Botox™ has traditionally been used successfully in ophthalmology for years to treat conditions which cause spasm of eyelids. Botox™, more recently, has been FDA approved for cosmetic reduction of certain facial wrinkles. Treatment includes injection of botox™ in several locations around the eyes. Effects can be seen within a few days and usually last for approximately 6 months. Our physicians usually utilize Botox™ to reduce wrinkles in the upper face, and facial fillers such as Restylane™ to reduce wrinkles in the lower face. We find that this gives a better result with a more natural appearance.