Botox® cosmetic is derived from Botulinum toxin-A. It is a neuromodulator that is injected into the muscles of the upper and lower face and/or neck, relaxing these muscles, and therefore decreasing the appearance of wrinkles for 3-4 months. Botox® is not permanent and repeat treatments are needed for continued benefit. If you already have static wrinkles, Botox® will soften these lines, but will likely not completely erase them, however consistent Botox® treatments over time and adjunctive use with resurfacing and soft tissue augmentation is beneficial.