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What is Botox and how does it work?
Botox is a highly purified protein isolated from the bacteria Clostridium botulinum. Compass Dermatology’s expert dermatologists inject it directly into specific facial muscles, after which neuromodulators cleave a protein on nerve endings, preventing the release of the chemical which signals muscles to contract. The effect of Botox injections peaks at two weeks and then gradually wears off as the nerve endings regenerate the cleaved protein.
At Compass Dermatology, all Botox injections are performed by our experienced, board-certified dermatologists. Prior to your treatment, Dr. Cook or Dr. Carroll will carefully assess your facial anatomy and movement to determine the correct dosage and injection locations.
You will see the full effect of your Botox treatment by the end of week 2. Most people require treatment every 3 to 4 months.

Our Comprehensive Approach to Neuromodulator Injections
Patients new to Compass Dermatology will meet with one of our board certified dermatologists for an initial consultation and skin assessment to determine the optimal approach to achieving your aesthetic goals by treating lines and wrinkles.
Once the consultation is complete and neuromodulators are deemed appropriate for you, your cosmetic treatment will begin. A botox injection is performed with a tiny needle and may cause minimal discomfort. Your appointment at Compass Dermatology’s clinic will take about 30 minutes and no recovery time is needed. Side effects may include bruising and there is a very low risk of mild drooping of the eyebrow or eyelid which resolves over several weeks.
Botox FAQ
Compass Dermatology recommends beginning regular Botox treatments once facial lines are visible at rest. Beginning early will help to delay the formation of deep wrinkles due to the movement of facial muscles.
At Compass Dermatology, we use Botox cosmetic injections to help our patients address the following issues:
- Crow’s feet (the fine lines at the outer edges of your eyes)
- Frown lines (also called glabellar lines or the ‘11s’)
- Forehead lines
- Drooping brows
- Worry lines
- Bunny lines (from wrinkling the nose)
- Prominent platysmal bands in the neck (these look like tendons that stick out from the front of your neck, especially when you make certain movements)
- To lift the corners of the mouth
- To slim and sharpen the jawline
- To lower the upper lip in the case of a ‘gummy’ smile
The botulinum toxin found in Botox is not just useful for cosmetic purposes. It is also used by Compass Dermatology’s physicians to ease conditions like painful or otherwise bothersome muscle spasms, lazy eye, excessive sweating, and chronic migraines.
While uncommon, complications of neuromodulator injections include mild bruising and swelling around the treatment area, headache, and a drooping eyelid. With Compass Dermatology’s expert doctors performing your injections, drooping of the eyelid is an extremely rare side effect. Complications resulting from neuromodulator injections will resolve over several weeks as the effects of the Botox wear off.
The effects you’ll get from Botox injections will typically last for around 3-4 months. After that, you may begin to notice your lines and wrinkles becoming more pronounced again as your facial muscles resume normal activity. At that point, it is possible to visit Compass Dermatology’s clinic for a follow-up procedure. Repeated Botox injections can continue to improve the look of forehead lines, frown lines, and other lines and wrinkles and combat the natural aging process.
There is typically no recovery time following neuromodulator injections. Small bumps are commonly visible for 20-30 minutes at injection sites. Bruising may occur. You should avoid lying down, rubbing or applying pressure to treated areas for 4-5 hours after you leave Compass Dermatology’s clinic.
According to Health Canada, the only people who should be providing Botox® treatments and dermal fillers in Canada are licensed medical physicians or registered nurses with the necessary training on safely and effectively administering this treatment. All Botox treatments at Compass Dermatology are administered by our licensed, trained, and experienced physicians.
As women, we are constantly judging ourselves on our appearance, and at Compass Dermatology, we try to focus on the positive and what makes each patient beautiful, and how we can help enhance that beauty. There is nothing wrong with having wrinkles. However, if crow's feet or other signs of aging are bothering you, you may want to consider treatment with a botox injectable.
Botox injections can be useful for many different things, and at Compass Dermatology, we have seen them help many of our patients. There are five areas, however, that are probably the most common. Botox can help you: 1) Smooth forehead furrows or frown lines, 2) Soften smile lines, 3) Reduce the appearance of smoker’s lines, 4) Improve mild to moderate dynamic wrinkles (those caused by facial movements), and 5) Inhibit the formation of wrinkles in the first place.
One isn’t better than another; they simply do different things. Whether one or the other — or both — is best for you will depend upon your particular situation. Botox and fillers work in different ways to reduce the appearance of lines and folds in your skin. Botox helps to relax and reduce the movement of facial muscles. It’s a great treatment for smoothing out crow’s feet, forehead lines, and frown lines. Dermal fillers add volume under the skin and are able to reduce the folds around the nose and mouth and reduce the hollowing of the temples and cheeks.
Botox and dermal fillers can work well together, targeting different areas to address the signs of aging. At Compass Dermatology, our doctors are able to provide both treatments to give you the best possible results.
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650 Mount Pleasant Rd #8
Toronto, ON M4S 2N5, Canada
ph: 647-351-9277
Fax. 647-351-9077
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