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A sculpted nose, wider eyes, smoother skin, perkier breasts, even a perfect smile . . . America's favorite wrinkle-zapper now claims to do it all. Is that a good thing?

Brave New Botox

Refined Cleavage

Another way Botox gets breasts bikini-ready is by fighting cleavage crinkle. The deep V in the chest is caused by the weight of the breasts (usually leaving vertical lines) and sun damage (lines that crosshatch). To treat both at once, Wexler uses laser procedures combined with Botox to relax the muscles, which works on cleavage grooves the same way it does on crow's-feet or frown lines. If you do get chest injections, Alexiades warns that "breast tissue extends from the nipple all the way up to the shoulder, a fact that a lot of physicians aren't necessarily aware of," so stick to a derm or plastic surgeon with breast experience. ($1500 and up)

Meet the Competitors

With the hotly anticipated approval this year of Reloxin and PurTox, two drugs made from the same neurotoxin as Botox, expect lower prices all around:

Made by: Allergan
Time to kick in: Three to five days
Lasts for: Three months

Made by: Medicis Pharmaceutical Corp.
Time to kick in: One to two days
Lasts for: Five months

Made by: Mentor Corp.
Time to kick in: Three to five days
Lasts for: Three months

No More Needles

Topical Botox sounds too good to be true, but it may be a reality by 2010, says Dr. Ranella Hirsch. Made by Revance Therapeutics, a gel version is currently in stage two of clinical trials. But before you worry about accidentally turning yourself into a Real Housewives look-alike, know the treatment can be applied only by a doctor.

Originally published on March 11, 2009

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