What are dynamic wrinkles? Dynamic wrinkles
are wrinkles that are the result of repetitive muscular
action. Examples are crow’s feet and creases between the
eyes. Repetitive frowning and squinting leads to wrinkles.

Are dynamic wrinkles treatable? Yes.
They can be reduced by the use of injections of tiny
amounts of muscle relaxants, such as Botox, into the
involved muscle.

Are the treatments safe?
Yes! Muscle relaxant treatments have been used safely for 30 years for medical
conditions such as cerebral palsy. These treatments have been used for cosmetic
purposes safely in millions of patients.

What can I expect during the treatment?
After the consultation the procedure only takes about 10-15 minutes. The medication
is injected with a very tiny needle and the discomfort is minimal. You can immediately
return to your daily activity with no downtime.

Does it work right away? Is it permanent?
No. The onset of the effect is gradual. The full effect is seen in 7-10 days. The effect
is not permanent. It lasts between 3-5 months.

Will I look stone faced with no expression? Will I lose sensation?
Proper treatment with muscle relaxant injections by a qualified, experienced physician softens
your appearance and reduces dynamic wrinkles while allowing good facial expression. We customize
the treatment for each patient to get the desired result. There is NO effect on sensation.

How much do the treatments cost?
It depends on the areas treated and the
amount of product used. A proper consultation in our clinic is needed in order to determine what
is best for you. The full cost of treatment will be discussed before treatment is begun. If a minor
touch up is required [usually at 2 weeks after treatment] this is included in the price.
There are no surprises!

Why should I get muscle relaxant treatments with Dr. Shiffman instead of another clinic?
Dr Shiffman is a dermatologist with over 25 yrs. of experience. As a dermatologist he has an exceptional
understanding of the skin and anti-aging techniques. Our patients return to our office and refer their
friends and family to us because of our ability to customize treatments to achieve the individual look
each person wants. Dr. Shiffman performs all of his cosmetic injection treatments himself and does not
designate the procedure to a nurse or technician. As of December 2012, Dr. Shiffman has performed over
4400 procedures using muscle relaxants.

What should I do if I think I am a candidate for these treatments?
Call the office at (416)698-5521 or e-mail us at appt.shiffman@gmail.com to make an appointment for a consultation.
There is no consultation fee and we would be happy to help you.

| Wrinkle Reduction | Dermal Fillers | Laser Hair Removal | Glycolic Peels |
| Removalof Growths and Spots | Rosacea |