Made from botulinum toxin (yes, the same poison that causes botulism when ingested), an outpatient injection of Botox into the frown lines, crow’s-feet or forehead creases paralyzes facial muscles, smoothing them out, says Steven Wallach, M.D., a New York City plastic surgeon. Sometimes a local anesthetic is used, although many patients go without it.
Pros: “This is a good way to reduce wrinkling,” says Wallach. In addition, there are no telltale signs of healing, the way there are with lasers. Patients see results in two days to two weeks.