So, you have wrinkles, what to do?
There are so many options: injections of toxins or fillers, peels, skin care, laser, surgery, and perhaps others. These can all be great if used correctly.
Botox is onabotulinumtoxinA, a purified protein used for relaxation of muscles. My original knowledge of its use was for blepharospasm, or eyelid tics. It is now used for relief of headaches, bladder problems, and the uses seem to be growing. Botox cosmetic is the exact same product, but via FDA mandate, is marketed and labeled separately for facial cosmetic use. It is used most commonly for improvement or elimination of wrinkles between the eyebrows, forehead creases, and “crows feet” lines. In smaller quantities, we use it for lip lines, wrinkles on the nose, and muscle bands in the neck. All these uses involve muscles causing wrinkles, but you do not require in the face.
Botox cosmetic has been so successful, it has competition. Xeomin is the newest, and I find it to be equal in effect and satisfaction to Botox.
Dysport is also used for facial wrinkles, but much less commonly than Botox. Myobloc had a nice share of the market several years ago, but I do not hear about practitioners using it these days.
For your best option, see a board certified plastic surgeon, who can best advise you on surgical and non-surgical options.