BOTOX Cosmetic
BOTOX® Cosmetic is used to weaken muscles of the face that create expression lines such as frown lines and crow’s feet. Precision placement of the solution does require several injection sites, as well as a good understanding of your anatomy. The careful placement of the BOTOX® Cosmetic injection will ensure that you achieve the smoothest skin surface while maintaining that movement that is critical for a natural appearance and expression. The most experienced physician/trained nurse understands the location and function of the muscles and will help you achieve your desired result.
Number of Treatments
Every 3-6 months depending on the area being treated
Treatment Areas
Periorbital (crow’s feet/both eyes are considered 1 area) Glabellar (between the eyebrows) Forehead (horizontal lines in the forehead)
Treatment Time
15 minutes
Recovery Time
Mild pinkness and swelling for 30 minutes
One week prior, avoid all products containing aspirin, non-steroidal inflammatory medications (Motrin, Advil, Aleve, and Ibuprofen) and high doses of Vitamin C and E, as these products may increase your risk of bruising.
Lasting Effects
3-6 months

BOTOX® Cosmetic relaxes the muscles that create expression lines and smoothes existing deep creases and wrinkles. It also prevents the development of permanent architectural changes in the skin structure that will eventually develop into the deep creases that are evident even when your face is completely relaxed.


Why consider BOTOX® Cosmetic?

  • Botox may be used to smooth out the forehead lines
  • Botox may be used to smooth out the glabellar (vertical frown lines between the brows) “11” lines
  • Botox may be used to soften the periorbital (crow’s feet)
  • Botox may be used to give a slight lift to the outer eyebrow
  • Botox may be used to relax the bands or cords in the neck
  • Botox may be used to treat the vertical wrinkles in the upper lip

General Information

Dr. Michael Sullivan views Botox as a medical procedure. As one of the top users of Botox Cosmetic in the nation, he has been injecting Botox Cosmetic since the product was introduced. Our Nurse Injectors graduated from Dr. Mike’s comprehensive Botox training program; their expertise and professionalism combined with their caring nature makes our team one of the best in the country.

  • One week prior, avoid all products containing aspirin, non-steroidal inflammatory medications (Motrin, Advil, Aleve, and Ibuprofen) and high doses of Vitamin C and E, as these products may increase your risk of bruising.
  • For maximum benefit, avoid the following for a minimum of 4 hours following your injection:
    • Rubbing the area at the injection site
    • Massages - Haircuts
    • Facials - Skin Care Treatments
  • Any activity that may massage the face and scalp
  • It may take up to 2 weeks to see the maximum benefit of your Botox Cosmetic injection.

Please make sure you eat before your scheduled appointment. We do not want you to become light-headed with the procedure. Excessive amounts of caffeine may heighten your sensitivity to the injection.


Please call our office at 614-436-8888 and our reception staff will be happy to assist you with scheduling. Dr. Sullivan schedules injections on Tuesdays and Thursdays. Our Nurse Injectors are available to perform injections Monday through Friday, Wednesday evenings, and occasionally on Saturday.

What can I expect after the BOTOX procedure?

After the BOTOX treatment, your normal routine can be resumed immediately. Because the needles used are so small, cosmetics may be reapplied immediately after the injection. There may be mild pinkness and swelling at the injection sites for 30 minutes.

Is BOTOX® Cosmetic safe?

Neurotoxins have become one of the standard non-surgical treatment options to maintain a youthful appearance. Neurotoxin manufacturers have achieved unparalleled success with these injectable “miracle drugs” to eliminate unwanted lines and wrinkles. In early 2008, however, a few safety concerns surfaced in the media. While these concerns predominately focus on high-dose therapeutic uses of neurotoxins, there have also been concerns regarding neurotoxin use for cosmetic purposes.

To date, there have been no published or unpublished reports of death as the result of the administration of BOTOX® or MYOBLOC® or DYSPORT® for cosmetic use. In early 2008, the FDA did however issue a safety concern of BOTOX®, BOTOX® Cosmetic, and MYOBLOC® when used off-label to treat spasticity in the lower limbs. A few pediatric cerebral palsy patients were reported to have died after receiving large doses of BOTOX®. The FDA has yet to reach any conclusions.

In defense of BOTOX® Cosmetic, it has had an unparalleled safety record. Millions of treatments have been given over a period of two decades. If there were significant risks, they would have been apparent by now. While Dr. Sullivan is highly confident in the safety profile of neurotoxin products, he does have concerns in how, where, and by whom these drugs are administered.

Quite frankly, the injection of BOTOX® and fillers is not technically difficult. On the other hand, it is very difficult to perform these injections and achieve consistent results and satisfactory patient outcomes. Facial Plastic Surgeons and Dermatologists spend many years in and after residency developing the judgment and perfecting the skills to properly perform these procedures. No one can learn how to do this overnight by an attending a weekend course. Patients seeking Columbus BOTOX® Cosmetic or dermal filler injections have every right to expect the best trained and qualified individual to perform their procedure. It is Dr. Sullivan’s opinion that physicians who choose to delegate these procedures to untrained medical personnel either trivialize the difficulty of the procedure or underestimate the expectations of their patients.

BOTOX® Cosmetic is a registered trademark of Allergan, Inc

Before → After
Before → After
Before → After

The Sullivan Difference

We are passionate about helping you achieve your goals. We are not here to simply sell you a new product or service. Our prescriptive skin care approach provides you with a highly-customized solution that meet your specific needs. Dr. Michael Sullivan, an internationally renowned plastic surgeon with more than 30 years of experience, will evaluate you, listen to your concerns, and then guides you to the optimal treatment regimen. Our injection nurses, Nancy and Amanda, who have completed an extensive 6 month training program with Dr. Mike are also available to assist you. Our skin care specialist will serve as your personal concierge throughout the process to answer your questions, address your concerns, and teach you how to properly care for your skin.

The specific risks and possible complications as they relate to Botox will be discussed at your initial consultation.