Dr. Imber, and his nurses, have vast experience with Botox therapy, and have been using it successfully for more than a decade. Botox is the most effective method for temporary elimination of facial wrinkles and frown lines due to facial muscle activity. Botox is particularly useful to prevent wrinkling and skin breakdown in the younger patient. Botox requires 24-48 hours for full effect. The treatment is fast and causes minimal discomfort. Initially, a second visit may be necessary to establish proper dosage, and natural effect for new patients.