How does it work?
• Botox is a muscle treatment, not a skin treatment.

• It works by hindering the transmission of nerve pulses from one muscle fiber to another, thus weakening   the muscle. When a muscle is weakened it begins to shrink and atrophy, much like the muscles in your   arm will shrink if you put a cast on it.

• This thinning of the underlying muscles results in a softening of the lines on the skin above the muscle   and a decrease in the depth of the lines we call wrinkles. Repeated injections keep on atrophying the   muscles until eventually they are so thin that you can no longer see deep lines.
  Botox does not prevent fine lines; it does keep fine lines from becoming deep lines.

Where do you put it, how long does it last and how much does it cost?
Chemically, Botox lasts about twelve weeks, so most people have it injected three to four times a year.
The injections are done either by Dr. Ricke, or one of our well-trained R.N.’s.
The cosmetic use of Botox is in three primary areas:

• the lines between the brow

• the lines on the side of the eyes (crow’s feet) and

• the forehead.

The office currently charges $150 for 12.5 units of Botox.
Exactly how much you need, and how often you will need it, will be determined in consultation at the office. We charge by the unit, so you can custom design how much you want.

Does it hurt?
• After we cleanse the skin with alcohol, we use a small ice pack to chill the skin, and the tiny needle we   use to inject Botox is hardly felt, or described as a small pinprick.

What to avoid prior to having Botox
• For seven days prior to your Botox injection please refrain from taking medications that thin your blood   such as: aspirin, ibuprofin, Naproxen, Anaprox, Alleve, Motrin, high doses (above 1000mg.) of vitamins
  C & E.

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