Botox Cosmetic

Botulinum Toxin (known as Botox) is the most widely recognized cosmetic injectable, and for good reason. Most noteworthy, Botox is the only FDA-approved treatment of its kind and offers exceptional results in the anti-aging field.  It's the most popular cosmetic treatment in the United States.  And make no mistake, this is a Women's AND Men's treatment. Read more below, or simply Click Here to schedule a consultation with one of our amazing injectors. If you have been searching for the best Botox in Michigan, you have come to the right place!  Tondue has consistently won awards for how we provide medical-grade Botox. Most of all, we want to answer your questions fully and create an experience that you won't forget!

Botox Before & After
Botox Before & After

What Exactly Is Botox?

Botox contains the active drug onabotulinumtoxinA. It's made from a toxin that's produced by Clostridium botulinum bacteria. Botox is a type of drug called a neurotoxin. Botox comes as a powder inside single-use vials. It's mixed into a solution and given as an injection by healthcare providers. Botox is available in two strengths: 100 units and 200 units. For most of its uses, Botox is given by intramuscular injection (injection into a muscle). It's injected into muscles in different areas of the body, depending on the condition being treated. (medicalnewstoday)

Botox Cosmetic is an injectable wrinkle muscle relaxer. It uses botulinum toxin type A, specifically OnabotulinumtoxinA, to temporarily paralyze muscle. This reduces the appearance of facial wrinkles. (

Only BOTOX® Cosmetic is FDA-approved to temporarily make moderate to severe frown lines, crow's feet and forehead lines look better in adult patients. Botox was originally approved by the FDA in 1989 for the treatment of eye muscle conditions.  In 2002 use of Botox was approved for use as a cosmetic treatment for moderate to severe frown lines between the eyebrows.  Treatment for crow's feet using Botox Cosmetic was approved in 2013. It is also used to paralyze the forehead muscles that cause wrinkles.

The use of botulinum toxin has also been FDA approved for the treatment of Hyperhidrosis (excessive sweating) in the underarm area.  It has also been used "off-label" to treat other areas, such as sweaty palms and feet.

How Botox Cosmetic Works

A combination of factors can cause facial lines. It’s not just about the cellular changes that may occur, or reduction of collagen, or damage caused by free radicals from the sun and the environment.

Repeated muscle contractions from patients frowning, squinting, or raising eyebrows can cause the skin to furrow and fold, gradually resulting in the formation of facial lines. BOTOX® Cosmetic works beneath the surface by temporarily blocking nerve signals and muscle contractions. This temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet, and forehead wrinkles in adult patients – to help them look visibly smoother. Treatments can also slow the formation of new wrinkles or lines by preventing the contraction of facial muscles.

Botox is an injectable neuromodulator that works to relax nerve-muscle imbalance. In other words: Wherever it's injected, Botox causes the underlying muscles to temporarily stop moving. When the muscles stop moving, the wrinkles stop forming.

Before/After Botox treatment for Crows Feet

Before After

Before/After Botox Treatment for "11's"

Before After

What are people are asking us about Botox Cosmetic?

1.  Will I still look like me?

Yes. BOTOX® Cosmetic subtly smoothes frown lines and crow’s feet. Most of all, it works beneath the surface and targets one of the underlying causes of frown lines and crow’s feet (the repeated muscle contractions from frowning and squinting over the years). As a result, Botox Cosmetic treatments give our adult patients natural results that make them look like themselves again.

3. How long is this going to take?

Great news! With minimal downtime and recovery, a typical Botox treatment usually only takes 10-15 minutes.  So get in, get out, and get on with your day.  It is even being called the "lunchtime procedure" by many of our patients.

2. Is Botulinum Toxin Treatment FDA Approved?

Yes.  Especially relevant, BOTOX® Cosmetic is the only FDA-approved treatment that temporarily improves both moderate to severe crow’s feet AND frown lines between the brows in adults. Consequently, this is only one of the reasons adult patients choose to use BOTOX® Cosmetic when being treated.

4. Which of these kinds of products are the best?

You guessed it, it's BOTOX® Cosmetic. Consequently, in the United States, it is the #1 selling product of its kind.  *Based on data collected through February 2016.

Botox Cosmetic Face Chart

What should I expect with treatment?

Some patients receiving BOTOX® Cosmetic report the injections feel like a pinch. You may begin to notice a visible smoothing of frown lines, crow’s feet, and forehead wrinkles within 24 to 48 hours, with results lasting up to 4 months for moderate to severe frown lines in adults. Most patients report little to no pain at the injection site, and the pain subsides quickly.

BOTOX® Cosmetic is not a permanent treatment. If you discontinue treatment the moderate to severe frown lines, crow's feet and forehead lines will gradually return.

What else should I know about Botox?

It's safe.  Probably like most people, thoughts of a needle going toward your forehead, in between your eyes, or at your eyebrows might seem unnerving, but you can have complete confidence.  Because not only is Botox FDA-approved, but it's a very common (and highly-requested) procedure.

There is no age range necessary.

Dermatologists can't recommend the best age to start or try Botox, since it depends on your goals, your facial expressions, and your preference.  There is no fixed answer to the question "when do fine lines appear?" Therefore younger people have been incorporating Botox Cosmetic into their plan as a preventative measure before wrinkles deepen or even appear.

