Wrinkles are a natural part of aging. As you grow older, your skin gets thinner, drier and less elastic. As a result, wrinkles, lines, and creases form in your skin. Anti-Wrinkle injections use a highly purified protein and it is a non-surgical, doctor-administered injection treatment to temporarily reduce moderate to severe expression lines on the face. It works by blocking the transmission of nerve impulses to the injected muscles. These injections relax the tiny facial muscles that cause expression lines, leaving the overlying skin smooth and unwrinkled. Thus the lines gradually smooth out from disuse, and new creases are prevented from forming. Anti-wrinkle injection is used widely for the elimination of ‘Frown Lines’ between the eyebrows, ‘Worry Lines’ or horizontal forehead wrinkles and ‘Crows feet or Smile Lines’ around the eyes. It is also being used to lift the eyebrow (Chemical Brow lift) and open up the eye for a more youthful appearance (Awake Look). Good results are also seen in ‘Gummy Smile’ (excessive show of upper gums during smiling), perioral lines ("smoker’s lips"), and reducing neckbands and chin dimpling or creasing. Another area where this injection has given excellent results is in Excessive sweating (Hyperhidrosis) especially in the underarms, palms, and soles of feet. It reduces sweating in the targeted area for 6-8 months after the treatment. During treatment, very low doses are administered by tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement in the wrinkles. Lines continue to improve for up to a month, and results can last for 4 -5 months or more. If you discontinue treatment, the wrinkle lines gradually will look like they did before treatment. Your Plastic surgeon can help you decide if this treatment is needed for you. They have practices that focus on facial aesthetics, as well as detailed knowledge of facial anatomy and experience of injecting. Injection at wrong place by an untrained person can produce undesired effects. In the amounts used for wrinkle therapy, the most common side effects are temporary and localized to the area of injection. These include soreness or mild bruising, mild headache, and very rarely, developing a heavy eyelid lasting 1-4 weeks, which your doctor may be able to treat with the eye, drops. This injection should not be used in the presence of infection at the proposed injection site. It is also not given in pregnant or lactating women. Dr. K.M. Kapoor is a leading doctor for Medical Aesthetic treatments especially anti-wrinkle injection, in India. He has been quoted extensively in leading national newspapers and magazines on this topic.