dr. jugenburg

Botox Injections

Treating Lines and Wrinkles Without Surgery

The key to natural-looking results is getting good work done by an experienced injector. The goal is a natural looking face without wrinkles – just enough to make people wonder.

If you lost all facial expressions, you’ve gone too far.

Unlike designer knock-offs, there is no counterfeiting a skilled injector, and the cheap stuff is immediately obvious.  Nobody wants a frozen face.


What are BOTOX Treatments?

BOTOX is a brand name for an injectable drug that causes muscle relaxation.  When properly injected by one of the best expert BOTOX injectors, this treatment can create a natural-looking, relaxed face.  It can be used to treat excessive wrinkles, unwanted facial expressions, facial asymmetry and many more cosmetic issues.

Utilizing Botox to treat lines and wrinkles has created an easy, safe, fast and affordable way for patients to look more rejuvenated and youthful without surgery. In addition to treating facial wrinkles, Botox is used to treat excessive sweating, migraine headaches, facial asymmetry as well as many other conditions.

Treating facial wrinkles and lines is the most common use of Botox, also known as Botulinum toxin. Botox is a muscle relaxant, helping to remove wrinkles, sad or tired eyes and angry facial expressions, creating a more youthful and refreshed look. It is a drug called a neuromodulator, which works by blocking the normal flow of neurotransmission. This prevents the muscles from contracting, which smoothens out the facial lines and wrinkles.

Are You A Candidate for Botox Treatment?

There are several factors that make you a candidate for Botox treatment of facial wrinkles. Candidates for Botox treatment include healthy patients who have:

  1. Wrinkles in the upper third of the face, including the forehead, between and around the eyes
  2. Mild wrinkling of the face
  3. Realistic expectations as to what Botox can do

In addition, you should be physically healthy with no pre-existing medical conditions. Botox can be injected into a variety of facial areas to treat many different types of wrinkles. These include:

  1. Forehead lines
  2. Frown lines
  3. Crows feet
  4. Peri-oral lines (associated with smokers)

To determine if you are a candidate for Botox injections, you should schedule a consultation with Dr. Jugenburg.

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.  Since joining our clinic, both Glenda and Marina have been tutored by Dr. Jugenburg, and continue to attend professional courses to further expand their BOTOX skills and knowledge.  Under Dr. Jugenburg’s supervision, Glenda and Marina now perform the majority of our treatments.  Dr. Jugenburg performs all patient assessments prior to the treatment.  Patients then have the option of undergoing their treatment with Marina or Glenda, or can request that Dr. Jugenburg perform their treatment.


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.

How is the BOTOX Injection Done?

A typical BOTOX injection appointment is scheduled ahead of time.  First you will meet with Dr. Jugenburg for an assessment.  You should not have any recent BOTOX treatments (within last 3 months), we recommend that you wait until it is fully gone before undergoing a new treatment.  Avoid taking any blood thinners that may increase your risk of bruising and swelling for two weeks before your treatment (Aspirin, Advil, Ibuprofen, Fish Oils, Omega 3s, high fish diet).  If you had any cold sores in the past, please let us know ahead of time.  We’ll prescribe medication for you to take prior to your treatment (if you are considering BOTOX to treat wrinkles around your lips) to lower the risk of the injections triggering the cold sore virus from coming back (the medication lowers the risk, doesn’t make it 0%).

On the day of your treatment, you will come in to meet with Dr. Jugenburg and/or one of our injection nurses.

Typically, there is no need for pre-treatment with a numbing cream or nerve blocks.  BOTOX treatment takes approximately 10 minutes.  The treatment itself is relatively simple.  During the procedure, we inject a small amounts of BOTOX into areas of concern.  We use very fine needles so that you barely feel anything.   The injection itself takes about 5-10 minutes.

BOTOX takes 3-5 days to kick in, so when you walk out from your treatment, you will not see any changes.  Over the next 3-5 days the effect will slowly kick in, and the full effect takes 2 weeks to be seen.  So it is a subtle change and your friends will not know you had BOTOX done.

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BOTOX Injection Consultation

In order to undergo a BOTOX treatment at the Toronto Cosmetic Surgery Institute, all new patients must meet with Dr. Jugenburg for an assessment and to have an opportunity to ask any questions they wish.  Once assessed by Dr. Jugenburg, the doctor or one of his highly skilled injectable nurses will perform the treatment.  If you wish to schedule a consultation or have any questions about BOTOX, please contact us through our contact form.

