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What is BOTOX?

BOTOX Cosmetic® is the gold-standard, non-surgical treatment for softening creases and dynamic wrinkles that are caused by repeated facial expressions. (A related, albeit surgical, procedure for full facial rejuvenation is the Michigan facelift.)

BOTOX: Soften wrinkles. Smooth facial lines.

BOTOX is a purified form of botulinum toxin. It targets dynamic wrinkles, which develop due to repeatedly creasing the skin when smiling, laughing and frowning.

When injected in very small doses beneath the skin, the medicine relaxes the underlying muscles and smoothes the surface for a more youthful appearance.

Before & After BOTOX Michigan

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What can BOTOX do for you?

  • Minimize crow’s feet
  • Soften frown lines
  • Improve forehead lines
  • Lift a drooping brow
  • Contour the jaw
  • Restore a relaxed + youthful facial appearance

Dr. Berkowitz Discusses other uses for BOTOX

FAQ: Is BOTOX safe?

As the most commonly performed non-surgical cosmetic treatment, many of our Michigan patients want to know exactly how safe BOTOX is.

Fortunately, BOTOX has a long and proven safety history. It was developed in 1946 and has been used by U.S. doctors since 1962.

It has a number of uses in addition to its cosmetic application, including treatment for hyperhidrosis, migraines, muscle spasms and jaw tension, among others.

In addition, BOTOX has been extensively studied for decades and is associated only with very minor, temporary side effects and no long-term, negative outcomes.

A closer look at BOTOX transformations


Laughing, smiling and squinting all contribute to dynamic wrinkles developing in the delicate eye area. Fortunately, these wrinkles are very responsive to BOTOX. When applied correctly, the medicine can dramatically minimize their appearance and restore a bright, smooth and well-rested expression.


The brow tends to fall with age, causing an expression that looks perpetually angry, sad and tired. When this occurs, BOTOX can subtly elevate the brow and reduce stubborn furrows in the area, restoring a more content appearance.


Forehead wrinkles are a very common sign of aging. BOTOX can relax the facial muscles that cause these permanent creases to appear, smoothing and softening the lines and preventing them from deepening.


If your jaw feels too large or prominent compared to the rest of your features, BOTOX can be used to reduce the size of the underlying muscle, creating a gentle contour to the area. It doesn’t physically change the bone structure of your jaw, but it does create a noticeable difference in its angle – which can completely transform your face.

Schedule a Consultation

If you’re ready to experience the transformative powers of BOTOX for yourself, there is no better destination than Accents Cosmetic Surgery. Contact our Detroit office today to schedule an appointment and discover what this treatment can do for you. Contact Us

The Accents Difference: Our unique approach to BOTOX injections

These days, it seems like BOTOX injections are everywhere. But, there are very specific benefits to having your injections done at Accents Cosmetic Surgery in Detroit with Dr. Berkowitz. They include:

  • Expertise. Dr. Berkowitz has been performing BOTOX injections for over a decade. He has perfected his technique and is known throughout Michigan for achieving the precise BOTOX results his patients request.
  • Natural results. As a plastic surgeon, Dr. Berkowitz has a deep understanding of facial aesthetics and proportions, and he knows how to inject the medication so it looks natural – never frozen.
  • Virtually painless technique. Accents Cosmetic Surgery is the clear choice for our Michigan patients with sensitive skin. We feature Ouchless™ Needle technology, which attaches a disposable dispenser to the syringe to deliver a cool numbing spray just before treatment. This ensures that your experience is as comfortable and pain-free as possible.

What to expect during your treatment experience

Your BOTOX Cosmetic injections will be performed in the comfort of our Detroit office. The entire appointment will last about an hour, with the injections themselves lasting just ten minutes.

To begin, Dr. Berkowitz will ask you to contract your face in various ways so that he can mark the treatment area. He will then place the injections carefully to smooth out your dynamic wrinkles, while preserving your ability to move your face and express yourself naturally.

After your injections

There are very few side effects associated with BOTOX. Immediately after your injections you may experience some minor swelling and redness, but these effects will fade very quickly. There is no downtime, so you will be able to resume your normal daily routine right away.

Your results

Your BOTOX results will appear within a few days and should endure for three to four months. At that point, maintenance treatments can be repeated to preserve your new, younger look.

What is BOTOX?

BOTOX is a cosmetic injectable used to smooth forehead lines, vertical lines between the brows, and crow’s feet. The product has the ability to inhibit muscle motion – the cause of these wrinkles and lines. The product is injected into specific muscle fibers – those that are constantly in motion – causing limited motion, and smoother, younger look.

Even younger patients who want to slow the development of wrinkles undergo BOTOX treatments. BOTOX injections can make you look younger and more attractive and requires only minutes to perform. However, it is very important that the injections are performed by a highly-skilled plastic surgeon. The results of injecting too much BOTOX, or in the wrong muscle strands pose a risk. Dr. Berkowitz focuses on creating the most natural look in every procedure performed at his clinic.

Why Does BOTOX Work?

BOTOX works by blocking nerve signals to specific muscles. These muscles then relax, no longer triggered by the nerves, smoothing forehead or around the eyes, significantly reducing the appearance of lines, wrinkles and creases. When the injections are performed correctly, the result is a younger, more refreshed and appealing look.

When Should I Start Getting BOTOX?

Many younger patients are choosing to have BOTOX injections, called “preventative BOTOX.” Patients as young as their late 20’s are taking advantage of the effect of BOTOX on the muscle motions that lead to what is termed “dynamic wrinkles,” or those cause by muscle motion. One of the physical traits that can be addressed is the lines between the brows – if you have a hereditary trait and may develop deep lines between your brows, early intervention with BOTOX injections can help you outsmart nature.

Will BOTOX treatments look unnatural?

If BOTOX is injected correctly and in the right quantity, the effect is completely natural. No one will know why you look younger and better rested than you did before. The most vital point is that you have these treatments from a skilled professional injector. Never take the risk of having BOTOX from a cut-rate spa or with a coupon, but ensure your treatments are under the care of a board-certified plastic surgeon. Dr. Berkowitz is known for his genuine care for each person he treats, a deep understanding of facial muscular structure, and his artistry in performing all types of facial enhancements.

Is BOTOX the right treatment for me?

If you are tired of seeing crow’s feet, deep creases between your brows, or have unsightly brow creases, BOTOX treatments can resolve these issues. You will need retreatment every three to four months, but our regular patients rely on this product to keep them look young, refreshed, and rejuvenated.

How Long Will it Take to Get BOTOX?

Injecting BOTOX requires knowledge and precision. It isn’t just simply injecting it into the brow or near the eyes; it must be injected into the precise muscle fibers, in the correct quantity. The procedure itself requires only a few minutes, but afterwards you should avoid any vigorous activities, or any motions in which you are bending over and straining for about a day. Don’t rub the area for about 48 hours. You will begin to see results in about 3 to 7 days. Every person is slightly different.

Will I Be Able to Return to Work After Getting BOTOX?

You can return to your normal day after treatment. You may have some redness at the injection site, but this fades rapidly. There are very few side effects from BOTOX treatments, particularly if you ensure your treatments are performed by Dr. Berkowitz. BOTOX is one of the safest cosmetic injectables available and has been relied upon by millions of people across the globe for decades.

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