The Truth About BOTOX®: Myths vs. Reality

Written by
April 15, 2025

Plastic surgery procedure with a young woman receiving Botox injections at a beauty clinic for wrinkle reduction and facial rejuvenationBOTOX® has become one of the most popular cosmetic treatments, but misinformation still surrounds it. Some believe it will leave them looking frozen, while others assume it's unsafe or only for older individuals. Understanding the facts can help patients make informed decisions about BOTOX® and its benefits.

At Chevy Chase Dermatology, Dr. Margaret Sommerville, a board-certified dermatologist and the medical director of the practice, brings over 15 years of expertise in dermatology. A graduate of George Washington University Medical School, she completed her dermatology residency at the University of Michigan Hospital and the University of Missouri Hospital. Recognized as one of the "Leading Physicians of the World" by the International Association of Dermatologists, Dr. Sommerville’s commitment to excellence has earned her recognition as one of "America's Top Dermatologists" by the Consumers' Research Council of America.

Myth: BOTOX® Makes Your Face Look Frozen

Reality: BOTOX® Provides Natural-Looking Results

A common misconception is that BOTOX® creates a stiff or expressionless appearance. In reality, when administered by a skilled professional, BOTOX® softens dynamic wrinkles while preserving natural facial expressions. The key to achieving a balanced look lies in the technique and precise dosage.

Myth: BOTOX® is Only for Wrinkles

Reality: BOTOX® Has Multiple Uses

While BOTOX® is widely known for reducing fine lines, it also offers other benefits:

  • Migraine relief: Helps prevent chronic headaches.
  • Excessive sweating (hyperhidrosis): Reduces underarm, palm, and foot sweating.
  • Jaw tension and TMJ disorder: Relaxes muscles to alleviate pain.
  • Gummy smile correction: Softens the upper lip for a balanced smile.

BOTOX® is a versatile treatment with both cosmetic and medical applications.

Myth: BOTOX is Unsafe

Reality: BOTOX® is FDA-Approved and Has a Strong Safety Record

BOTOX® has been FDA-approved for cosmetic use since 2002 and has been used for medical treatments even longer. Side effects are minimal and temporary, such as mild swelling or bruising at the injection site. Choosing an experienced provider like Dr. Sommerville ensures a safe, controlled application tailored to each patient’s needs.

Myth: BOTOX® is Permanent

Reality: BOTOX® Results Are Temporary

BOTOX® results typically last between three to four months. Over time, treated muscles regain movement, and wrinkles may reappear. Regular treatments can prolong results and may even help train muscles to contract less frequently, reducing the need for frequent touch-ups.

Myth: You Should Wait Until Wrinkles Are Deep to Start BOTOX®

Reality: Preventative BOTOX® Can Slow Aging

Many patients believe they should only consider BOTOX® after developing deep wrinkles. However, early treatment can prevent lines from becoming permanent. Preventative BOTOX® is commonly used in patients in their late 20s and 30s to maintain smooth, youthful skin.

Discover the Benefits of BOTOX® at Chevy Chase Dermatology

Understanding the truth about BOTOX® helps patients make informed choices about their skincare. Call 301-656-SKIN (7546) to book a consultation at Chevy Chase Dermatology in Chevy Chase, MD.


Category: Botox


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