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Featured Prescription Wrinkle Injections Before & After Photos

Before & After Injectable Fillers Case 76 View #1 View in Mississauga & Toronto, ON
Before & After

This marketing executive was on maternity leave from her high powered job when she was offered the opportunity to participate in a fun "Mommy Makeover" for Elevate magazine. She had had her baby a few months ago, and while on leave had also don... Read More

Featured Prescription Wrinkle Injections Before & After Photos

Before & After Lip Augmentation Case 103 View #1 View in Mississauga & Toronto, ON
Before & After

This woman wanted to improve the appearance of her mouth and chin with injectable, nonsurgical treatments. Dr. Schiffer performed her injections, performing a lip augmentation with dermal fillers in her lips, filler in the lines around her... Read More

Featured Prescription Wrinkle Injections Before & After Photos

Before & After Injectable Fillers Case 85 View #1 View in Mississauga & Toronto, ON
Before & After

“I’m a Grandmother, But Don’t want to Look Like One”So says this delightful woman who stays active and loves to travel. She always enjoyed her children and grandchildren telling her how young she looks. At age 70 she started to feel her... Read More

Featured Prescription Wrinkle Injections Before & After Photos

Before & After Prescription Wrinkle Injections Case 12 View #1 View in Mississauga & Toronto, ON
Before & After

New to  Wrinkle Injections, Toronto Woman Likes Looking less Grouchy.This 49 year old professional woman and mother of three had never really considered wrinkle injections, but started to notice that in photographs she wasn’t looking as yo... Read More

Featured Prescription Wrinkle Injections Before & After Photos

Before & After Injectable Fillers Case 9 View #1 View in Mississauga & Toronto, ON
Before & After

With Voluma and Prescription Wrinkle Injections Mississauga Woman Gets a Non Surgical Facelift.This 56 year old busy mother was unhappy with what she saw in the mirror. Fair skinned, and blue eyed, she had suffered a lot of skin damage from sun... Read More

Featured Prescription Wrinkle Injections Before & After Photos

Before & After Injectable Fillers Case 41 View #1 View in Mississauga & Toronto, ON
Before & After

Young Oakville Woman Gets Makeover With Dynamic Wrinkle Injections and Filler.This 42 year old driver was feeling she looked older than her years. Fair haired and blue eyed, she was especially susceptible to the aging effects of UV radiation, a... Read More

Prescription Wrinkle Injections Before & After Photos

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Keep in mind that each patient is unique and your results may vary.

Are You a Good Candidate for BOTOX & Other Wrinkle Treatments?

Women and men often seek medical help for lines and wrinkles that give away their age and make them look tired or grouchy. One cause of such lines is repetitive muscle contractions that occur in the course of normal daily facial movements. Eventually, this repetitive folding causes so-called “dynamic” lines in the overlying skin – especially as skin becomes thinner, less elastic and less supple with age. BOTOX improves skin appearance by preventing the contraction of facial muscles that lead to lines and wrinkles. “Dynamic lines” include:

  • Frown lines
  • Crow’s feet
  • “Bunny” lines on either side of the nose
  • Smoker’s lines above the lips
  • Horizontal forehead lines

In addition to softening dynamic lines, BOTOX may give a more pleasant, less “grouchy” expression and can give a shinier, smoother quality to the skin. Typically, up to 5 injections of botulinum toxin A are required in any given area. It can take several days, sometimes up to 2 weeks, to see the full effect of treatment.1 The cosmetic benefit typically lasts 3 to 4 months.1

Alternatives to BOTOX

Prescription wrinkle injections like BOTOX are only one of a number of non-surgical modalities that can be used to give skin a younger, smoother appearance. Other options, discussed in detail elsewhere on this site, include the following:

In addition, surgery is an option – especially for severe skin laxity and deep, well-established wrinkles. Patients can find details about faceliftbrow lift and neck lift surgery on the applicable pages of the surgical section of this site. And for patients looking to reduce the submental fat that causes a double chin, BELKYRA™ injections can target fat cells without surgery.

