Background and aim: Botulinum toxin injection is the most popular aesthetic procedure performed worldwide. This cosmetic treatment is used to reduce the appearance of wrinkles and fine lines. Our study aimed to identify the pros and cons of Botox for the anti-aging process. Also, identify the immediate complications and satisfaction level of the patients.

Methodology: We conducted the study in the Department of Dermatology and Venereology, VitaSkin Clinic, Dhaka, Bangladesh. The time period was April 2023 to September 2023. The study design was descriptive cross-sectional. All patients who have come to do Botox in various areas of their body parts at the Department of Dermatology and Venereology of VitaSkin Clinic, Dhaka, were enrolled in the study by purposive sampling. Thereafter, they were scrutinized according to eligibility criteria and 100 patients were finalized. A pre-tested, observation-based, peer-reviewed data collection sheet was prepared before the study. Data regarding clinical, biochemical and surgical profiles were recorded. Data were compiled, edited, and analyzed by SPSS 25.

Results: According to the analysis, this study was conducted by 57 women and 43 men. The number of patients who did their upper face Botox 45, mid face 23 and lower face 32. The level of immediate complications after taking Botox. By doing multivariant (cross-table) analysis, the study revealed significant values of complications. The results show that bruising (n=13, 22.2%; chi-square- 8.58, p=0.01), dizziness (n=11, 18.7%; chi-square- 6.54, p=0.01), headaches (n=5, 9.6%; chi-square- 7.04, p=0.01), swelling (n=9, 20.6%; chi-square- 5.28, p=0.01), temporary Muscle weakness (n=7, 18.7%; chi-square- 8.12, p=0.01), tears or hollowness under the eyes (n=5, 7.4%; chi-square- 6.89, p=0.01) are the immediate complications after doing Botox. Above 93% of patients were satisfied with their treatment.