What is BOTOX® Cosmetic?

BOTOX® Cosmetic is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults.

BOTOX® Cosmetic is one of the most extensively studied medical aesthetic treatments and is approved for cosmetic use in 78 countries. BOTOX® Cosmetic has a record of experience that aesthetic specialists know and trust. And, the safety and efficacy of BOTOX® Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in 417 peer-reviewed articles in scientific and medical journals.

BOTOX® Cosmetic contains tiny amounts of a highly purified botulinum toxin protein refined from the bacterium, Clostridium botulinum. There is no such thing as a “generic” form of BOTOX® Cosmetic. There have been no studies to support that other products are Unit-to-Unit equivalent to BOTOX® Cosmetic.

Approximately 10.9 million vials of BOTOX® Cosmetic have been sold in the United States since 2002, and millions of people have already made BOTOX® Cosmetic a part of what they do for themselves. Today, BOTOX® Cosmetic is the #1 selling product of its kind in the world. †

 
 

Why should I choose Integrated Dermatology for my BOTOX® Cosmetic treatment?

Here at Integrated Dermatology, only board certified physicians and physician assistants perform the BOTOX® Cosmetic treatment.  Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician and physician assistant who is administering your treatment.  

BOTOX® Cosmetic is a technique-sensitive treatment — You need someone who is licensed and trained and has experience treating patients with BOTOX® Cosmetic. Be wary of discount products or “cheap” BOTOX® Cosmetic – you get what you pay for. 

It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Integrated Dermatology has consistently been awarded Black Diamond Status by Allergan – we are one of the only 1% of the practices in the nation to receive this honor.  What does that mean?  It means we are among the top 1% of all BOTOX® Cosmetic providers in the US.  We are grateful for our loyal patients who have helped us achieve this honor.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic targets one of the underlying causes of frown lines and crow’s feet—the repeated muscle contractions from frowning and squinting over the years.  Our board certified dermatologists and providers will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

Will BOTOX® Cosmetic make me look like I’ve had work done?  

BOTOX® Cosmetic is a technique-sensitive treatment. You should not lose the ability to show expression when someone who is licensed, trained, treats you and who is a medical expert in facial anatomy.  It is important to talk to your doctor about the results you want from treatment.  At Integrated Dermatology, only board certified dermatologists and physician assistants use BOTOX® Cosmetics.

Does BOTOX® Cosmetic treatment hurt?

Most of our patients here at Integrated Dermatology do not require any numbing cream.  Patients state that it feels like a “pinch.”  If you are concerned about discomfort, your doctor may recommend applying a topical numbing cream before administering your treatment.

 
 

What were common side effects seen in clinical studies?

Three percent of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow's feet studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are the possible serious side effects of BOTOX® Cosmetic.

BOTOX® Cosmetic is a technique-sensitive treatment.  Someone who is licensed, trained, and a medical expert in facial anatomy should treat you.  All of our BOTOX® Cosmetic providers here at Integrated Dermatology are board certified physicians and physician assistants and are experts in BOTOX® Cosmetic

How long does the treatment take?

Our dermatology providers will discuss your treatment goals and perform a facial analysis to determine the appropriate treatments for you. The actual injection process takes about 10-15 minutes.

How long is the recovery time after treatment?

Treatment requires minimal downtime or recovery; it’s often called a lunchtime procedure. You’ll be able to go about your normal routine immediately after you leave your doctor’s office. 

What is the average treatment cost?

Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician and physician assistant who is administering your treatment.  BOTOX® Cosmetic is a technique-sensitive treatment — look for someone who is licensed and trained and has experience treating patients with BOTOX® Cosmetic. Be wary of discount products or “cheap” BOTOX® Cosmetic—if it sounds too good to be true, it probably is. 

It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you. $15 per unit with our Board Certified Physician Assistants, $17 per unit with our Associate Physicians and $19 per unit with our Medical Director, Dr. Agnes Chang. 

How can I save on treatments?

Enroll in Brilliant Distinctions® Rewards Program to save on BOTOX® Cosmetic treatments.  You earn points on each BOTOX® Cosmetic treatment that you can redeem for savings on future treatments. You can also earn and redeem points on other selected treatments and products (such as Juvederm®, Kybella®, Voluma®, Volbella®, Skin Medica®) that your healthcare provider may determine are right for you.

In addition, you can also earn points when you shop online at your favorite retailers participating in the Brilliant Distinctions® Mall. As a member you will receive treatment reminders and information about your points balance.

 

When will I see results? 

You may begin to notice results within 3-4 hours for moderate to severe frown lines with maximum results at 10-14days with results lasting up to 3-4 months.

Will I need a follow up?

If this is your first time receiving BOTOX® Cosmetic treatment here at Integrated Dermatology, it is recommended that you follow up with your health care provider around two weeks to make sure you have the desired effect.  

Since BOTOX® Cosmetic treatment last 3-4 months, it is recommended that you make your subsequent BOTOX® Cosmetic treatment appointments every 3-4 months.  

 
 


Do men receive BOTOX® Cosmetic treatment?

Yes. BOTOX® Cosmetic has also been clinically evaluated in male patients. In clinical studies for moderate to severe frown lines, 17.5% of patients treated with BOTOX® Cosmetic were men. In the clinical studies for moderate to severe crow's feet, male patients comprised approximately 10% of patients treated with BOTOX® Cosmetic.

According to the American Society for Aesthetic Plastic Surgery, 10% of all cosmetic procedures performed in the United States in 2014 were on men—that is more than 1 million cosmetic procedures. The number of cosmetic procedures for men increased by 273% from 1997 to 2014.

Do I need a cosmetic consultation to receive BOTOX® Cosmetic?

During a cosmetic consultation, our dermatologists will discuss your treatment goals and perform a facial analysis to determine the appropriate treatments for you.  It is recommended but not required to receive the treatment.

Will I be able to receive the BOTOX® Cosmetic treatment at the time of my Cosmetic Consultation?

You and your dermatology provider will discuss your treatment goals and discuss with you the timing of your treatment.  For the most part, BOTOX® Cosmetic can be done at the same day as the visit if desired but sometimes it is case-by-case.

Can I receive BOTOX® Cosmetic when I am pregnant or nursing? 

It is not recommended to receive BOTOX® Cosmetic treatment if you are pregnant or nursing.

Are there any medical conditions that prevent me from receiving BOTOX® Cosmetic?

Please let your doctor know if you have any significant neurological diseases including Myasthenia Gravis, Multiple Sclerosis, Lambert-Eaton Syndrome, Amyotrophic Lateral Sclerosis (ALS), or Parkinson’s as you are not recommended to receive BOTOX® Cosmetic injections. 

What are my post BOTOX® Cosmetic treatment instructions?

While there is virtually no downtime with the treatment, it is recommended that you avoid straining, heavy lifting or vigorous exercise 2-3 hours following treatment.  Makeup such as powder can be applied before leaving the office if desired.  Avoid manual manipulation of the injected area for 2-3 hours following treatment (including the use of a Clarisonic or exfoliative brush). Cleanse the treated area(s) gently the night of the treatment. Resume your normal skin care regimen the following day.