Pr plastic is offering you top Chicago botox treatments. Visit the cosmetic injections before and after pictures in our gallery to understand the difference. What is Botox Cosmetic? Botox Cosmetic is an injectable wrinkle muscle relaxer. It uses botulinum toxin type A, specifically OnabotulinumtoxinA, to temporarily paralyze muscle. Is Botox and Botox Cosmetic the same ? Since Botox Therapeutic focuses on relieving pain, it can be covered under your medical insurance. However, Botox Cosmetic is considered a cosmetic procedure, which will consist of out-of-pocket cost.