Using a small 1cc tuberculin syringe, Botox is injected with and a very short and narrow 32 gauge needle. It works only where it is injected so treating an upper forehead zone, for example, might require 8 tiny injections while the lower forehead and frown lines between the eyebrows might require 6. There is no preoperative preparation needed and the patient can resume normal activities right away. The effect of the Botox can be seen in 5-7 days and usually last around 3-4 months. The sooner a patient starts, the more likely that the areas being treated with be wrinkle free.