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What is Botox and how does it work?
Botox is a highly purified protein isolated from the bacteria Clostridium botulinum. It is injected 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 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
We recommend 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.
Botox cosmetic injections are commonly used to treat the following:
- Crow’s feet
- 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
- 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 facial rejuvenation. It is also used by physicians to ease muscle spasms that are painful or bothersome, 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. Drooping of the eyelid is an extremely rare side effect if an expert dermatologist performs the injections. Complications resulting from neuromodulator injections will resolve over several weeks as the effects of the Botox wear off.
The effects of neuromodulator injections typically last for 3-4 months. At that point, you may begin to notice the lines and wrinkles becoming more pronounced again as your facial muscles resume normal activity. At that point, you may want to repeat Botox injections to continue to improve the look of forehead lines, frown lines, and other lines and wrinkles from 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.
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.
As women, we are constantly judging ourselves on our appearance, and at Compass, 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.
- If you have forehead furrows or frown lines, Botox can help.
- If you have smile lines, Botox can help.
- If you have smoker’s lines, Botox can help.
- If you have mild to moderate dynamic wrinkles, Botox can help.
- You can even help prevent wrinkles from forming by getting Botox treatments now!
Botox and fillers work in different ways to reduce lines and folds. Botox reduces the movement of facial muscles and is a great treatment for smoothing out crow’s feet, forehead lines, and frown lines. Dermal fillers add volume to the face 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 work well together to address the signs of aging.
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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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