In the past two decades botox has become one of the leading non-invasive cosmetic options for smoothing wrinkles, and reducing the signs of age. Many people (especially women in the 40-65 age group), are happy to pay the cost to erase deep creases and wrinkles, but they are concerned about possible pain during treatment. So one of the most common questions asked by botox cosmetic newbies is – Does botox hurt? and they also want to know- How does it work? When injected, botox relaxes the muscles, and this limits your ability to make full facial expressions such as frowning or squinting, therefore the skin won’t crease and cause wrinkles. Botox refreshes your appearance, making you look more alert and rejuvenated. It can also give your eyebrows a nice lift, as it relaxes some of the muscles that pull down the eyebrows. Botox works best on frown lines across the forehead and between the eyebrows, as well as the lines at the corner of the eyes (crow’s feet). But does botox hurt? In the hands of a trained and experienced injector, getting botox is usually very easy and virtually painless. When the solution is injected you may feel some initial discomfort as the needle goes through the skin. Some patients say it feels a lot like a pinch or mosquito bite, and lasts only a few seconds. Injectors who perform botox treatment regularly usually have a better technique, due to the years of experience. An experienced injector is also more careful to avoid areas that are easy to bruise. When the injector is gentle and quick, the patient is relaxed, and they generally feel only very mild discomfort. Botox injections should never be painful. If a patient experiences pain during botox treatment it may be due to improper technique by the injector, or the use of a needle that is too large. Patients may also experience pain in instances where botox is injected too deeply. Another factor that could cause pain is the dilution agent. Botox is distributed as a dried powder, and has to be mixed before being administered. This is usually done using sterile saline solution. However, there have been instances in which patients have experienced pain when other diluting agents have been used. Nevertheless, there are a small percentage of people who have a low tolerance for pain. In order to minimize pain for these patients, the injector can pre-treat the area with ice, or apply an aesthetic cream. There is no reason to fear getting botox treatment; it is a relatively painless procedure. However, it is always best to go to a trained, qualified physician with a lot of experience under their belt. Botox is administered using a very tiny needle. A small amount of product is injected around the area near the muscles you want treated. Downtime is minimal, as there is some initial swelling at the injection site, but this usually resolves in 10 to 20 minutes. Botox or botulinum toxin type A is a neuromodulator. It works by preventing the release of acetylcholine. Acetylcholine is the chemical that facilitates the communication between nerves and muscles, and directs the muscles to contract. Botox temporarily blocks these messages, therefore the muscles will not contract, and this gives the lines and creases a chance to soften. That’s what makes botox so effective on dynamic wrinkles, which are the wrinkles that occur when you move the muscles to make various expressions. Botox does not take effect immediately, because it takes time for the molecules to adhere to the motor nerves and block the signals. The full effects of treatment become evident within 3 to 7 days. Botox results are temporary, and typically last 3 to 6 months. Repeat injections are needed in order to maintain results.