Botox is a purified protein, produced by a bacterium. Used in tiny amounts and
in specific muscles, injections of Botox will relax that specific muscle. After
treatment, the overlying skin remains smooth and unwrinkled while the untreated
facial muscles contract in a normal fashion, allowing normal facial expression.

Botox injections have been used safely and effectively for years to treat many
ophthalmological and neurological disorders. Each year, thousands of patients
receive Botox treatments for a variety of conditions and it is quickly becoming a
popular treatment for reversing the visible signs of aging. Because of its safety
and effectiveness, Botox treatment has become one of the most popular
cosmetic procedures.

Cosmetic treatment with Botox is a simple and safe procedure. Using a tiny
micro-needle, a very small amount of Botox is injected, very precisely, into
several locations on the face. Because the needle is so fine and only a small
amount of liquid is used, the discomfort associated with the injections is
minimal. No sedation or local anesthetic is required, and you can resume normal
activities immediately. You can even drive yourself home or back to the office.

Some patients experience a slight temporary bruising at the injection site. This
can be covered with make-up. Rarely, patients may develop a slight lowering
(ptosis) of the eyelid. This may or may not be noticed and is always temporary.
A headache can occur after treatment but is not common. Botox should not be
used if you may be pregnant or suffer from a neurologic disease.

If dynamic wrinkles make you look older and more serious than you are, Botox
treatment can smooth these out and give you a more youthful and pleasant
appearance. The effect of Botox treatment is temporary. Most patients require
treatment about every 4 months to maintain the desired results.

As of January 2008 Dr. Shiffman has performed over 2000 Botox procedures.
Dr. Shiffman believes that all Botox treatments should be performed by a
physician who is properly trained in the procedure and who has the relevant
medical background. Because of this, Dr. Shiffman performs all of the Botox
procedures personally and does not designate this task to a nurse or technician.
He regularly attends meetings at which the top Botox injectors in Canada
discuss advances in the field. Dr. Shiffman has lectured and performed onstage
Botox demonstrations at the "New You" cosmetic show.

More recently, Botox has been used to control excessive axillary sweating. The
treatments are safe and often quite dramatic. The effect, although temporary,
can last for up to 4-8 months.




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