In the midst of the COVID 19 stay at home order, I decided to learn more about the beginning of Botox®. Botox® or botulinum toxin is the most common cosmetic procedure performed today. (Well, technically not today because of COVID 19). The American Society of Plastic Surgeons estimated that in 2018 seven million people received botulinum injections.[1]. Botulinum injections are used for the treatment of wrinkles, muscle spasticity, migraines, severe underarm sweating and o