Sorry, there is no Botox cream. There are creams and ointments that claim they are "better than Botox." However, they work by a different mechanism. Botox works by paralyzing the underlying muscles which relax the overlying skin. The creams work by making the area you place them become swollen. The resultant effect is to slightly smooth out wrinkles temporarily (kind of like rehydrating a wrinkled raisin back into a smooth grape).
As far a smoothing out dynamic wrinkles (wrinkles that appear with movement of the face) there is absolutely nothing better than Botox.
David Shafer, MD
Shafer Plastic Surgery
New York City


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