- Overview
- Surgeon
- Q&A
About the treatment
Neurotoxin (Botox)
Overview
Neurotoxin, also known as Botox, is a cosmetic procedure that involves injecting a purified form of the neurotoxin botulinum toxin into the muscles of the face to temporarily reduce wrinkles and fine lines.
Procedure
- The procedure typically takes about 15-30 minutes.
- The injection sites are marked with a pencil or pen.
- The neurotoxin is injected into the muscles using a fine needle.
- The injections may cause mild discomfort or bruising.
- The effects of the injections typically last for 3-6 months.
Risks and Side Effects
- Bruising
- Swelling
- Redness
- Pain
- Asymmetry
- Infection
Who is a Good Candidate for Neurotoxin?
Neurotoxin is a good option for people who want to reduce the appearance of wrinkles and fine lines on the face. It is particularly effective for wrinkles that are caused by muscle movement, such as frown lines and crow's feet.
Cost
The cost of neurotoxin varies depending on the number of injections needed and the location of the procedure. The average cost for a single injection is $500-$1,000.
Candidate
Neurotoxin (Botox) is a purified protein produced by the bacterium Clostridium botulinum. When injected into specific muscles, it blocks nerve signals, causing temporary muscle relaxation. This effect can be used to treat various health and wellness conditions, such as:
- Chronic migraines
- Muscle spasms
- Overactive bladder
- Excessive sweating (hyperhidrosis)
- Facial wrinkles
It is important to note that Neurotoxin (Botox) is a prescription medication and should only be administered by a qualified healthcare professional. The effects of Neurotoxin (Botox) typically last for several months, after which repeat injections may be necessary to maintain the desired results.
In addition to its medical applications, Neurotoxin (Botox) has also gained popularity for cosmetic purposes, particularly for reducing the appearance of facial wrinkles. However, it is essential to proceed with caution and consult with a reputable aesthetic practitioner to ensure safe and effective results.
Like any medical treatment, Neurotoxin (Botox) has potential risks and side effects, including bruising, swelling, and temporary muscle weakness at the injection site. In rare cases, more serious side effects may occur, so it is crucial to discuss all potential risks and benefits with your healthcare provider before undergoing treatment.
Side & After Effects
- Bruising and swelling: This is a common side effect of Botox injections. It usually resolves within a few days.
- Pain: Some people experience pain at the injection site. This is usually mild and goes away within a few hours.
- Headache: This is another common side effect of Botox injections. It usually goes away within 24 hours.
- Nausea: Some people experience nausea after Botox injections. This is usually mild and goes away within a few hours.
- Vomiting: This is a rare side effect of Botox injections. It can be a sign of an allergic reaction and requires immediate medical attention.
- Difficulty breathing: This is a very rare side effect of Botox injections. It can be a sign of an allergic reaction and requires immediate medical attention.
- Paralysis: This is a very rare side effect of Botox injections. It can occur if the Botox is injected into a muscle that is responsible for breathing or swallowing.
When to Seek Medical Attention
If you experience any of the following symptoms after Botox injections, seek medical attention immediately:- Difficulty breathing
- Vomiting
- Paralysis
Things to Know
Procedure Time
30 Minutes
Overnight Stay
No
Recovery Time
1-2 days
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
ASPS Ambassador Appointment 2005-Present
America's Top Plastic Surgeon Award 2004-Present
America's Top Physicians Award 2005-Present
America's Top Surgeon Award 2008-Present
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Fellow of the American College of Surgeons (FACS)
Location
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2100 Webster St unit 520, San Francisco, CA 94115, USA
Questions and Answers
Dr. Horton does not have any Q&A at this time.
Schedule a consultation
Neurotoxin (Botox)

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Minimally Invasive
Quick Recovery
High Patient Satisfaction
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both t...
Neurotoxin (Botox) by Karen M. Horton, MD, MSc, FACS.
About the Procedure
Introduction
Introduction
Neurotoxin (Botox) Procedure Neurotoxin (Botox) Procedure
Overview
Neurotoxin, also known as Botox, is a cosmetic procedure that involves injecting a purified form of the neurotoxin botulinum toxin into the muscles of the face to temporarily reduce wrinkles and fine lines.
Procedure
- The procedure typically takes about 15-30 minutes.
- The injection sites are marked with a pencil or pen.
- The neurotoxin is injected into the muscles using a fine needle.
- The injections may cause mild discomfort or bruising.
- The effects of the injections typically last for 3-6 months.
Risks and Side Effects
- Bruising
- Swelling
- Redness
- Pain
- Asymmetry
- Infection
Who is a Good Candidate for Neurotoxin?
