What is Botox? BOTOX® is a cosmetic injectable gel treatment primarily made from a safe toxin called botulinum type A. Similar to Dysport®, Botox is widely used to decrease the appearance of lines and wrinkles around the eyes, nose, forehead, and mouth. Botox works by temporarily relaxing the muscles in the treated areas, causing them not to move and creating the appearance of what we like to call “action wrinkles,” or wrinkles caused by repeated facial expressions. While Botox can be used to treat a variety of other conditions (such as chronic migraine headaches and hyperhidrosis) Dr. Downey and Dr. Bullocks mainly use Botox to create a smooth, youthful appearance in their patients.