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Facial Plastic Surgery

BOTOX® & Dysport®

"Are you smiling because you're happy, or are you happy because you're smiling?"

BOTOX® Cosmetic and Dysport®, both offered at our Edina practice serving Minneapolis-St. Paul, are FDA-approved purified proteins that relax the facial muscles which cause lines and wrinkles. This is the number one cosmetic procedure in the world. 

A before-and-after photo of a woman who has undergone BOTOX Cosmetic treatmentThe most common areas of the face that are helped with BOTOX® Cosmetic and Dysport® are:

  • Forehead and Frown Lines 
  • Crow's Feet 
  • Under eye wrinkles 
  • Nose Wrinkles or "Bunny" lines 
  • Sagging corners of the mouth 
  • Lipstick Lines around the mouth
  • Prominent neck bands

BOTOX® Cosmetic and Dysport® are powerful 'wrinkle erasers' because they relax the muscles of facial expression, which cause the wrinkles. The treatments last 3-4 months and have one of the highest satisfaction rates in artistic and experienced hands. 

BOTOX® Cosmetic and Dysport® 

BOTOX® Cosmetic & Dysport® act similar to a light switch - when injected into a muscle which causes wrinkles, it turns the electricity to the muscle off, thus smoothing the wrinkle. Then after 3 to 4 months the activity of the muscles gradually returns, like a dimmer switch, slowly making the light brighter (the wrinkles gradually returns). The good news is that, also similar to a light switch, no harm is done to the nerves or muscle, just as the light switch and light are not damaged.

A graphic detailing how BOTOX Cosmetic works

After a tiny injection of BOTOX® Cosmetic & Dysport® into the muscle, the botulinum molecule attaches to the tiny nerve endings within the muscle and blocks the signal for the muscle to contract. Over time, the nerve slowly begins to become active again, stimulating the muscles which cause wrinkles. Both BOTOX® Cosmetic & Dysport® are in a class called botulinum A, which appears to be the most long-lasting type of botulinum toxin (3 to 4 months). 

After extensive study and research, BOTOX® Cosmetic & Dysport® do not appear to cause any permanent negative effects. The protein undergoes a natural process of breakdown within the body and the nerve returns to full function. The muscles of expression in the face do not appear to undergo any atrophy (permanent weakening), even after years of repeated BOTOX® Cosmetic & Dysport® injections. The team at our Edina practice, serving Minneapolis-St. Paul, would be happy to speak with you in person if you have any questions regarding this treatment or are interested in scheduling an appointment.

How is it done and when will I see results? 

  • With a few tiny injections, BOTOX® Cosmetic and Dysport® are injected into the muscles of facial expression. Within 24-48 hours, facial lines and wrinkles are reduced as botulinum protein blocks the nerve impulses to the injected muscles. Dysport® has a quicker onset of action for full effect (1-2 days) and BOTOX® Cosmetic has a full effect usually within 3-5 days.
  • The injections are done with a tiny needle and are very tolerable. To increase comfort, topical numbing cream is applied for beforehand, or chilled cooling pads can be place on the site of injections.
  • There is no downtime or recovery after BOTOX® Cosmetic or Dysport®. You can apply makeup or sunscreen immediately after the procedure.
  • Occasionally there is a slight bruise at an injection site. Fish or plant oils (flax seed), aspirin, and non-steroidal anti-inflammatories (ibuprofen) medications can increase the risk of bruising with any injection treatment. 


You can return to full activities including gym, yoga, and sauna. We recommend avoiding any pressure or massage on the areas of treatment for 24 hours. This usually means no facials, facial massage or face down (in face cradle) massage for one day. 

Why should a licensed, trained Physician perform your BOTOX® Cosmetic & Dysport® treatments?

  • When it comes to your face, training and experience matter. Dr. Szachowicz has been performing BOTOX® Cosmetic treatments since 1990, and has been invited to two national training workshops as a consultant for Allergan, the makers of BOTOX® Cosmetic.
  • Dr. Szachowicz is a member of the National Education Faculty (NEF) for Allergan. This is a very select group (less than 1% of all the doctors performing BOTOX® Cosmetic in the USA) which are the trainers for BOTOX® Cosmetic injections and the contact representatives for any issues surrounding BOTOX® Cosmetic. He has been on the radio and in the newspaper specifically around the specialized use of BOTOX® Cosmetic.
National Education Faculty for Allergan logo
The National Education Faculty for Allergan is a by invitation only group of select physician trainers which represents only ½% of all doctors that inject BOTOX® Cosmetic. As an NEF member, Dr. Szachowicz is a spokesperson and trainer for Allergan on BOTOX® Cosmetic and has adopted high standards for his practice.​
  • As a National Education Faculty member, Dr. Szachowicz doesn't take routine approach to botulinum treatments. All new patients are photographed using standard images for facial expression. Then all the particulars which may affect the treatment are factored into the treatment plan, such as the patients age, condition of their skin, length of their forehead, position of the eyebrows, and degree of facial muscle activity. The planned outcome is for a 'natural and relaxed' look versus a 'frozen or plastic' look.
  • Patients have reported that they see more value in a properly performed technique, and more importantly look and feel more confident. 

