Botox® Cosmetic is a type of Botulinum Toxin Type A, a purified protein derived from Clostridium Botulinum. It has been used therapeutically for over 16 years and remains the most widely researched medicine in the world. Nevertheless, few people are still concerned with the use of a neurotoxin for cosmetic purposes. It must be noted that MANY of our medications are toxins- or poisons-based and used for medicinal purposes successfully since ancient times. (These preparations are obviously diluted to safe levels. The same is true of Botox). In addition, since 2002 the FDA has approved Botox® Cosmetic after determining its safety and efficacy.
How does Dr. Massoudi Use Botox?

BOTOX® Cosmetic is used safely and effectively for many years to smooth out wrinkles by weakening and relaxing the muscles that cause skin to wrinkle. (Once those muscle can’t contract, there is no cause for a wrinkle formation.) It is commonly used for frown lines between the eyes, wrinkles on the forehead, and crow’s feet on the sides of the eyes.

Besides smoothing out worry and frown lines, BOTOX® Cosmetic injections can create a lifting effect by relaxing the muscles that pull down on the eyebrows. In addition to elevating the ends of the eyebrows into a more pleasing arch; correcting a downward slanting sad eyes appearance; it also opens the eyes, reducing the hooded appearance so common in middle aged eyes. This procedure is appropriate for mild brow drooping and eliminates the need for eyebrow lift surgery.

BOTOX® Cosmetic may also be used to treat neck cords very effectively. Many of Dr. Massoudi’s patients use a combination of skin tightening laser treatments and BOTOX® Cosmetic to treat lax skin with cords on their neck, eliminating the need for neck lift surgery.

More Recently, BOTOX® Cosmetic is used to treat sweaty palms, underarms, and feet. The results are fantastic. After only a single procedure, the sweating disappears. The results last for many months.

BOTOX® Cosmetic is frequently used by Dr. Massoudi in treatment of headaches, as well. Many of Dr. Massoudi’s patients who suffer from frequent headaches report improvement or even a resolution of their symptoms after a procedure.

What are the Benefits of Botox?

Youthful appearance, of course! BOTOX® Cosmetic temporarily relaxes the muscles that cause wrinkles which means that after receiving BOTOX® treatment the patients experiences freedom of wrinkles in the treated area(s) for as long as the injection(s) is effective (3-6 months, with an average of 4 months. The actual duration varies from one individual to another, depending on how fast an individual breaks down Botox®). The treatment can be repeated as often as needed.

What is BOTOX Injection Experience Like for the Patient?

BOTOX® Cosmetic is administered as an injection. Depending on the specific area treated the patient may experience some discomfort. If the area treated in your case is particularly sensitive to pain, Dr. Massoudi may use a topical numbing agent to make the experience more comfortable for you. BOTOX becomes effective within 3 days.

Is Everyone a Candidate for BOTOX?

Most people are, there are however a few exceptions. Women who are pregnant or breastfeeding should postpone treatment until the baby is born and is no longer breastfed. It is recommended that you avoid Botox® if you have Lou Gehrig’s disease, ALS, Lambert Eaton Syndrome, Myasthenia Gravis, swallowing problems, bleeding problems, weakness of facial muscles, eye movement disorders including history of double vision, and history of any side effects from the use of Botulinum Toxin products in the past.

What are Possible Side Effects of BOTOX?

In rare instances, patients may have an allergic reaction Botox®. In some people Botox® may create a “surprised” facial expression. Not to worry however, the results of Botox® are temporary so the surprised look will fade.


Is severe underarm sweating interfering with certain daily activities? Are you afraid to raise your arms in normal situations because of underarm sweat stains? Do you hesitate to buy new clothes because they might be ruined by underarm sweat? Do you worry someone will notice your sweat stains? Ask your dermatologist if BOTOX® treatment is right for you. When severe underarm sweating gets in the way of certain daily activities and antiperspirants haven’t worked, you may be a candidate for BOTOX® treatment. Once you understand how this condition may affect you, schedule a visit with Dr. Massoudi to discuss products and treatment options that are right for you.


For adults who want a natural look, and not the “frozen face” look, there’s Dysport, a prescription injection proven to help smooth the appearance of moderate to severe frown lines without changing the look or movement of the rest of your face. Untreated muscles still work normally, so you can continue to express feelings naturally. It’s the lines that disappear, not your expressions.
And because Dysport delivers the natural-looking results people want, 97% of users say they’d do it again. 
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Xeomin (incobotulinumtoxinA), made by Merz Pharmaceuticals, is approved by the US FDA for the treatment moderate to severe frown lines between the eyebrows. Xeomin has been used successfully in other countries since 2005. Like Botox and Dysport, Xeomin is designed to treat brow wrinkles, crow’s feet, bunny lines, and frown lines. The active ingredient, botulinum toxin, is exactly the same as in Botox and Dysport. Patients whose cosmetic results with Botox or Dysport are unsatisfactory may have more success with Xeomin.
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