Botulinum Toxins

What Is Botulinum Toxin?

Botulinum toxin A  is a of neuromodulator protein that is cosmetically used to temporarily block the nerve signals that cause muscles to contract. This effect relaxes and smooths the look of lines and wrinkles caused by repetitive movements on the face most commonly, between the brows, crows-feet around the eyes, and horizontal forehead creases.   As we age and with repetitive facial muscle contractions, we start to develop fine lines and wrinkles. Botulinum Toxins such as Botox/Xeomin/Dysport weaken  muscle contractions therefore reducing the appearance of fine lines as well as stopping more wrinkles from forming.  Botulinum toxins are also used to balance facial asymmetry, and relax facial and neck muscles. 

The effects of botulinum toxin injections are fully achieved within 2 weeks. Botulinum toxin results last 3 to 6 months depending on each individual’s metabolism.

Therapeutic Botox® : Hyperhidrosis

Hyperhidrosis is a condition characterised by sweating in excess.  Research conducted on the efficacy of hyperhidrosis treatment with Botox show that target treatment of the feet, head, armpits, hands and face with Botox is both safe and effective against excessive sweating.  You may be a candidate for Botox  treatment of excessive eating if you fail conventional therapies(antiperspirants) and if other medical causes of excessive sweating have been eliminated. 

Please consult your primary health provider first prior to considering this therapy.

  • The cost of Botox for hyperhidrosis are not covered by OHIP however, private insurance company may cover some of the cost.
THERAPEUTIC BOTOX®: Migraine Headache Treatment

Chronic migraine is a condition that may not respond to regular migraine medications. It is defined as headache occurring more than 15 days a month for more than three months.  Botox injection into specific areas may help decrease the frequency and severity of chronic migraine headaches. Studies show benefit from this treatment as it significantly reduces the frequency of chronic migraine headaches and improves quality of life.

Please consult your primary health provider first prior to considering this therapy.

  • The cost of Botox for migraine treatments are not covered by OHIP however, private insurance company may cover some of the cost.

Frequently Asked Questions

What to Expect on Treatment Day?

Botulinum toxin injections are performed using a fine needle into specific muscles of the face or neck. By carefully choosing specific muscles, we weaken only the wrinkle-producing muscles, preserving your natural facial expressions.The procedure takes approximately 15 minutes.

You can expect to see results within days after your treatment, but the full effect could take up to 2 weeks. It is best to avoid alcohol at least one week prior to treatment. Aspirin and anti-inflammatory medications should be stopped 7 days prior to treatment in order to reduce bruising.

Will I look Frozen?

Looking “frozen” or overdone is a common concern among individuals considering an in-office treatment for moderate to severe frown lines. There are steps you can take to make you feel more comfortable. First, have a detailed discussion with your provider. You want to talk through every concern you have, until you feel comfortable.

Our providers, who are experienced in facial anatomy, can determine the right doses to relax your frown lines without resulting in a frozen look.  Finally, ask for an FDA-approved product, such as XEOMIN®, BOTOX®. or DYSPORT®. Remember, each person is difference hence individual results may vary.


Although generally safe, botulinum toxin side effects and complications can include:

  • Bruising and pain at the injection site
  • Flu-like symptoms
  • Headache
  • Nausea
  • Redness
  • Temporary facial weakness or drooping

It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.  If these symptoms occur, seek medical help immediately.

Who should not receive Botox?
  • Pregnant or breastfeeding women
  • A person with a neuromuscular diseases (i.e Myasthenia Gravis, ALS) or an autoimmune disease (i.e lupus) .
  • A person with an allergy to botulinum toxin or its ingredients (i.e  allergy to Cow’s milk protein)   
  • If you have an infection in the treatment area
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