Neurotoxin is a good option for people who want to reduce the appearance of wrinkles and fine lines on the face. It is particularly effective for wrinkles that are caused by muscle movement, such as frown lines and crow's feet.
Cost
The cost of neurotoxin varies depending on the number of injections needed and the location of the procedure. The average cost for a single injection is $500-$1,000.
Duration
30 Minutes
Overnight Stay
No
Recovery Time
1-2 Days
Effective Period
3-4 months
Neurotoxin (Botox) is a purified protein produced by the bacterium Clostridium botulinum. When injected into specific muscles, it blocks nerve signals, causing temporary muscle relaxation. This effect can be used to treat various health and wellness conditions, such as:
- Chronic migraines
- Muscle spasms
- Overactive bladder
- Excessive sweating (hyperhidrosis)
- Facial wrinkles
It is important to note that Neurotoxin (Botox) is a prescription medication and should only be administered by a qualified healthcare professional. The effects of Neurotoxin (Botox) typically last for several months, after which repeat injections may be necessary to maintain the desired results.
In addition to its medical applications, Neurotoxin (Botox) has also gained popularity for cosmetic purposes, particularly for reducing the appearance of facial wrinkles. However, it is essential to proceed with caution and consult with a reputable aesthetic practitioner to ensure safe and effective results.
Like any medical treatment, Neurotoxin (Botox) has potential risks and side effects, including bruising, swelling, and temporary muscle weakness at the injection site. In rare cases, more serious side effects may occur, so it is crucial to discuss all potential risks and benefits with your healthcare provider before undergoing treatment.
Benefits of Neurotoxin (Botox):
- Wrinkle reduction: Inhibits muscle contractions, smoothing away wrinkles and fine lines.
- Improved facial contours: Helps lift eyebrows, reduce jowls, and sharpen facial features.
- Migraine prevention: Blocks pain signals in the trigeminal nerve, reducing migraine frequency and severity.
- Hyperhidrosis treatment: Injects into sweat glands, reducing excessive sweating in areas like the underarms and palms.
- Muscle relaxation: Relaxes overactive muscles, providing relief from conditions like TMJ and muscle spasms.
- Eyelid twitch reduction: Injects into eyelid muscles to stop involuntary twitching (blepharospasm).
- Temporomandibular joint (TMJ) pain relief: Injects into jaw muscles, reducing pain and improving function.
- Recessed chin enhancement: Injects into chin muscles to create a more defined chin line.
- Non-invasive procedure: Done with injections without the need for surgery.
- Convenience: Relatively quick and painless treatment with minimal downtime.
- Long-lasting effects: Results can last several months before re-injection is necessary.
Risks of Neurotoxins (Botox)
- Local injection site reactions: Pain, redness, swelling, bruising, itching
- Facial asymmetry: Uneven treatment can lead to one side of the face looking different from the other
- Eyelid ptosis: Drooping of the eyelid
- Brow ptosis: Drooping of the eyebrows
- Dry eye: Reduced tear production
- Allergic reactions: Rare, but can include swelling, itching, and difficulty breathing
- Infection: At the injection site
- Muscle weakness: Temporary weakness in the treated muscles
- Headache: Mild to moderate headaches may occur
Safety of Neurotoxins (Botox)
- FDA-approved: Neurotoxins are approved by the Food and Drug Administration (FDA) for use in treating a variety of conditions, including wrinkles, muscle spasms, and migraines.
- Well-researched: Neurotoxins have been extensively studied for decades and have a well-established safety profile.
- Temporary results: The effects of neurotoxins typically last for 3-6 months, minimizing the risk of permanent side effects.
- Minimal downtime: Most people can resume their normal activities immediately after treatment.
- Low risk of side effects: When administered by a trained and experienced healthcare professional, the risk of serious side effects is low.
Minimizing the Risks of Neurotoxins
- Choose a qualified provider: Select a healthcare professional who is licensed and experienced in administering neurotoxins.
- Discuss your expectations and concerns: Clearly communicate your desired results and any concerns you have to your provider.
- Follow post-treatment instructions: Avoid rubbing or massaging the injection site, and protect it from heat and sunlight.
- Report any adverse reactions promptly: If you experience any unusual symptoms or discomfort, contact your provider immediately.
Overall, neurotoxins are generally safe and effective when used properly. By choosing a qualified provider, following post-treatment instructions, and reporting any adverse reactions promptly, you can minimize the risks and enhance the safety of your treatment.
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Things to know before start
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Speaks: English, French
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Questions and Answers
Q&A
Dr. Karen M. Horton does not have any Q&A at this time.
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