It's not just for the ladies.

Botox is one of the most wildly popular men's treatments.  In fact, it is one of the most common procedures that men undergo and has coined the term "Bro-Tox". Most noteworthy, it is climbing in popularity at a wild rate. It seems like men are kicking all of the gels and products to the curb and getting a treatment that has lasting results and takes less time to maintain on a daily basis. Read more about this in an article recently published by Forbes by clicking Here.

How much is Botox in Michigan?

As with most cosmetic treatments, the prices of Botox vary widely.  Some practices charge per unit of Botox (which can range approximately between $13 to $25 per unit). The number of units to treat an area depends on a wide variety of factors such as muscle strength, the severity of existing wrinkles, skin condition, and more.  At Tondue, we treat to an outcome.  As such, we recommend a consultation in order to get the best and most accurate information possible. If you find yourself wondering "Who are the best Botox providers near me?", ask who gives good consultations, full education, and excellent treatment.  You will find all of that at Tondue.

Frequently Asked Questions About Botox

Botox Cosmetic isn't meant to completely eliminate facial expressions. Its intended purpose is to soften lines of excessive facial expression from squinting, frowning, and smiling. It will paralyze your muscles, but it will not affect the nerves that cause a sensation or make you feel numb. When it is used correctly, it can lift the brow to give an appealing and sincere look.

It's important to be treated by an experienced treatment provider who can judge the size of your muscles and how much Botox you will need.

Every drug has side effects, and Botox is no exception. Luckily, “Botox side effects are rare and temporary,” says Adam Kolker, a board-certified plastic surgeon based in New York City. Potential side effects (in just 1 to 5% of cases) include mild droopiness of the eyelid or eyebrow, which usually goes away within two weeks, slight bruising at the injection area, and headaches.  -

People who are pregnant, breastfeeding, or have a neurological disease shouldn't use Botox. Because Botox doesn't work for all wrinkles, check with a doctor first.

You shouldn't have Botox shots if you're allergic to cow's milk protein.


This also varies and it's mostly up to you! You don't need it before you have wrinkles to hide, or you can use it preventatively. “To be clear, it is much more about anatomy (as a result of genetic and environmental factors) than it is about a stereotypical age at which to begin". “Prevention is the new mantra, [but] I have seen women in [their] 40s with few or no wrinkles who require very little [Botox], and women in their 20s who require more.” Basically, a patient can have Botox safely whenever they are bothered by their wrinkles or simply want to prevent them from forming in the first place. There is no issue with long-term use, either: "I've had patients who have used it repeatedly for over 20 years without bad effects," says Kane.


The effects of Botox will last 3 to 6 months. As muscle action slowly returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are shrinking.


University of Minnesota Health Dermatologist Lori Fiessinger, MD, explains how Botox can help people with hyperhidrosis, or excessive sweating.

Botox for excessive sweating? University of Minnesota Health Dermatologist Lori Fiessinger, MD, explains how this treatment option can help people with hyperhidrosis.


Tell your doctor if you've had any type of Botox injection within the past four months. Also tell your doctor if you take muscle relaxants, sleeping aids, or allergy medications. If you take blood thinners, you may need to stop taking them several days before your injection to reduce your risk of bleeding or bruising.


Every drug has side effects, and Botox is no exception. Luckily, “Botox side effects are rare and temporary,” says Adam Kolker, a board-certified plastic surgeon based in New York City. Potential side effects (in just 1 to 5% of cases) include mild droopiness of the eyelid or eyebrow, which usually goes away within two weeks, slight bruising at the injection area, and headaches.


Do not receive BOTOX ® if you are allergic to any of the ingredients in BOTOX® (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.

The dose of BOTOX® and BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product. Tell your provider 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 (tell your doctor 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. (

There are some medical conditions that may make you ineligible as a candidate for Botox.  Be sure to submit a complete medical history to your doctor or to our Master Injectors for review in order to make sure you are safe.

Did you know that Tondue Medical Spa in Bay City, MI has been voted Greatest of the Great Lakes Bay Region (Bay City, Saginaw, and Midland) for Botox Injections in 2018, 2019, and 2020?  There is a good reason, and we want you to experience it for yourself.  Known to be the best place to get Botox in Bay City, Saginaw, and Midland, Tondue provides the highest level of care and outcome when treating wrinkles, frown lines, and crow's feet. Call us at 989-598-8001 to schedule an appointment, or Contact Us and discover why so many people think that Tondue is the best place in Michigan to get Botox!

Office Policies


To secure your appointment, patients are required to pay a $50 deposit on all Botox consultations or initial treatment appointments. This deposit will be used towards your treatment.


In regards to cancellations, appointments may be rescheduled or canceled for a deposit refund if done 24 hours prior to your scheduled date and time. Any cancellation made after this period is subject to a $50 fee and the deposit will be kept as a result.

Late Arrivals

As a courtesy to others, if a patient is more than 10 minutes late, they may have to be rescheduled and the deposit will be kept as a penalty.

And don't forget to sign up for our newsletter to be kept informed of any upcoming Botox specials. You can sign up on our Contact page.

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