More than likely, you’ve heard of Botox before – people everywhere have been using this substance to get rid of those fine lines and wrinkles for years, and maybe you’ve considered it, too. Those of us here at Mira Vista Surgical Dermatology are ready to help you in any way you need, but before you come in to see us, take a look at our Botox information to get started.

What Is Botox:

Botox is derived from Clostridium botulinum, which is an organism found naturally in soil, lakes, and forests. Like this, it’s harmless; the only way it becomes dangerous is when the cell population increases, producing botulinum toxin – the neurotoxin creating botulism.

However, when it comes to medical purposes, Botox is adjusted, so it’s not poisonous. It all comes down to the dose when used for cosmetic purposes. Most often the vials will have 100 units of the product and is reconstituted with saline. Most people get around 25 units for a great result but leave the specifics to your doctor.

Doctors everywhere and 6 million users around the world use this toxin to reduce fine lines and wrinkles by paralyzing the underlying muscles in the face. That’s because it affects the nervous system, stopping the usual signaling process in your muscles.


How Botox Works:

These small doses will be injected into the muscles to prevent nerve signals from reaching, paralyzing them in the process. Muscles would usually need the chemical messenger acetylcholine to contract or shorten, but Botox prevents that process from happening. The muscle cells won’t be able to move for some time, reducing normal muscle contraction and allowing the muscles to become less stiff. This relaxation is what reduces the appearance of wrinkles.

Botox works depending on the area you’re using it on and for what purpose. If you’re dealing with excessive sweating, for instance, Botox can stop acetylcholine release near the sweat glands to help reduce your sweating, too.


How Can Botox Be Used?

Botox injections have become incredibly popular over the years, as they’ve gained fame as a cosmetic product. It works to keep you looking young by reducing fine lines and wrinkles and is used mostly for aesthetic purposes. You may consider it for the lines between your eyebrows, in laugh or smile lines and for frown lines or crow’s feet, as well. Even premature wrinkles can be handled, or future wrinkles, too.

Botox isn’t singularly for your appearance, though. Many people make use of it for conditions like excessive sweating, migraines, muscular disorders and some bladder and bowel disorders. It’s been used for eye spasms and misalignment for the eye, too, for a total of 20 possible conditions.


Where Can Botox Be Injected?

Here are some areas of the face that Botox can help with:

  • Forehead lines
  • Glabella, or Frown lines
  • Crow’s Feet
  • Bunny lines
  • Peri-oral lines
  • Marionette lines
  • Mentalis Dysfunction, or Chin Dents
  • Vertical Platysma Bands
  • Brow lift
  • Under the armpits for excessive sweating

Where you receive your injection really depends on the doctor, though. They may decide that one place is better than another based on your anatomy, so be sure to ask them before you get the procedure started.


What To Expect:

When you go in for your Botox appointment, it will be diluted with saline before your injection. Our doctor will only need a few minutes to do the injections, with no anesthesia needed either. A fine needle will be used to inject the drug into specific muscles, with just a small amount of discomfort.


Before Your Procedure:

Before the injections, avoid alcohol for at least one week. Medications that can thin your blood such as Aspirin, Ibuprofen, Excedrin, Vitamin E, fish oil, Gingko Biloba, Ginseng and anything similar to those should be stopped one to two weeks prior. This will reduce possible bruising that you might deal with after the procedure.

However, if you must take medicine for pain, Tylenol is okay. You can also ask our doctor to numb the skin beforehand, especially if you’re coming for excessive sweating treatment.


After the Procedure:

Botox will not impact your daily life too greatly, so you’ll be able to resume your normal activities right away. Just make sure not to rub or massage the treated areas because doing this may cause the toxin to migrate to a different area.

What’s more, even though you can do your daily activities immediately, it’s best to avoid activities that are too strenuous, avoid drinking too much alcohol, avoid getting facials and chemical peels for at least 24 hours and continue refraining from taking in any of the medications that can thin your blood.



If you’re pregnant or lactating, you have to wait before you get your Botox injection. For those of you who are allergic, though, speak to your doctor about another solution to your problem. If there’s an issue with any of the ingredients, it’s best just to avoid it all together.

Don’t be afraid to discuss with our doctors and ask any question you may have – it’s best to be open and upfront with each other to avoid any misunderstandings, miscommunications, and complications.



Many people are a little disappointed that they won’t see the effects of Botox right away and usually have to wait 2-14 days to see the results from the injection. The delay is due to how long it takes for the muscles to start reacting to the toxin, but how long it takes depends on the person, too.

If your facial muscles are stronger in the area being treated, or if the lines are deeper, it will usually take longer. Talk to the doctor if you see no results after 14 days, because in that case, they may need to adjust the dosage.

Sadly, Botox doesn’t last forever either. After 3-6 months, you won’t see the effects anymore as the toxin is slowly broken down by the body. When this time comes, don’t hesitate to return to us and our doctors will be more than happy to continue your injections.


Schedule a consultation

Botox is an incredibly common and safe injection procedure meant to not only reduce wrinkles but to help with many other conditions, as well. Here at Mira Vista Surgical Dermatology, our doctors are prepared to answer any questions you may have about the procedure before you get started. We’ll make sure you get just the right dose for the results you’re looking for – all you have to do is call us now to set up an appointment.

Contact Us

Our Location:
7000 Bryant Irvin Rd, Ste 100
Fort Worth, TX 76132

Tel: 817.882.6338
FAX: 817.759.9808