One of the most popular names in aesthetic medicine, BOTOX® Cosmetic is an FDA approved injectable formula that can remedy the appearance of frown lines. This safe and effective neurotoxin contains small amounts of highly purified botulinum toxin that works to temporarily reduce facial muscle activity. By doing so, the skin is relaxed, allowing moderate to severe frown lines to be smoothed away for a more youthful profile. While BOTOX® is a temporary solution to help soften frown lines, we can create an optimal treatment plan, specifically catered to your aesthetic needs, so that you may hold onto your results.

As experts in anti-aging procedures, Drs. Shazel and Nael Gharbi will expertly perform your injections for the best possible results. Both are certified with BOTOX® and other training with the International Association of Physicians in Aesthetic Medicine.

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What is BOTOX®?

BOTOX® is a neuromodulator approved by the Food and Drug Administration to treat frown lines. It is a non-surgical, safe and effective treatment that can smooth any moderate to severe frown lines, crow’s feet or forehead lines, refreshing your profile for a youthful look.

The formula is mainly comprised of small amounts of purified botulinum toxin protein, Botulinum toxin (Type A), which blocks 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. Botulinum toxin is also used cosmetically to balance facial asymmetry and relax tight neck bands.

How does it work?

BOTOX® Cosmetic targets one of the underlying causes of frown lines, forehead lines and crow’s feet: Repeated muscle contractions from frowning, moving the forehead muscles and squinting over the years. Your specialist will inject these muscles with BOTOX® to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

When you choose BOTOX® at MD Brothers, we will determine your problem areas, and where the injections should be placed for the effect you are looking for. Once the locations are set, we will inject the BOTOX® solution. This solution prevents the muscles from contracting, which eliminates the look of wrinkles and other signs of aging.

BOTOX® injections are temporary, which means you will have to obtain new injections every few months in order to maintain results. However, if you are happy with the results, getting new injections is harmless and the ideal option to keep your face looking younger. We will discuss this procedure with you before we start, we will help you determine if it’s the right solution for your needs and we can lay out a longterm treatment plan based on your specific goals.

What to Expect

Many people hesitate to move forward with BOTOX® because they don’t know how it works. Getting BOTOX® injections is a fast, effective way of smoothing out the wrinkles. We can perform most procedures in less than 30 minutes, allowing you to move on with your daily life. While you may experience minor discomfort or minor side effects, the treatment is safe and can provide the amazing results you are looking for. One of the side effects you may experience is numbness and loss of muscle function, but these are only temporary.

You won’t have to worry about whether you will have a natural look when you are done as our team expertly performs the injections so that your results appear as natural as possible. You may go back to work or continue with your daily activities immediately following your treatment.

Who can benefit?

While this procedure is designed to reverse the effects of aging on your skin, there is no set age at which wrinkles and other signs of aging may appear. This means we treat some patients in their early 20s, just like we can treat patients in their 30s, 40s, 50s and beyond. BOTOX® can help eliminate the signs of aging and help patients of all ages, skin types and genders to look and feel their very best.

BOTOX® Cosmetic is not for your if you have had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA). You should not move forward with injections if you have muscle or nerve conditions, such as ALS, myasthenia gravis, Lambert-Eaton syndrome or any other neuromuscular disorders. We advise against BOTOX® if you are pregnant as the potential effects to your baby are unknown or breastfeeding as it is not known if the injections can pass into breast milk. We will discuss your history and any medications you are taking during a consultation.

BOTOX® for Migraines

Just about everyone has heard of BOTOX® for cosmetic purposes, but now there is another use for this popular aesthetic product. Migraines are painful, debilitating headaches that affect millions of people every day. If you are one those who suffer from chronic migraines, MD Brothers can help set you up on a customized program to prevent the migraines from disrupting your life. BOTOX®, which is the only FDA-approved preventive treatment that works by blocking nerve activity in muscles, which can effectively reduce migraine suffering. Contact us today for your consultation and get back the life you deserve!


Many of our patients have been able to see a difference in their skin after just a few days following their treatment, with full results seen at about two weeks. Aesthetic results last, in most cases, an average of three to four months.

BOTOX® treatment for excessive sweating can last up to a year, but results do vary depending on individual factors, including body metabolism and activity level.

It is vital to schedule a consultation so that Drs. Nael or Shazel Gharbi may evaluate your needs and goals before undergoing any BOTOX® injections. At this appointment, we’ll discuss the specifics of the entire procedure and the results you can expect. Often, we are able to start your treatment plan right after the consultation so you don’t have to prolong your aesthetic results any longer than necessary.

Find out if BOTOX is right for you

Wrinkles and frown lines don’t have to be a part of your facial profile.

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