BOTOX INJECTIONS In Guatemala, BOTOX is administered by Specialist MDs, specialized in plastic surgery, dermatology or cosmetic medicine. BOTOX, the commercial name for botulinum toxin type A, has been approved by the FDA for cosmetic use since 2002. It is manufactured by Allergan as a purified and isolated protein. As of 2007, Botox injection is the most common cosmetic operation, with 4.6 million procedures in the United States Low doses of BOTOX are administered via tiny injections directly into the muscles that cause crow´s feet or the frowning between the eyebrows. BOTOX temporarily improves the appearance of moderate-to-severe frown and forehead lines, as well as crow´s feet. Are the injections painful? For wrinkle treatments topical anaesthestic cream can be applied. Some people find no pain relief necessary. COMBO TREATMENT of BOTOX with CHEMICAL PEEL If you are looking for a pick-me-up, brightening effect, you may be interested in combining BOTOX with a Chemical peel.