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Botulinum toxin is fast becoming the treatment of choice for the reduction, elimination and prevention of fine lines and wrinkles. Botulinum toxin is a purified protein produced by the clostridium botulinum bacterium. When injected directly into a muscle it blocks the release of a substance called acetylcholine, the substance responsible for transmitting electrical impulses that elicit muscle contraction. Restricting the contraction of certain muscles gives improvement cosmetically on the surface of the skin where lines have accumulated.