Who should not use BOTOX® Cosmetic & Dysport®? 

BOTOX® Cosmetic and Dysport® are not indicated if pregnant women or women who are lactating as no studies on safety have been done. Also, both products contain a tiny amount of human albumin derived from human blood.

Novel Uses of BOTOX® Cosmetic & Dysport® 

Although we primarily utilize BOTOX® Cosmetic and Dysport® at our Edina, Minneapolis practice for treatment of the upper face, including frown and wrinkles, this special protein has been used as a problem solver for some unique cosmetic conditions.

  • Chemical browlift - BOTOX® Cosmetic and Dysport® can cause a measurable lift in the outer eyebrows and improve the overall height of the brows if properly injected into the muscles which pull the brows down.
  • Facial Shaping - People who clench their teeth, can get enlargement of their jaw muscles. Proper injection of BOTOX® Cosmetic and Dysport® reduce the increase in size of these muscles as well as protect excessive wear on your teeth. 
  • The 'DAO' injection - There is a special set of muscles designed to pull down the corners of the mouth. The term DAO is made from the first letters of the name of those muscles - Depressor Anguli Oris. A very small amount of botulinum toxin in the mouth area can make a positive change, especially when combined with dermal filler to the lips.
  • Neck Bands - The bands in the neck are caused by the platysma muscles contracting. Injection of BOTOX® Cosmetic or Dysport® into the neck bands can soften the bands in the neck giving a more youthful contour.
  • Sweating - There is a tiny muscle at the base of every sweat gland in the body which literally squeezes the fluid out of the sweat gland - botulinum relaxes that tiny muscle and the sweat is diminished. This works for the forehead, sweating around the mouth and of course under the arms.
  • Lipstick lines - The circular muscle around the mouth will contract and eventually cause vertical lines in everybody. Small amounts of BOTOX® Cosmetic or Dysport® in the lip lines works to diminish these lines, especially in combination with gel fillers to the lips.
  • Facial balancing - This program is for those people with a hyperactive muscle (one eyebrow pops up) or facial weakness from a nerve injury. Botulinum toxin can be specifically placed to balance the face at rest.

Can I combine BOTOX® Cosmetic and Dysport® with other treatments? 

Satisfaction with cosmetic treatments is the highest with combination treatments—the addition of two treatment has an overall greater cosmetic benefit.

  • With dermal fillers - The majority of BOTOX® Cosmetic & Dysport® are used in the upper face (forehead lines, frown lines and crow's feet) while the majority of dermal fillers are used in the lower face (nasolabial folds, lips, marionette lines, etc.)
  • Before Fraxel laser skin resurfacing — The benefit comes from putting the forehead, frown and crow's feet areas at rest while the skin regenerates after the laser. Studies show that the skin is smoother after the laser, with fewer deep lines.
  • With rejuvenation surgery — BOTOX® Cosmetic or Dysport® is always used by Dr. Szachowicz before a browlift procedure. By relaxing the muscles around the brows and eyes prior to surgery, the patient can heal their browlift without the negative downward pull of the facial muscles improving the overall result of surgery.
  • During skin care treatments — These botulinum toxins get to root cause of wrinkles in the upper face: muscle contraction. Therefore, there is a great synergy between medical skin care and facial muscle relaxation to give the highest satisfaction with medical skin care program. 

Learn More about the Dr. Szachowicz's artful approach to BOTOX® Cosmetic and Dysport® treatments 

To schedule your appointment, or to learn more about the advanced injectable treatments BOTOX® Cosmetic or Dysport®, contact our Edina office today. We proudly serve Minneapolis-St. Paul and would be happy to help you realize your cosmetic goals.

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Centennial Lakes Medical Building

7373 France Ave S
Ste 508
Edina, MN 55435

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