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What is BOTOX?

BOTOX® Cosmetic is the most well-known trade name for botulinum toxin. It is not the only product available and presently two other comparable products, Xeomin® and Dysport®, deliver nearly equivalent results. For the purposes of brevity, we will simply refer to this group of products using the BOTOX® name, but we have had experience with all three products.

Laughing, frowning and all other facial expressions require the muscles of the face to contract, and these contractions will then create some sort of crease or line on the skin. In younger years, this fades immediately and your skin springs back to normal. Over time, however, lines and wrinkles deepen and remain visible even when the facial muscles aren’t actively in motion. Although these dynamic wrinkles are the result of normal daily facial expressions, they’re also among the first evidence of aging to appear on the face. Patients love BOTOX® because it’s an effective, affordable and nonsurgical option for combating the early signs of aging.

Dr. Otto Placik is a board certified plastic surgeon who uses BOTOX® Cosmetic injections to improve the appearance of lines and wrinkles. In addition to nonsurgical medical spa treatments, Dr. Placik also performs a variety of facial cosmetic surgery procedures for men and women in Chicago and the surrounding suburbs.

Please contact us online or call our Chicago or Arlington Heights plastic surgery offices for more information on BOTOX® Cosmetic, including prices.

Board Certified Plastic Surgeon in Chicago

Dr. Otto Joseph Placik Board-Certified Plastic Surgeon

Dr. Placik is a board certified plastic surgeon in Chicago and an active member of The American Society of Plastic Surgeons. He received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery.


Dr. Otto Placik answers your BOTOX questions

Is it normal to frown 10 days after Botox?

About BOTOX®

BOTOX® was originally developed to treat problems with eye muscles and to control uncontrolled facial spasms. During that time, it was noted that patients receiving the injections for these purposes had an improvement in the appearance of wrinkles in the treatment area as well. Doctors began using BOTOX® solely for wrinkles in 1996. After tests and studies to ensure safety, the FDA approved BOTOX® Cosmetic for this specific use in 2002.

How does BOTOX® work?

BOTOX® works by temporarily paralyzing the facial muscles responsible for lines and wrinkles on the face. After injection, BOTOX® prevents the muscles from contracting, and over time the appearance of dynamic wrinkles begin to fade and become less noticeable. The use of BOTOX® is FDA-approved for frown lines, the vertical wrinkles on the forehead between the eyebrows, and crow’s feet, the fine lines around the eyes that deepen when smiling, “bunny lines” or lines around the mouth with lip pursing or “prune chin.” BOTOX® is often used in conjunction with dermal fillers to minimize deeper wrinkles caused by loss of volume.

Patient Not a Model

Dr. Otto Placik adds injectable fillers

Injectable Fillers to the Face

How are BOTOX® injections administered?

BOTOX® Cosmetic is administered with a series of injections directly into the facial muscles. A very small needle is used for the injections, which many patients have described as feeling like a pinch. If you’re concerned about discomfort, Dr. Placik may apply ice or a topical numbing cream to the treatment area. One treatment session typically takes about 10 to 15 minutes, and patients can return to their daily routines immediately. Although manipulation of the treatment area, vigorous exercise or the supine position is discouraged for 4 to 6 hours.

What else can BOTOX® be used for?

BOTOX® can also be used to weaken undesirable muscle action and achieve what is known as a nonsurgical brow lift or nonsurgical corner of the mouth lift (grimacing), gummy smile correction, treatment of a downturned nasal tip with smiling, hyperactive neck muscle activity and unwanted muscle fullness of the masseter muscles with jaw clenching. BOTOX® has benefits of diminishing sweating of the armpits (axilla), hands and forehead. Ongoing, but not definitive, research studies of BOTOX® have shown value in the treatment of migraines, acne, depression and many other conditions.

BOTOX® Recovery

After your appointment, you may notice some temporary soreness or swelling at the injection site, although the majority of patients enjoy a relatively comfortable experience. Most men and women see the effects of their Chicago BOTOX® injections within a few days after treatment and enjoy the best long-term results by scheduling ongoing maintenance treatments.

What other injectables does Dr. Placik offer?

In addition to BOTOX® treatments, Dr. Placik also offers Dysport® and XEOMIN® injections. Similar in many respects to BOTOX®, these injectables are also FDA-approved for treating lines and wrinkles.

  • Dysport® offers comparable results to BOTOX®, although the results may last slightly longer. Users of Dysport® report a slightly lower incidence of some side effects, particularly eyelid drooping.
  • XEOMIN® has fewer additives, which may lower the incidence of allergic reactions.

Dr. Otto Placik answers your BOTOX questions

Botox – How long does it last?

Botox Cosmetic FAQ

Am I a good candidate?

