BOTOX® Cosmetic is one of the many treatment options McLean & Potomac Dermatology offers to address expression lines like crow’s feet, frown lines, and forehead wrinkles. Through a carefully-administered series of virtually painless injections, certain wrinkles can be effectively smoothed to bring a more youthful appearance to the face. Treatments are fast and comfortable – in fact, many patients even choose to perform this treatment during their lunch break!

How BOTOX® Cosmetic Works
BOTOX® Cosmetic can effectively target wrinkles that develop due to the movement of facial muscles. Everyday actions like smiling or frowning can cause creases to develop in the skin over time, resulting in wrinkles like frown lines (also known as glabellar lines) and crow’s feet.
This is further exacerbated by the depletion of collagen, which can make the creases even more prominent, as the skin loses part of the support structure that helps it bounce back and keeps it elastic.
How Do These Treatments Work?
BOTOX® Cosmetic treatments focus on reducing the facial muscle movements responsible for wrinkles. The key ingredient is Botulinum toxin A, which temporarily reduces neurotransmitter activity within the treated area, thereby relaxing the muscle.
With decreased muscle movement, the appearance of crow’s feet, frown lines, and forehead wrinkles can be significantly reduced.
Do The Results Look Natural?
If the treatment is performed correctly and injections are made into the right areas, the results will look natural. The key to achieving natural results is understanding the intricate muscle structures under the skin and how they interplay to create our facial expressions.
Do The Treatments Hurt?
BOTOX® Cosmetic is a virtually painless and very comfortable procedure. The expert providers at McLean & Potomac Dermatology use very thin needles to administer the injections and may even suggest a topical anesthetic for extra comfort.
How Long Does BOTOX® Cosmetic Last?
BOTOX® Cosmetic results tend to appear gradually. After your treatment, you will see some results almost immediately, as the treatment begins to relax the facial muscles responsible for certain wrinkles, like crow’s feet and frown lines.
However, patients typically notice the full results about one week after treatment, when the injection has had time to affect the targeted area fully.
Results from these injections will last approximately 3-4 months, depending on the patient. Touch-up treatments may also be performed to increase the longevity of the results. Further, many patients find that regular treatments with BOTOX® Cosmetic further improve results due to increased muscle memory in the treatment area.
What BOTOX® Cosmetic Doesn’t Treat
It’s important to note that this injectable only treats situations where the predominant cause of the wrinkle is muscle movement. By relaxing the right facial muscles, the wrinkle appearance is reduced.
However, BOTOX® Cosmetic is not effective for sagging skin or facial volume loss. In these instances, the underlying causes are the loss of collagen and elastin and the loss and migration of fatty tissues underneath the skin. Treatments like dermal fillers may be a more viable option for such cases.
Combining BOTOX® Cosmetic with Other Treatments
BOTOX® Cosmetic can also be effectively combined with other treatments like dermal fillers. This is often done to achieve enhanced results by improving several factors simultaneously.
For example, BOTOX® can smooth out crow’s feet and frown lines, while a hyaluronic acid filler can bring more volume to the cheeks, chin, or lips.
Frequently Asked Questions
How exactly does BOTOX® Cosmetic work to smooth out facial wrinkles?
BOTOX® Cosmetic targets dynamic wrinkles caused by everyday facial movements like smiling or frowning. Its active ingredient, Botulinum toxin A, temporarily blocks your ability to relax the targeted muscles. With decreased muscle movement, the appearance of stubborn expression lines like crow’s feet and forehead wrinkles is significantly reduced.
Will my BOTOX® results look natural, and is the injection procedure painful?
Yes, your results will look entirely natural when administered by our expert providers, who precisely target the intricate muscle structures responsible for expressions. The procedure is virtually painless and highly comfortable, utilizing incredibly thin needles and optional topical anesthetics to ensure a quick, lunch-break-friendly treatment.
How long do the effects of BOTOX® last, and can it fix sagging skin?
Visible results appear within a few days, with full effects settling in after one week and lasting approximately 3 to 4 months. However, BOTOX® only treats wrinkles caused by muscle movement; it cannot fix sagging skin or volume loss. For those concerns, combining it with dermal fillers is often recommended.
How does BOTOX® differ from Dysport®, Xeomin®, and Daxxify®?
All four are injectable neuromodulators that use a purified form of botulinum toxin type A to temporarily relax the muscles responsible for dynamic wrinkles, so they treat the same concerns in very similar ways. The differences come down to their formulation and how they behave. BOTOX® is the original, time-tested option known for precise, predictable results. Dysport® has smaller molecules that spread a bit more easily, which can make it a strong choice for larger areas like the forehead, and it often starts working slightly faster. Xeomin® is a highly purified, “naked” formula with no surrounding proteins, which may lower the chance of building up resistance over time. Daxxify® is the newest option and uses a unique peptide-based formula designed to deliver longer-lasting results for many patients. During your consultation, our providers help you choose the product best suited to your facial muscles, treatment area, and aesthetic goals.
Before and After Photos
Schedule BOTOX® Cosmetic Injections in McLean, VA, or Potomac, MD
BOTOX® Cosmetic is one of the most effective methods of easing wrinkles. If you’re interested in an anti-aging option that can give you long-lasting results, this injectable formula may be right for you. Schedule a consultation with our team to learn more today.
You can get in touch by messaging us on this site or calling us at (703) 356-5111.







