Approved by the Food and Drug Administration in 1990 for treating eye muscle spasms, Botox patients began noticing an added benefit — their wrinkles were softening. The toxin that blocked nerve impulses to temporarily paralyze certain misfiring eye muscles could also disable the muscles forming "crow's feet" around the eyes as well as forehead and frown lines.

Botox has since been approved in more than 75 countries and has become the most popular non-surgical cosmetic procedure in the U.S., with 3.2 million procedures for men and women performed in 2006.

A purified protein is administered in a simple non-surgical procedure that temporarily improves the appearance of moderate to severe frown lines. During treatment, very low doses of Botox are injected directly into the muscles that cause lines between the brows. Improvements are noticeable in two to five days.

Botox can iron out wrinkles resulting from years of overactive facial movements, such as smiling and frowning, concentrating and squinting. In addition to the most popular cosmetic complaint, women, in particular, receive Botox injections to correct some lip and neck imperfections as well as restore the arch to falling eyebrows. Botox is also used to treat migraine headaches and other types of pain and to eliminate excessive sweating, or "hyperhydrosis."

Side effects may include headache, respiratory infection, flu syndrome, temporary eyelid droop, and nausea. Patients with certain neurological disorders such as ALS myasthenia gravis, or Lambert-Eaton syndrome may be at risk of serious side effects.

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Beth Baxter MSN, NP provides cosmetic services including Botox® and Restylane®. Other primary healthcare services provided by Beth Baxter include and involve: prevention and wellness for men and women, heart disease, management of chronic illness such as hypertension, diabetes, high cholesterol, and cardiovascular risk factor modification. Beth Baxter is a nurse practitioner in Bloomington, Indiana.