Who Should Not Get Wrinkle Treatments Like BOTOX?

Neurotoxin is contraindicated in certain populations, including in those who are pregnant or breastfeeding. It should not be injected in inflamed or infected areas of skin. It should not be used in individuals who suffer from neuromuscular diseases.

In general, adverse reactions with botulinum toxin A, if they are going to occur, will happen within the first few days following injection (and while generally transient) may have a duration of several months, or in rare cases longer. Weakness of adjacent muscles to those that were injected has been reported. Muscle weakness remote to the site of injection and other serious adverse effects (e.g. “dysphagia,” i.e. difficulty swallowing, when injected into the neck region) have been very rarely reported in the cosmetic application.

Dr. Michael Weinberg

Dr. Michael J. Weinberg

PLASTIC SURGEON, BSc, MD, MSc, FRCSC

As an experienced, Royal-College certified plastic surgeon, Dr. Weinberg is devoted to helping patients reach their cosmetic goals. For over 25 years, he has built a reputation as one of the best plastic surgeons in Mississauga through expertise, experience, and dedication to his patients.

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Dr. Laura Schiffer

Dr. Laura Schiffer

Neurologist, Medical Injector, MD

With extensive experience in medical applications of BOTOX®, Dr. Schiffer has dedicated many years to perfecting the artistic application of neuromodulators and fillers. Her vast experience, in-depth training, gentle approach, and natural-looking results have earned her a loyal following of cosmetic injectables patients.

What Are the Negative Effects of BOTOX?

While BOTOX can be used effectively as a wrinkle treatment, as evidenced by the many successfully treated patients who are happy with their results, it is important to recognize that it can have side effects. For this reason, it should only be administered by medical practitioners with extensive training and experience in its use.

As is expected for any injection procedure, localized pain, inflammation, altered sensation or numbness, tenderness, swelling, redness, localized infection, bleeding and/or bruising have been associated with the injection. Needle-related pain and/or anxiety have resulted in fainting spells. In clinical studies, headache occurred in 9.4% of those treated with BOTOX, and drooping eyelid occurred in 3.2%. In the drug monograph, comment is made that this may be injection-technique related. Other less common side effects included redness, bruising, eyelid swelling and double vision. As with all medications, allergic reaction is possible, and severe allergic reaction to any medication can be life threatening.

Since the drug has been available and in use, other rare side effects have been reported after neurotoxin injection, including abdominal discomfort, diarrhea, fever, rashes, sensory disturbance and cardiac events such as irregular heart rhythm and heart attack, as well as seizures and others. As is pointed out in the drug monograph, the causal relationship between these side effects and BOTOX is uncertain. For a more detailed list of all reported side effects, patients are encouraged to read the official drug monograph.

Request Your Consultation

To learn if wrinkle-reducing injections can address your aesthetic concerns, call our office at (905) 273-3045 (Mississauga) or (416) 207-9090 (Toronto), or request an appointment online. Dr. Weinberg looks forward to meeting with you and helping you achieve your aesthetic goals.


Dr. Weinberg does not endorse or lend his name to any specific product, medication, or device. The information on this page is meant to familiarize prospective patients with some of the commonly available treatments/products and devices in use for specific issues and is intended for general educational purposes only. Decisions regarding treatments in a specific patient must be made in the context of a medical consultation.

1 Susmita A, Kolli NN, Meka S, Chakravarthi SP, Kattimani VS, Lingamaneni KP, Shaik LS, An Evaluation of Use of Botulinum Toxin Type A in the Management of Dynamic Forehead Wrinkles – A Clinical Study. J Clin Diagn Res. 2016 Oct;10(10):ZC127-ZC131. Epub 2016 Oct 1., https://www.ncbi.nlm.nih.gov/pubmed/27891474

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