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Michele A Finley MD
12337 Hancock Street Suite 22
Carmel, IN 46033

BOTOX® Cosmetic

What is BOTOX® Cosmetic?
BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It has been used medically for over a decade and is used for alternative treatments including migraine headaches, back pain, excessive sweating, muscle spasticity, and neck, facial and vocal cord spasms. There are no reported risks using very dilute medical concentrations of the chemical.

Who is a good candidate for the procedure? 
Anyone who shows signs of aging are good candidates for BOTOX® Cosmetic injections. To find out more about BOTOX® Cosmetic and to discuss your individual requirements with Dr. Michele Finley, please contact us. 

What are the benefits? 
The muscles of facial expression are connected to the skin overlying them. After years of use, the muscles create visible lines and creases. By relaxing the superficial muscles attached to the skin, wrinkles "relax" and soften. The overall effect is a smoother, more serene, more youthful appearance. 

Is it safe? 
BOTOX® Cosmetic has been widely used for cosmetic purposes for a decade, and has been enthusiastically endorsed by those who have used it. 

What wrinkles can be treated? 
The most commonly treated areas are the forehead, around the eyes and between the eyebrows. Crow's feet can be softened; the furrow between the brows can be diminished and forehead wrinkles can be lessened. Less commonly treated areas include the lips and lower face.

Can I still move my face? 
Yes. Extreme movements of the forehead and eyebrows, which create the wrinkles, will be prevented, but other muscles in the face will not be affected. 

How long will the treatment take? 
A very small amount of the diluted drug is injected directly into the muscle in the desired treatment area. The procedure is very quick and is performed while you are sitting upright. It is important to remain in an upright position for two to three hours after the treatment so the BOTOX® Cosmetic will remain in the treated area.

Does it hurt? 
Individuals vary in their response. Some people experience a slight stinging sensation during the injection, but there is rarely any pain following treatment. 

How long will the results last? 
Individual results vary but for most people the results last for three to four months. Facial muscles that are larger (men) or which are used a lot by facially expressive patients may require treatments more frequently. Often the facial muscles become trained so that over time, less treatment is needed to keep facial lines relaxed.

Are there any side effects? 
Occasionally a small temporary bruise at the injection site may occur. 

Are there any medical exclusions? 
Pregnant or breastfeeding women should wait to be treated. Dr. Finley will review your medical history with you during your initial consultation prior to administering treatment. 

How much does it cost? 
The cost is dependant on the amount of BOTOX® Cosmetic actually used, and we only charge for the units used.

What should I do prior to treatment?
We recommend avoiding aspirin, aspirin-containing products and non-steroidal anti-inflammatory agents for one week prior to treatment as these can increase the small chance of bruising.

What will I have to do following the procedure? 
Remain in an upright position for two to three hours after treatment. Avoid alcohol, aspirin and non-steroidal anti-inflammatory agents for at least two days. Avoid strenuous exercise for at least 24 hours. 

How do I get started with BOTOX® Cosmetic? 
To find out more about BOTOX® Cosmetic and to discuss your individual requirements with Dr. Michele Finley, please contact us.

Important Safety Information from BOTOX® Cosmetic

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults younger than 65 years of age for a short period of time (temporary).


BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor
or get medical help right away if you have any of these problems any time (hours to weeks)
after injection of BOTOX® Cosmetic:

• Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be
severe and result in loss of life. You are at the highest risk if these problems are pre-existing before
injection. Swallowing problems may last for several months

• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection
site and cause serious symptoms including: loss of strength and all-over muscle weakness, double
vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia),
trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has
been used at the recommended dose to treat frown lines.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic
(see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product
such as Myobloc® or Dysport®; have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis
[ALS or Lou Gehrig’s disease], myasthenia gravis, or Lambert-Eaton syndrome, as you may be at
increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory
compromise (difficulty breathing) from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including if you have: plans to have surgery;
had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows;
drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not
known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed
(it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription
medicines, vitamins, and herbal products.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, or vision problems.
If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site,
tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight,
drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit, or call 1-800-FDA-1088.

Full Product Information, including Medication Guide, has been provided to your doctor.