For appointments: 1 203 661 7546|40 West Elm Street, Greenwich CT 06830
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Everyone gets wrinkles. Years of smiling, laughing, frowning and glowering and the inescapable natural aging process take their toll on our faces. Fine lines and wrinkles make us look older than we actually are. They also make us look angry, sad, tired or unpleasant when we actually are not.

Botox injections are safe, efficient and effective treatments that smooth out or prevent those wrinkles and have us looking younger and refreshed in a matter of days. They also treat a variety of medical conditions.

What Is Botox?

Botox is the brand name for FDA-approved botulinum toxin, an extremely popular, nonsurgical cosmetic treatment to temporarily reduce or eliminate fine lines and wrinkles and improve your appearance.

What are neurotoxins?

Botox (BTX) or botulinum toxin as well as Dysport and Xeomin, are purified proteins derived from some of the seven neurotoxins produced by a bacterium called Clostridium.

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Many women and men glance in the mirror every morning to analyze troublesome forehead lines, frown lines, and crow’s feet. If this describes you, you should think about Botox.

The anti-aging therapy has an unrivaled reputation for safety, efficacy, and consistency, and it may help you recover a young and rejuvenated appearance without surgery or downtime.

So, is Botox the best treatment for you?

Work with The Best Greenwich Medical Spa

Get the process started by learning about our entire staff and how they will facilitate your Botox injections.

Remove frown lines without damaging facial muscles or experiencing swelling. There will be minimal side effects from this popular cosmetic treatment.

What does BOTOX do?

  • smoothing the area around the eyes (crow’s feet), on the forehead, and around the lips;
  • smoothing the “cobblestone” skin on the chin;
  • softening a square jawline;
  • lifting the corners of the mouth;
  • reducing the appearance of neck bands;
  • creating a larger lip and fuller pout;
  • correcting an excessive gingival display (aka gummy smile).

Increasingly, more people aged 19 to 34 are availing themselves of the benefits of Botox to stave off the lines and wrinkles rather than needing more extensive treatment later on. Also, slowing down the use of these muscles early on tends to shrink them, so any future lines and wrinkles will be less severe.

Note: Botox is not recommended for an individual 18 years old or younger.

  • Hyperhidrosis (excessive sweating) of the underarms, palms, soles and forehead
  • Cervical dystonia that causes severe neck and shoulder muscle contractions
  • Blepharospasm (uncontrollable blinking)
  • Strabismus (misaligned eyes)
  • Chronic migraine headaches
  • Overactive bladder


Botox does not involve being injected with botulism (a bacterial form of food poisoning). That sort of misinformation causes potential consumers to miss out on the benefits of Botox in CT.

The substance used in Botox injections, botulinum toxin A, is carefully extracted, purified, and standardized into FDA-approved doses. The dosage is very small; it cannot spread beyond the muscle tissue and cannot get into the bloodstream.


Before the Botox procedure

Botox causes little to no discomfort, making it virtually pain-free. You will not need general or regional anesthesia, but you may want your skin numbed if your palms or soles are being treated. In that case, the doctor may number the area with a topical anesthesia, ice, or vibration anesthesia.

During the Botox procedure

Your doctor uses a very small thin needle to inject tiny amounts of Botox into specific muscles. The number of injections needed depends on many factors, including the extent of the area being treated. For instance, crow’s feet usually need two to three injections. Furrows above your brow may take five or more. The whole procedure is unlikely to take more than 15 minutes.

After the Botox procedure

There is no down time or recovery time. You may resume normal activities immediately.

Do not rub or massage the treated areas for 24 hours. Botox is injected right below the surface of the skin, and you do not want it to spread to other areas. It needs to remain in the targeted muscle.

Your doctor may also tell you to stay upright for four hours after the shots and to take a day off from exercising.

Botox Results

You should see a difference in one to three days after the treatment. It takes 7 to 14 days for the full (glorious) effect. The effects of Botox will last three to six months. As muscle action slowly returns, the lines and wrinkles gradually reappear and need to be treated again. As time and treatments go on, you will find that the lines and wrinkles become less severe.

If your desire is more geared towards addressing facial volume, Greenwich Dermatology has other dermal fillers that will safely assist you.


Botox contains a highly purified botulinum-toxin protein that acts as a neuromodulator (i.e., modulates (modifies) the nerves). The injected protein attaches to the nerve endings and blocks the nerves from releasing a chemical messenger called acetylcholine, which signals the muscles to contract. Without the signals, the muscles remain relaxed. They are not expanding and contracting, i.e., they are not wrinkling the overlying skin as we express excitement or surprise or when we smile, laugh, frown and squint.

What our patients ask our dermatologists

Neuromodulators are injected via super tiny needles directly into the hyperactive muscle. This is a comfortable injection that rarely causes bruising The targeted muscle starts relaxing within 2 to 3 days and achieves the full relaxing effect within a week. Results last 3 to 4 months.

People who are pregnant, breastfeeding, or have a neurological disease should not use Botox cosmetic. Also, anyone who is allergic to cow’s milk protein.

Yes. Increasingly men are taking advantage of Botox to have a more youthful appearance.