Charles Runels, MD
Is it safe?
Yes! BOTOX® has been available for 20 years, and
has been used to treat many diseases. In fact,
it is used in children as young as two years old
to treat cerebra palsy. These children receive
over 10 times the amount use for Cosmetic –
EVERY THREE MONTHS! If a two-year-old child is
safe (with significantly more BOTOX® given to
them) – you will be very safe. This safety has
been proven repeatedly over the past 20 years
through extensive testing and research. To put
this all in perspective – the risks and side
effects are MUCH LESS than Tylenol. BOTOX
Cosmetic® is an approved prescription drug and
is approved by both the FDA as well as the
Health Protection Branch in Canada.
Will it give me food poisoning / is
it Botulism? Isn’t BOTOX Cosmetic® a toxin /
No, it is not toxic to you – nor is it poisonous
to you. BOTOX Cosmetic® is NOT botulism, and it
will not cause food poisoning. To clarify,
Botulism is the name of an illness not the name
of the active drug. The product is a purified
protein which is extracted from a naturally
occurring bacteria and the rigorously processed
under strict pharmaceutical manufacturing
guidelines. It is very similar to how Penicillin
comes from mold. It is an approved drug that is
used in VERY tiny doses.
How do I know it won’t be toxic to
Typically, for a cosmetic treatment,
you may receive fewer than 100 units. To make
someone remotely sick, you would have to receive
OVER 35 times this does all at one time which
would NEVER happen (plus it would cost you more
than $42,000 – absolutely impossible). You are
more likely to “poison” yourself with Tylenol
(if you took the whole bottle at once!) than to
ever remotely hurt yourself with BOTOX Cosmetic®
How does it work?
BOTOX Cosmetic® works by simply
relaxing the muscles underneath the skin to
create a smooth and refreshed appearance.
How long does the procedure take?
Generally, after the consultation, the
procedure only takes up to 15 minutes. Since
there is no downtime – you can do it on your
lunch break – and no one would know you’ve had
How quickly does it work?
It can take UP TO two weeks for it to
take full effect. Usually we ask patients to
wait 14 days to pass in order to fully see the
How is it done?
It is injected with a very tiny needle
– much smaller than those used to take your
blood, etc. A delicate insulin-type needle is
Does it hurt?
Most patients say the injections feel
similar to a little pinch, although everyone is
different. We usually hear patients say, “Is
How long does BOTOX Cosmetic® last?
Is it permanent? No -- BOTOX Cosmetic®
is not permanent. It lasts 3-4 months on average
but everyone is different. If you follow
Dr. Runels’ directions to have your first
three treatments promptly every three months
(without waiting in between!), he will guarantee
that your next few treatments will start to last
longer than three months. Most patients who get
their first three treatments done “back-to-back”
every three months find that:
•The next treatment lasts four months
•Then the next treatment lasts five months
•And the following treatment lasts six months
•Dr. Runels’ patients who stay on his prompt
treatment schedule can stabilize their
treatments at approximately two times per year
(saves you money!!)
Is it going to be worse when it wears
No! Your face will never get worse if
you stop using BOTOX Cosmetic® or when it wears
off. BOTOX Cosmetic® “stops / slows” the clock
of aging. When you stop getting treatments, the
“aging clock” resumes like normal. At the very
minimum, you will simply return to where you
started. If you use BOTOX Cosmetic® for a number
of years and the stop – your muscles learn to
relax and therefore, you will end up looking a
little better than when you originally started.
How much does it cost?
The cost of treatment varies by each
patient, and a personal consultation can give
you a specific amount. Dr. Runels charges $12
per unit and the # of units that YOU will need
can be given to you during a consultation with
our staff. FOR EXAMPLE, for a typical female who
is interested in having her frown lines treated,
the cost might be approximately $480. Dr. Runels
will GUARANTEE that the price given to you
during a consultation with our staff will be
within 15% of the exact price charged by him.
I don’t want to look like a mask
without expression – will that happen?
No. Dr. Runels ensures you get the look
you want – as natural as you want. Most people
simply want to look NATURAL, RELAXED AND
REFRESHED without looking “done.” In the
experienced hands of Dr. Runels – patients
typically say that no one knows that they had
anything done. Friends simply sat that look
well-rested and great!!
What is a unit?
A unit of BOTOX Cosmetic® is simply a
very tiny measurement of the drug. The exact
number of units you require (to achieve the look
you want) will be discussed with Dr. Runels,
although our staff can GUARANTEE within 15% what
you will require.
What are the side effects?
Side effects are RARE and are NOT
PERMANENT. Rarely, there can be come minor
bruising (which is easily covered up with
makeup) or a slight short-term headache. Most
patients do not experience any side effects at
I have heard that you can get a
Is this true? Again, side effects are
RARE and are NOT PERMANENT and the can include a
drooping eyelid. The incident of these side
effects is less than 1% and will last from only
a few days to a few weeks. Most patients do not
experience any side effects at all.
Where does it go in my body?
BOTOX Cosmetic® stays local to the
muscle where it was injected. After the
injection, BOTOX Cosmetic® is simply metabolized
and broken into neutral by products within a few
I am pregnant / am currently breast
feeding. Can I get BOTOX Cosmetic®?
No. It is recommended that you wait
until you are finished breast feeding to have
your BOTOX Cosmetic® done. Although there is no
clinical evidence to prove any harm to mother or
baby – we prefer to be safe.
For appointment for free consultation;
call 251-342-6466 to speak with my nurse.
Peace & Health,
Charles Runels, MD