Look beautiful. Feel beautiful.

BOTOX® Cosmetic

Safely reduce forehead wrinkles, crows’ feet wrinkles around the corners of your eyes, and frown lines in minutes.


BOTOX® treatments performed in the comfort of our Philadelphia Norristown office safely reduce forehead wrinkles, “crows’ feet” wrinkles around the corners of your eyes, and frown lines in minutes!

What Is BOTOX®?

BOTOX® is the most common facial rejuvenation procedure performed in the US.

BOTOX® Cosmetic is a substance also known as onabotulinumtoxinA, derived from a neuromodulator protein. A certain strain of bacteria called Clostridium botulinum is cultured to produce botulinum toxin type A, which then undergoes a stringent purification and sterilization process before being prepared as a cosmetic injection.

With the original BOTOX® injection treatment being first FDA-approved in 1989 initially for eye disorders, extensive research into the application of this medical substance for cosmetic purposes resulted in BOTOX® Cosmetic being approved by the FDA in April 2002 for the temporary improvement of frown lines between the eyes (also known as glabellar lines). Since then, additional FDA approvals for the use of BOTOX ® Cosmetic have been granted, extending its on-label use to include the treatment of forehead wrinkles and “crows’ feet” wrinkles around the corners of the eyes.

Years later, BOTOX® Cosmetic is now approved in 98 countries and has been the subject of almost 500 scientific and medical papers positively evaluating its safety and efficacy as a facial rejuvenation procedure.

How BOTOX® Works

Facial wrinkles, crow’s feet, and forehead lines occur due to a number of different factors. These include loss of skin elasticity from age, sun and UV exposure, and the inevitable movement and contraction of the facial muscles during day-to-day facial expressions, even smiling!

Careful application of BOTOX® Cosmetic at targeted sites around the face minimizes lines and wrinkles that are caused from repeated contractions of these muscles.

OnabotulinumtoxinA is a modified neurotoxin that reduces the intensity of these muscle movements by temporarily blocking certain neurotransmitter chemicals that signal these muscles to activate. Careful application of BOTOX injection treatments at targeted sites around the face minimizes lines and wrinkles that are caused from repeated contractions of these muscles.

Who Is Eligible for BOTOX® Injection Treatments?

BOTOX® injection treatments are currently FDA-approved only for use in patients over the age of 18. There is no cut-off point beyond which facial wrinkles cannot be treated and even those who are yet to form these undesirable facial lines are eligible for preventive treatment with BOTOX® Cosmetic. Clinical studies have found better responses to BOTOX® injection treatments in patients under the age of 65 compared to those older, but this does not exclude those over 65 years of age from undergoing successful treatment.

Pregnant or breastfeeding women, as well as those with existing infections around the desired injection site are advised to wait until cleared by their doctor to undergo BOTOX® treatments.

Certain neuromuscular disorders can pose an increased risk during the BOTOX® Cosmetic procedure, including risk of serious side effects such as difficulty with breathing or swallowing. Patients who have experienced an allergic reaction to any of the BOTOX® Cosmetic ingredients, including any other product containing botulinum toxin, should inform their doctor before undergoing treatment.

Dr. Meghan Brooking, D.O., a facial plastics doctor and facial rejuvenation specialist, will be best suited to provide your BOTOX® injection treatments. You wouldn’t trust your car repairs to a bicycle shop so why trust your facial rejuvenation procedures to anyone but a facial plastics doctor and facial rejuvenation specialist?


What’s the advantage of having a doctor perform BOTOX® treatments?

Licensing for BOTOX® Cosmetic varies from state to state throughout the US. In Pennsylvania (and Philadelphia specifically), doctors, registered nurses, and dentists can be certified to provide BOTOX® treatments. For the most successful results, it is best to seek the opinion and management of a licensed doctor such as Dr. Meghan Brooking, D.O., who is specifically trained in facial anatomy and aesthetic procedures.

What does the facial rejuvenation procedure entail?

A comprehensive initial consultation with Dr. Meghan L. Brooking, D.O., your licenced, fully-trained doctor, will help determine your facial rejuvenation needs and which problem facial areas you wish to target. As different facial muscles require different amounts of BOTOX® Cosmetic units to be successfully treated, Dr. Brooking will need to perform a thorough examination to determine the appropriate therapeutic dose for your specific needs.

Once your unique requirements have been determined, Dr. Brooking will carefully administer the required number of BOTOX® Cosmetic injections to each site.

Do BOTOX® injection treatments hurt?

Patients report that BOTOX® injection treatment feel like a mild sting or a pinch. If you are sensitive to pain or are concerned about discomfort, a topical anesthetic can be applied to your skin before administering the BOTOX® treatment.

How long does BOTOX® last?

BOTOX® injection treatments usually last about 10 minutes. The relaxation of the facial muscles typically lasts up to 4 months, even for moderate to deep facial wrinkles. In stronger, larger muscles, such as those in the chin or around the jaw, the effects of BOTOX® Cosmetic may last up to 6 months.

How much does the BOTOX® injection cost?

BOTOX® Cosmetic is charged per unit. Because the number of units required for successful reduction of wrinkles varies depending on the muscle and the severity of your facial lines, wrinkles, crows’ feet, or even lip reduction, an accurate quote for the cost of a BOTOX® injection can only be provided after consultation with Dr. Brooking.

Are there any BOTOX® side effects?

BOTOX® Cosmetic is one of the safest non-surgical facial rejuvenation procedures with botulinum toxin A treatment performed over 7 million times in the US alone in 2017. That being said, no medical procedure, even one that is non-surgical,  is without potential risks. Inflammation and pain around the injection site, headache, nausea, hives/rashes, eyelid or brow drooping are all possible adverse reactions to BOTOX® treatments, amongst other, rarer reactions. These should be brought to the attention of your doctor should they occur.

What is the usual downtime after the procedure?

For most patients, there is no time out after having the BOTOX® treatment performed. Most people can resume their usual activities immediately after, some may take up to 2 hours before feeling able to return to their daily routines.