When you want to put your best face forward, the signs of aging come as a very unwelcome surprise. To correct, or even postpone, cosmetic concerns like crow’s feet and worry lines, many adults in the Cincinnati area are visiting Dr. Donna Krummen for Botox.

Why Should I Consider Botox®?
Botox is a convenient, cost-effective treatment that goes beyond the average wrinkle-reducing solution. We are seeing a much wider range of uses than we did just ten years ago, with many of our patients seeking treatment as a way of postponing the formation of new lines and wrinkles. Coupled with a good skin care and sun-savvy habits, Botox is an excellent aspect of a well-rounded beauty regimen.
What Is Botox®?
Botox is the cosmetic prescription medication that was developed after years of clinical use involving OnabotulinumtoxinA. Prior to cosmetic use, this mild neurotoxin held a longstanding position as an effective therapeutic treatment for children and adults with various neuromuscular disorders. To date, OnabotulinumtoxinA continues to be valuable in clinical and cosmetic medicine.
What Are The Benefits Of Botox Treatments?
- Improving the appearance of moderate to severe dynamic wrinkles.
- Preventing new lines from forming prematurely.
- Quickly-noticeable results with minimal side effects, if any.
- Conveniently refreshing the face; no sedation, incisions or downtime.
Common Areas Of Treatment:
Initially, Botox was used to decrease the intensity and visibility of glabellar lines, or frown lines. Since early development, indications for use have expanded. Today, we routinely use Botox to treat concerns including:
- Worry lines on the forehead
- Drooping brow
- Crow’s feet
- “Bunny lines” across the bridge of the nose
- Lines around the mouth
- Marionette lines
- Downturned mouth
- Chin indentation
- Platysmal bands
- Excessive sweating
- Chronic headaches
Who Is A Good Candidate For Botox®?
Many people with unwanted facial lines and wrinkles consider Botox as a solution. You may be an ideal candidate for this treatment if you:
- Are in overall good health
- Have realistic expectations of results
- Experience moderate-to-severe facial wrinkling
- Have wrinkles around/between the eyes, around the neck, and on the forehead
During your consultation, Dr. Krummen will perform a thorough examination to determine whether you are an ideal candidate for Botox.
Who Should Not Consider Botox®?
You may not be deemed a good candidate for Botox injections if you:
- Are pregnant or nursing
- Have an active skin infection
- Are allergic to ingredients used in Botox
- Suffer from a nerve or muscle condition
- Have an active acne breakout
How Does Botox® Work?
The active ingredient, Botulinum toxin type A, works to block the nerves which cause your facial muscles to contract. These muscle contractions are responsible for the formation of many facial wrinkles. By temporarily paralyzing your facial muscles, BOTOX® can help soften the wrinkles that have developed over a period of time.If you would like to restore a more youthful facial appearance, but aren’t ready for an extensive plastic surgery procedure like a face lift, then a BOTOX® treatments may be right for you.
Botox Before & After Photos
Before
After
*Individual results may vary
How Is Botox® Injected?
Getting Botox is relatively easy and convenient. It is recommended that you avoid taking vitamin E, ibuprofen, and aspirin for 10 days prior to your treatment as a way to prevent unnecessary bruising.
Botox appointments begin with a brief consultation during which you discuss your areas of concern and we assess your skin. If you are concerned about your comfort level, we can apply topical numbing gel at this time to allow it time to absorb. Injections themselves are not painful due to the small needle size needed. The entire process usually takes no more than 30 minutes.
How Long Does Botox® Last?
Everyone is different when it comes to the metabolism of injected products, including Botox. The average lifespan of results extends between 3 and 6 months, at which time retreatment may be performed to keep skin looking smooth and young.
What Is The Recovery From Botox?
Botox is a very mild injectable treatment that does not require a lengthy recovery. In fact, there really is no recovery to speak of. It is possible to return to work right after treatment or to resume most other activities. We do recommend that exercise be postponed until the next day, and that patients avoid bending and lying down for the first 4 hours after treatment. The treatment area should also not be disrupted by rubbing for the first 48 hours after injections, as this may cause product to migrate to surrounding tissue.
How Many Botox® Treatments Will I Need?
The number of units needed depends on the treatment area and severity of the problem. As an example, mild frown lines may diminish with as little as 6 units of Botox. Moderate to severe frown lines may need as much as 15 units. As far as actual injections, six or more is usually the norm.
Is Botox® Painful?
Are There Risks To Botox Treatments?
The side effects of Botox are typically limited to mild, temporary redness, swelling, and bruising in the immediate treatment area. In some instances, a mild headache or achy feeling may occur, diminishing over a day or two. More severe side effects, such as lingering fatigue or drooping, are rare. The full extent of potential risks and side effects can be discussed during your consultation with Dr. Krummen.
Why Choose Krummen Plastic & Reconstructive Surgery for Botox Cosmetic?
- Facial anatomy is evaluated in a plastic-surgery practice. Botox changes muscle activity, so the treatment plan should account for eyebrow position, eyelid anatomy, facial symmetry, and how different muscles work together rather than simply injecting every visible line.
- Natural expression is prioritized. The goal is to soften excessive dynamic wrinkles while preserving the movement that makes the face look like the patient’s own face, not to eliminate every expression.
- Can be integrated with fillers and skin treatments. Muscle-driven lines, volume loss, and skin-quality changes have different causes. The practice can combine Botox with dermal fillers, skin care, IPL, microneedling, or other treatments when appropriate.
- Useful for both correction and maintenance. The site positions Botox as a treatment for established dynamic lines and as part of a broader strategy for patients who want to reduce repeated muscle creasing over time.
Frequently Asked Questions
Botox is most effective for dynamic wrinkles created by repeated muscle movement, such as frown lines, forehead lines, and crow’s feet. Wrinkles caused by volume loss or loose skin often need a different treatment.
Results commonly last several months, although duration varies with dose, treatment area, muscle strength, metabolism, and individual response.
It should not when treatment is appropriately planned. The objective is to reduce targeted muscle activity while preserving natural expression and facial balance.
Botox relaxes selected muscles that create expression lines. Dermal fillers add volume or structural support. They are complementary treatments rather than interchangeable products.
Schedule A Consultation
If you are interested in Botox injections, contact our office at 513.985.0850 to schedule a consultation.fill out the email contact form, and our staff will help you set up your consult.
