX® Cosmetic is injected into theorbicularis oculi muscle surrounding your eyes.
For temporary improvement of moderate to severe crow’s feet lines, BOTOX® Cosmetic is injected into theorbicularis oculi muscle surrounding your eyes.


For temporary improvement of moderate to severe frown lines, BOTOX® Cosmetic is injected into the corrugator and procerus muscles in your brow area.
For temporary improvement of moderate to severe frown lines, BOTOX® Cosmetic is injected into the corrugator and procerus muscles in your brow area.


Frequently Asked Questions

What Results should I expect?

Results are not typically noticed at all until 24 to 48 hours after the procedure. Mostclients see significant improvement at 7 days, and improvement can continue for up to a month.  Results normally last up to four months.  To maintain your results, 3-4 treatments per year is recommended.

What are the Potential Side Effects?

Visible bumps may be seen at the injection sites.  These are normal and may last up to a few hours.  Other side effects associated with the injection can include injection site pain/discomfort, dry mouth, headache, neck pain, drooping eyelids and eyebrows, dry eyes, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, or vision problems (double or blurred vision/decreased eyesight) within hours to weeks of receiving treatment. If any of this happens, do not drive a car, operate machinery, or do other dangerous activities.

•    Sensitive or blurry vision is possible for 2-3 days post-treatment.  Wear sunglasses and moisturize eyes with moisturizing eye drops.
•    Flu-like symptoms are extremely rare, but may last 2-3 days.  Fluids, rest and ibuprofen/acetaminophen may be used.
•    IMMEDIATELY seek medical attention at the nearest hospital or emergency room if you experience difficulty with speech, breathing, or swallowing. 

Who can safely administer Botox® Cosmetic?

In the state of Virginia, the provision of Botox® Cosmetic or any neuromodulator is considered the practice of medicine.  Therefore, only physicians or approved, licensed allied health professionals acting under physician delgation and supervision (including PA’s, NP’s and nurses) can perform this treatment. 


For more information about Botox®Cosmetic, visit www.botoxcosmetic.com
Ready for your Riva Results?  Call (757) 278-9888 to schedule your appointment.