dr. jugenburg

Botox Injections

What Is BOTOX Cosmetic?

BOTOX or BOTOX Cosmetic is a brand name for a prescription medication used for various cosmetic and non-cosmetic purposes.

It is a purified protein produced by the Clostridium botulinum bacteria that has been used safely since the early 1990’s.

BOTOX acts as a NEUROMODULATOR, a substance that modulates transmission of signals from nerves to muscles.


What Is BOTOX Cosmetic?

BOTOX® Cosmetic is a highly purified botulinum toxin protein refined from the bacterium, Clostridium botulinum. This protein acts to temporarily reduce muscle activity by preventing nerve endings from stimulating their muscle fibres.

BOTOX® Cosmetic is the #1 selling product of its kind in the world.

BOTOX® Cosmetic is one of the most extensively studied medical aesthetic treatments and is approved for cosmetic use in 78 countries.* BOTOX® Cosmetic has a record of experience that aesthetic providers know and trust. And, the safety and efficacy of BOTOX® Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in 417 peer-reviewed articles in scientific and medical journals.

Learn how NEUROMODULATORS help reduce wrinkles

Neuromodulators such as BOTOX or DYSPORT have many cosmetic and medical applications

Who Performs BOTOX Injections?

Dr. Jugenburg is a board certified Plastic Surgeon with years of experience in BOTOX treatments.

Our injectable nurses Glenda and Marina have been performing BOTOX treatments for several years at other cosmetic clinics and have distinguished themselves with their work, which is why Dr. Jugenburg has hand picked them to join him at the Toronto Cosmetic Surgery Institute.


All BOTOX treatments at the Toronto Cosmetic Surgery Institute are performed by Dr. Jugenburg or one of his highly skilled injectable nurses. All patients are seen by Dr. Jugenburg prior to their first treatment for an assessment

Official BOTOX Information

Approved Uses
BOTOX® Cosmetic is a prescription drug which is administered by an injection into muscles for the purpose of temporarily relaxing them.  Approved treatments are for the improvement of the look of both moderate to severe crow’s feet lines and frown lines between the eyebrows in adults.

BOTOX® Cosmetic may cause serious side effects that can be life threatening.  It is important the you ensure BOTOX is administered by a properly qualified physician or a nurse under a physician supervision.

Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life.
  • You are at the highest risk if these problems are pre-existing before injection.
  • Swallowing problems may last for several months
  • Spread of toxin effects.
    • The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including:
      • loss of strength and all-over muscle weakness
      • double vision
      • blurred vision
      • drooping eyelids
      • hoarseness or change or loss of voice
      • trouble saying words clearly
      • loss of bladder control
      • trouble breathing
      • trouble swallowing.
    • If this happens, do not drive a car, operate machinery, or do other dangerous activities

The dose of BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, or both at the same time.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include:

  • dry mouth
  • discomfort or pain at the injection site
  • tiredness
  • headache
  • neck pain
  • eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.