The best candidates for BOTOX® in Chicago are physically healthy, at least 18 years old and have bothersome wrinkles on the forehead and/or around the eye area. Patients who are pregnant, nursing or trying to become pregnant or have any diseases or conditions that affect nerves or muscles may not be good candidates for BOTOX®.

Will I be able to still show expression or emotion with BOTOX®?

Receiving great results with BOTOX® Cosmetic relies heavily on injection technique. When administered by an experienced injector like Dr. Placik, BOTOX® reduces, but should not eliminate, the ability of your muscles to create facial expressions. After BOTOX®, you should still be able to smile, frown or look surprised, but the associated wrinkles and creases won’t appear on your skin. You’ll look like yourself, except younger, refreshed and rejuvenated.

How much does BOTOX® cost?

The cost of BOTOX® will depend on the number of units needed to properly treat your facial muscles and give you the best results. Estimating the number of units that will be needed is difficult to do until Dr. Placik can examine you and assess your facial anatomy. Dr. Placik and his staff strive to provide excellent value and can help you with financing to make your treatment even more affordable. Reduced fees are available when treatments are administered by staff that have been trained and supervised by Dr. Placik.

Is BOTOX® permanent?

BOTOX® is a temporary treatment that generally lasts 4 to 6 months, and the results will fade gradually and naturally as the muscles resume normal movement. Individuals with a higher metabolism may notice their results fade sooner than others. Dr. Placik and his staff are happy to schedule regular maintenance sessions to help you maintain your new look long-term.

What are the risks?

BOTOX® has proven to be well-tolerated by the vast majority of patients. The most common side effects include swelling or bruising at the injection site, although these are greatly mitigated by the experience level of your injector. Headaches are also sometimes reported. Aesthetic side effects, such as eyelid droop or crooked eyebrows, are seen less often but may occur in some patients.

Dr. Placik promises you his best possible care and attention. If you would like to schedule a private consultation to learn more about BOTOX® Cosmetic, please contact us online or call us at 847-398-1660.

Botox – How to achieve a brow lift?


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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated March 24th, 2020

With businesses all around us closing by either mandate or voluntarily you may be wondering how long we will continue to operate, or even why we are still open at this point.

After serious consideration and in line with the recommendations of our State and Centers for Disease Control (CDC), we are limiting the practice until April 7th.

We are diligently monitoring conditions and recommendations from professional organizations such as the Center for Disease Control (CDC) and understand that the situation is ever-changing and may alter our plans at any point in the future

As physicians, we are cognizant of protecting our own patient population most at risk and the need to conserve our own limited resources. Actions have already been taken to postpone or cancel appointments and surgeries for patients who are best served staying home to limit potential exposure. We have also canceled or rescheduled appointments for services that are not immediately necessary in many cases.

Effective immediately the following will occur:

  • All procedures and in-person consultations will be limited until April 7th. This may be revised in the following week.
  • The office will be (not fully) staffed, and we will see our urgent post-surgical follow-ups.
  • We are instituting Virtual Consultations for all potential patients.
  • Many surgeries are rescheduled and some of the ones that are committed will occur on a per case basis.
  • No patient will ever have any financial recourse for our fees for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.

We continue to exercise all the latest recommendations that are handed down by the CDC. These include:

Staff have been fully informed and trained to understand the disease process and its modes of transmission.

  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Every patient is also being asked to refrain from coming to the office if they have any symptoms.
  • We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • We have asked all vendors that any unnecessary meetings are canceled until further notice.
  • Any exit and entrance from our office are followed by a protocol of changing shoes, scrubs and sanitization.
  • As we are an (NO accredited) medical facility, we are constantly sanitizing all surfaces. We have now vamped that up and our routine, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities. (We have assigned a person that does so on a constant basis.)

As previous communications have shared, procedures and protocols have been put in place (and continue to evolve) to protect our employees in the workplace. However, no one can guarantee the absolute protection from infection or potential exposure despite recommended precautions being taken.

The virus can be transmitted before an infected person starts exhibiting symptoms. It is possible for a person to be infected and also not experience symptoms. We are doing everything possible to prevent people exposed or exhibiting symptoms from access to our facilities. Even with all of our precautions, exposure to patients with the COVID-19 virus can happen. When we become aware of any potential exposure, our response is immediate and actions are taken to protect everyone directly involved.

Experts are predicting that 40% of the Chicagoland population will be infected within the next month. Current information demonstrates that for 97% of the people infected the symptoms will be mild or flu-like. 3-5% of patients will require hospital care, and the mortality rate is less than 2%.

Risk of exposure will occur at every touchpoint of our daily lives outside of our home-- including gas stations, grocery stores, and medical facilities.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

Here are some links that might be useful:

Please do not hesitate to contact us. We are always here to answer your questions

Please allow us time to respond.

Call us at our current phone line to leave a non-urgent message or via our online email, contact form, virtual consultation or apex chat service popup box. As always for any emergency services, please call 911