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Botox blocks impulses from nerves which causes the muscles to contract. The muscles then would remain more relaxed and the skin overlying these muscles would remain unwrinkled, and thus have a smooth appearance. Untreated muscles would continue to contract as before which leaves normal facial expressions alone. Botox for cosmetics is used to reverse visible signs of again. There's more detail about how botox works below, and in the section "the science behind Botox."
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