Issaquah Plastic Surgery - Kimberly K. Lu, M.D.  

Botox® (Botulinum Toxin A)

Do you look tired, sad, or angry even when you feel well? Botox® is an injectable medication FDA approved for treatment of moderate to severe frown lines between the brows in adults younger than 65 years of age. Botox® works by blocking nerve impulses to injected muscle, temporarily stopping the ability to frown or wrinkle. Good results can also be obtained for crow’s feet and forehead wrinkles. Over time, sun damage and constant wrinkling or furrowing may cause creases in the skin itself. While these wrinkles may improve with Botox® injection, use of a skin filler may be required for additional correction. Many younger women have Botox® to prevent this condition. Over 2.4million Botox® injections were performed in 2008. Injection of Botox® is done with a tiny needle, has no downtime and onset of action begins at approximately 3-5 days after injection. Muscle activity returns at approximately 3 months. Anecdotally, some Botox® users also report improvement in their headaches after injection. This indication is currently under study.

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Kimberly K. Lu


Issaquah Plastic Surgery


(425) 392-8282