I LOVE Botox!!!  I have had it now for several years for frown lines (between the eyes).  It usually lasts for about three months on me...the longest lasting about five months.  I was told with extended use, Botox might last longer.  For me, this is not the case.  I still get Botox about every three months, even after years of having it done, but it is worth it!!! I use to get horrible tension headaches; Botox has helped a lot with getting rid of them!!!  It is too bad Botox isn't approved by insurance for this reason. The pain from Botox is very small...like a pin prick in each spot the Botox is given (total of five injections on me, each time, for the frown line). Also, it does not make my face look fake or altered in any way...very natural looking.  I would definitely suggest going to a dermatologist or plastic surgeon for these shots.  I once went to a doctor who did this on the side (she was an gynocologist who decided to offer this at her office)...the results there were poor.  The dermatologist & plastic surgeon who did these on me were great...the results were wonderful!!!