Let’s get serious about skin and the science of aging.

Yes, there’s a science behind youthful-looking skin. It starts with hyaluronic acid, the naturally occurring substance in your skin that helps give it a full, youthful look. As we age, hyaluronic acid diminishes, causing our skin to look thinner, drier and more wrinkled.

The more you know about your skin’s aging process, the better you’ll be able to keep it looking its best. Scroll down for helpful information and tips about fine lines and wrinkles so you can decide if Botox is right for you.

Here are some fine line and wrinkle facts:

Fact #1: Creams and lotions don’t always cut it.

Your skin care regimen probably includes a number of over-the-counter cosmetic products. That’s perfectly fine, but when it comes to those frown lines, a prescription treatment may be the best choice for lasting results.

Fact #2: It’s not an age thing.

Of course time is a factor. But wrinkles and frown lines don’t simply mean that you’re getting older. They’re caused by repeated movements and muscle contractions, which means they can even develop in younger adults. It’s the mark of an expressive face. This also means that by getting Botox treatment, you can prevent the formation of the fine lines and wrinkles.

Fact #3:  You don’t have to “live with ‘em.”

You squint, you smile, you frown – wrinkles happen. That’s life. But that doesn’t mean you have to accept it. We are here to help you stand up to the lines and take control of your look.


What is Botox?

Botox is a purified protein complex that temporarily reduces movement of certain facial muscles that cause wrinkles. Due to the fact that it is a protein, it is naturally metabolized by your body.

What does Botox do?

Botox treats wrinkles.

Wrinkles are caused by repeated movements and muscle contractions, which means that they can even develop in younger adults.

Botox works to temporarily reduce the movement of certain facial muscles and therefore reducing the appearance of wrinkles and fine lines.

Don’t just treat it, prevent it!

How long does it last?

Patients can expect to see slight improvement within 2-3 days of treatment and full results within 2 weeks. Results last up to 4 months. We recommend getting treated 4 times per year for optimal results.

What areas can we treat?

At this time, Dr. Pukanich can treat the following:

  • Crowsfeet
  • Eye brow lift
  • Forehead lines and wrinkles
  • Frown lines

What to expect


Every Botox appointment takes place in a private room, so your visits are confidential. At this appointment, we will discuss your expectations and whether you have any health conditions or allergies that could interfere with your treatment. It’s your appointment, so don’t hesitate to ask your doctor questions. We take a series of “before” photographs to help us better treat you and your specific needs and/or requests. These also help us gauge the effectiveness of your treatment.


Dr. Pukanich will use a cosmetic marker to help guide with the injections. These marks are specific for every patient. The procedure takes 10-20 minutes.


After receiving treatment, it is advised that you refrain from laying down for the next 4 hours. This is to ensure that the Botox remains in the specifically targeted muscles. Also, no rubbing, itching or vigorous exercise for the rest of the day. You will be given a set of facial exercises to help with the effectiveness of your treatment. There should be little to no down time after your treatment. We have rare reports of headaches the day following treatment.

Follow up

To get optimum results and to maintain your improvements, Dr. Pukanich would like to see patients 2 weeks after their first treatment. At this visit, we will retake the photographs to show you the improvements. We monitor your improvements and make any adjustments that may be needed. We recommend getting treatment 4 times per year.

When should it NOT be used?

Botox is contraindicated in patients who:

  • Are allergic or sensitive to any of the ingredients
  • Have an infection in the muscles where it would normally be injected
  • Are allergic to cow’s milk protein
    • This is not to be confused with a lactose allergy or intolerance
  • Have any muscle disorders in other parts of your body, including:
    • Myasthenia Gravis
    • Eaton Lambert Syndrome
    • Amyotrophic lateral sclerosis
    • If you are pregnant, nursing or may become pregnant


What does is cost?

Cost is determined on a patient to patient bases. To schedule a complimentary Botox consultation, please call our office at 780-849-2234



LIVE Questions and Answers with Dr. Pukanich about Botox