Let me start by saying, i've recently reviewed all high quality studies ever published on Botox for this area and there has never been a death or serious side effect associated with Botox Cosmetic. It is actually pretty amazing how successful and safe Botox really is. We can't say this with common over the counter medications. This review I completed will form the basis of a very large study I hope to publish in the next year. However, its always important to discuss potential complications of Botox as well as your health with your physician prior to being treated. James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada