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BOTOX® Cosmetic
Michael E. Villano, MD, FACS, Board Certified Facial Plastic Surgeon in Central Oregon

Every time you squint in the direction of the bright sun or laugh hard enough to crinkle your eyes at a funny joke, you’re wearing wrinkles into your skin. No one can stop making facial expressions. Besides, who would want to? But not everyone wants plastic surgery either. Now there is a non-surgical alternative to smoothing out unwanted lines and creases. Botox is an FDA-approved method to smooth and eliminate forehead lines, frown lines, crow’s feet, and creases across the neck.

Smooth out the Sands of Time with BOTOX®


Botox is a therapeutic neurotoxin that has been used in ophthalmology for over 15 years and in wrinkle therapy for over 10 years. Because Botox is administered in extremely small doses, it does not affect the nerve, so there is no numbness and the muscles related to other expressions are usually unaffected. BOTOX® requires no downtime. Stop in at your lunch break and return to work immediately after. You may experience slight reddening, bruising, and tenderness around injection sites. This is perfectly normal and should subside within a few days. The treatment series requires no anesthesia. Injections are administered to localized areas where wrinkles have formed.  Periodic touch-up injections are usually required to maintain maximum correction. Correction generally lasts three to five months. After several treatments, the effects can last longer, usually six to eight months.

Precautions – BOTOX injections

Do not take any medications containing aspirin or ibuprofen during the two weeks preceding therapy. These medications increase risk of bruising or bleeding at injection sites. Side effects are temporary and localized to the area of injection. Localized pain, tenderness, and/or bruising associated with injection usually pass within the first week. Adjacent muscles may also be weakened because of spreading of the toxin. Patients who are pregnant or suffer from neuromuscular disorders or cardiovascular disease may not be good candidates for Botox injection therapy. Possible respiratory and cardiovascular complications have been reported in patients with these conditions.

For BOTOX® Procedures in Bend, Oregon, contact the office of Board Certified Facial Plastic Surgeon Dr. Michael Villano by email or contact us by phone at 541-312-3223.