Botox is the trade name for highly purified Botulinum toxin Type A, produced by bacteria called Clostridium botulinum. Several types of toxins have been identified, but type A, which is used commercially, is the most potent. Wrinkles are part of the ageing process. They can be attributed to sun damage, effects of gravity and muscle contraction resulting from facial expressions such as frowning and laughing. Wrinkles due to the effects of gravity represent natural sagging of tissue with age and are generally only improved by surgical tightening procedures. Wrinkles caused by muscle contraction such as frown lines, forehead lines and crows' feet, can be improved by Botox treatment. Botox can also be used to treat excessive sweating of the armpits and palms of the hands (Hyperhydrosis).Botox is also helpful in correcting the wide face due to hypertrophy masseter muscle and also for the gummy smiles and for the nose. Recently it is also used to give the shape of nefrititi .