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Botox is a highly purified naturally occurring protein. It is made by fermentation imported from Ireland and the way Botox works is that it stops nerve impulses from stimulating muscles or sweat glands. Botox usually starts to work within a few days when we are relaxing muscles with it, the relaxation usually starts within a few days and then starts to wear off after three or four months. When we are using Botox to quiet the sweat glands to reduce excessive sweating, the excessive sweating usually comes down to normal within about a week or so and the patient usually remains normal for about six to twelve months and then the Botox starts to wear off. Occasionally, the Botox will wear off a little bit sooner than six months. In other case, it can last fourteen months to eighteen months before its time for another treatment. Botox is exceptionally safe. Botox has been used around the world for more than 25 years and has been used to treat millions of patients. Botox is used not only for cosmetic purposes but also is used to treat about 140 different medical conditions.