Botox: Determining if it’s right for you

Botox—for some the word conjures up a range of images. From the real housewives of Vancouver to sting of silver screen sparklers, Botox is a procedure often fraught with stereotypes. Yet, as a Botox clinic in Vancouver, it remains one of the most popular cosmetic procedures worldwide.


When it comes to getting Botox treatments, most clients aren’t after dramatic results. Botox isn’t about changing or reshaping the face—but it is the most effective anti-wrinkle treatment on the market today. Lines and furrows around the eyes, lips, and forehead are among the first signs of ageing. These telltale signs often leave the face looking harsh or tired—and this is where Botox distinguishes itself as the superstar of cosmetic medicine.


For most, wrinkles and skin thinning starts taking place in the late thirties and early forties. Botox, a neurotoxin derived from a type of bacterium, works by paralyzing the muscle under the skin. While there’s no rule about the best time to start Botox since everybody ages differently, the rule of thumb is you’re probably ready when you notice deep wrinkles when you make facial expressions, such as laughing or frowning. These wrinkles disappear when the face is at rest. At this stage, regular Botox treatments can stop the depth of wrinkles from becoming deeper and more pronounced.


For people that have visible static wrinkles—lines that are present all the time—Botox probably isn’t the solution. At this point the skin is thin, the collagen and fat that constitute facial fullness have been lost. Collagen and elastin aren’t easily replenished, meaning the skin may be hanging in folds. At this point, patients may have better luck with treatments like Dermal Fillers, which physically substitute for the fullness that has been lost. Another option depending on your priorities may be tightening lasers.


One of the lesser known application of Botox is that is can improve facial symmetry.  For example, a skilled injector can help even out asymmetrical laugh lines, uneven eye folds, and lip corner folds. It’s important to note that these can be complex procedures and should only be attempted by physicians who have an advanced understanding of the physiology and muscles of the face.


Other applications include modifying a smile that shows too much of the teeth and gums, softening a square jawline (the number one application in Asia), and controlling excessive sweating.


Pro tip—most cosmetic clinics operated by doctors will offer a complimentary consultation that allows curious patients to learn more about the procedure, ask questions, and explain about their problems and goals.


Botox Quick Tips


  • It typically takes 4-9 days to see a difference
  • Results last 3-5 months before touch-ups are necessary
  • Treatment can result in bruising and blotchiness, which fade in a few hours
  • Heavy exercise is not recommended immediately after treatment
  • Most patients experience a stinging pain during treatment


Botox isn’t a cosmetic cure-all. Some people hope that a tiny shot of Botox will leave their skin looking smooth and young when they’re really after solutions to lift sagging cheeks, reduce chin fat, or volumize the face. Botox works best on the upper face, where the muscles lie close to the surface of the skin. It’s a proven solution for crows feet and furrowed foreheads. However, in the hands of a skilled doctor, it can also be used to smooth and tighten minor lines and folds in the neck.


Dr. Roz Kamani is an aesthetic doctor in Vancouver who’s been practicing for nearly 20 years. Recognized as one of the premier Vancouver Botox® specialists and one of the most respected and skilled physicians in her field, Dr. Kamani has advanced training in Medical Aesthetics in the use of neuromodulators (Botox®) and Dermal Fillers, refining her skills in non-surgical facelifts and beautification using combination therapies. To learn more about dermal fillers in Vancouver, schedule a free consultation by contacting 604.222.9998 or


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