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In addition to facial wrinkles, BOTOX is an excellent treatment for a variety of other conditions!

Botox For Profuse Sweating

Excessive sweating, or hyperhidrosis, can be treated effectively with Botox injections. Botox has been used to completely reduce or resolve excessive sweating. Severe underarm sweating is a medical condition involving overactive sweat glands. While sweating is a way your body regulates your temperature, excessive sweating far exceeds the body’s need for cooling.

Patients with excessive sweating:

  1. Change clothes frequently
  2. Put absorbent material under clothing
  3. Avoid certain types of fabrics and styles of clothes

Many patients have tried prescription antiperspirants without success, and for those patients Botox injections are a viable treatment. Botox is injected into the affected areas and works by blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops. Sweat does continue to be produced in other areas of your body.

In addition to the armpit area, Botox can be use to treat excessive sweating in the palms and soles of the feet as well. To determine if Botox is right for your type of excessive sweating, schedule a consultation with Dr. Jugenburg.

Learn more about Botox for excessive sweating here »

Botox for Migraines

Until recently, most people who suffered from chronic migraines had little help. Medications offered some help, but did little to prevent the migraines from occurring. The key is “chronic migraines,” because the treatment is designed to work only on patients with chronic migraines. How is chronic migraine defined?

  1. 15 or more headaches days per month
  2. Each headache lasting 4 hours or more
  3. At least half of the headache days are related to migraines

That’s Chronic Migraine, and Botox injections can help. Dr. Jugenburg will inject Botox into the muscles of the forehead, side and back of the head, and the neck and shoulder area. This will cause the muscles to be too weak to contract, preventing the migraine from starting. Using Botox to treat chronic migraines helps to reduce the intensity and frequency of migraine attacks. It has been shown that Botox is able to prevent up to 9 headache days per month, greatly improving the quality of life for migraine sufferers.

Dr. Jugenburg’s extensive experience with Botox to treat migraines has helped him determine the most effective location for injections and which patients tend to respond to the treatment. To determine if Botox is the right treatment for your migraine headaches, schedule an appointment with Dr. Jugenburg.

Learn more about Botox for migraines here »

Botox For Non-Surgical Jawline Correction

Botox is a viable alternative to help reshape and thin a patient’s jaw. Patients with a strong chewing muscle (the masseter muscle) are often referred to as having a “square jaw.” It is a condition that can be inherited, acquired by grinding the teeth at night or due to TMJ disorder. Patients with excessively wide jaws due to enlarged masseter muscles find relief using Botox, thus avoiding the need for invasive jaw reshaping surgery. This is a very popular procedure in Korea and other areas in Asia.


Dr. Jugenburg has extensive experience in this treatment, effectively slimming the jawline without affect the smile. His expertise in facial anatomy helps ensure a safe and effective treatment with Botox, as many branches of the facial nerve cross the areas where injections are placed.

By blocking the selected muscles with Botox, Dr. Jugenburg is able to sculpt the muscle, providing more feminine facial lines. By blocking the action of selected muscles, we are able to promote muscle atrophy or loss of muscle size. The difference between using Botox for wrinkles and jawline sculpting is that with jawline sculpting you will have 3-5 follow-up injections timed to make sure that the targeted muscle is kept weak for at least 12 months. This helps atrophy to take place, and helps to achieve the desired facial contour.

To discuss whether Botox can be used to provide non-surgical jawline correction in your case, schedule a consultation with Dr. Jugenburg.

Botox FAQs

  • It depends on the area and how severe the problem was, but generally the injections will need to be repeated every 3-6 months. The wrinkles treated with Botox fade very gradually, as they do it’s time to schedule another treatment.

  • There is a mild discomfort when the needle is inserted. It feels like a small “pinch.”

  • Botox is proven to be very safe. Dr. Jugenburg and his injector nurses are very experienced with Botox injections so you can be assured that the injections will be done safely and will result in a significant cosmetic improvement.

  • Botox relaxes the muscles underneath the skin to create a smooth, rejuvenated appearance.

  • It can take up to 2 weeks to see the full effect.

  • Side effects are rare and are not permanent. There is rarely some minor bruising or a short-term headache. Most patients do not experience any side effects at all.  When injections are done close to the eyelids, an eyelid droop can develop.  All of these are temporary side-effects.