BOTOX® Cosmetic

botox logoBOTOX Cosmetic can help you look younger, brighten your appearance, or simply reduce frown lines and wrinkles to help you look your best. BOTOX injections at our Orlando-area practice are safe and effective because our team has substantial experience with the product. Women and men from Winter Park, Tampa, Melbourne, and Daytona Beach visit our practice for a variety of facial rejuvenation treatments from our experienced team.

Our providers have the experience that allows them to plan your BOTOX injections properly, giving you a more youthful look without the appearance that you’ve had plastic surgery. Request a consultation today, or call our office at (407) 333-3040.

BOTOX® Cosmetic
 Before & After Photos

Case: 1 of 9
Case: 1 of 9
Case: 1 of 8

Case #431 | Botox: This Orlando woman was bothered by frown lines between the eyebrows, "11's". This is caused by corrugator muscle hyperactivity. We treated with 30 units of Botox to achieve these results. Typically, results will last 4 months with Botox or Dysport. We use FDA Approved products for safety and longevity. Read More
Case: 2 of 8

This Oviedo, FL patient has excellent results shown 1 month after Botox therapy. Her eyes are clearer and her expression more open. Her crow's feet and smile lines have been erased and her brow elevated. Botox reduces the appearance of age by softening facial lines. These are FDA-approved treatments. Read More
Case: 3 of 8

This 35-year-old Winter Park woman was bothered by an "11" between her eyebrows and a noticeable frown.  After treatment with Botox, her forehead is smoother and her eyes are brighter.  The Corrugator muscle is the target of treatment. We only use FDA approved products at Primera. Read More
Case: 4 of 8

Botox Orlando. Becky. Age 30. Her frown lines were becoming noticeable. Botox was used to soften her appearance and provide a more youthful looking forehead. Results are shown 1 month after Botox treatment. Dysport treatment provides similar results. At Primera Plastic Surgery, we use FDA Approved medications for long lasting and natural resu... Read More
Case: 5 of 8

This Orlando, FL young woman wanted the creases between her eyebrows removed. The excess activity of the Corrugator Muscle causes these "11's". After Botox treatment, her forehead is smooth and relaxed. This a common condition that we treat at Primera. We use FDA Approved medications for safety and long lasting results. Read More
Case: 6 of 8

This patient was bothered by 2 creases in his forehead when frowning. This is also known as the 11's. Botox therapy was placed in the corrugator muscle between the eyebrows to reduce this line. The after photo is taken 1 month following treatment. He is very happy with the results. "We are seeing an increasing number of men in the practice th... Read More
Botox | Masseter Muscle | Orlando, FL
Botox | Masseter Muscle | Orlando, FL
Case: 7 of 8

This 20-year-old woman was bothered by asymmetry and swelling of the left side of her face. This was diagnosed as masseter muscle hypertrophy. We treated with Botox to reduce the fullness in the left side of her jaw. Botox is an FDA-approved treatment to reduce muscle activity in the face. Juvederm Vollure (lip filler) was also used to plump... Read More
Case: 8 of 8

Frown line treatment with Botox in Orlando. Following Botox treatment at Primera, the frown area is softened and she has fewer headaches. Botox 25 units in Corrugator and Procerus to treat vertical furrows between the eyebrows and the horizontal crease across the bridge of nose. Read More

Keep in mind that each patient is unique and your results may vary.

How Much Does BOTOX Cost in Orlando?

In general, a BOTOX Cosmetic treatment at Primera Plastic Surgery costs anywhere between $300 and $600. Like many practices, we charge by the unit. A “unit” is simply a fixed quantity of the product. There are 100 units in each vial of BOTOX. Although the cost per unit is fixed, each patient requires a different number of units to achieve his or her desired results. Therefore, patients with more significant concerns pay more than patients who wish to treat fairly minor wrinkles. During your consultation, we will give you a quote that reflects your specific needs and desired results.

How Does BOTOX Work?

BOTOX Cosmetic is a safe, FDA-approved product that is injected to minimize the appearance of wrinkles in both the upper and lower face. To understand how BOTOX works, it’s important to understand how wrinkles work.

BOTOX Cosmetic treats “dynamic” wrinkles, which are caused by repetitive facial movements. These include crow’s feet, which are caused by squinting or smiling, and glabellar lines, which form between the eyebrows and are caused by furrowing your brow or frowning. Of course, we can’t selectively avoid making facial expressions forever just to reduce the chance of developing wrinkles. This is where BOTOX Cosmetic becomes useful. The active ingredient in BOTOX, a neurotoxin called OnabotulinumtoxinA, temporarily relaxes the muscles that cause these wrinkles, reducing their appearance and smoothing the skin.

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From A Patient's Perspective

Read and hear real people discuss their unique experiences and get a perspective that is sometimes missing from shorter reviews. These stories feature some of our actual patients describing their personal journeys and what makes Primera Plastic Surgery such a special place.

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What Does BOTOX Treat?

Our practitioners are experienced injectors who conservatively administer BOTOX Cosmetic precisely where it’s needed. At Primera Plastic Surgery, we use BOTOX to treat the following aesthetic concerns:

  • Frown lines
  • Crow’s feet
  • Forehead creases
  • Neck bands
  • Laugh lines

Fibroblast lift therapy may be used to address many of these concerns as well. If you have sun damage, scarring, or areas of excessive pigmentation on your face, your BOTOX injections can be combined with a Fraxel® laser treatment. We may also include BOTOX injections as part of a comprehensive non-surgical facelift treatment plan.

What Is the Difference Between BOTOX and Fillers?

The primary difference between BOTOX and other injectable treatments such as JUVÉDERM®, JUVÉDERM VOLUMA® XC, RADIESSE®, or Restylane® is that BOTOX is not a facial filler. Rather than filling in or plumping up wrinkles to sit flush with the surrounding skin, BOTOX works by limiting the movements of certain muscle groups in the face.

Can BOTOX Be Combined With Other Treatments?

If you have sun damage, scarring, or areas of excessive pigmentation on your face, your BOTOX injections can be combined with a Fraxel® laser treatment. We may also include BOTOX injections as part of a comprehensive non-surgical or “liquid” facelift that includes dermal fillers such as RADIESSE, Restylane, and JUVÉDERM VOLUMA XC.

BOTOX Cosmetic With a Facial Aesthetic Specialist

Because BOTOX reduces wrinkles by preventing muscle contractions, practitioners must know all about the underlying facial muscle anatomy and know which facial muscles to treat with BOTOX in order to achieve the best results and avoid complications. Treated facial muscles commonly include:

  • Frontalis muscle in the forehead
  • Corrugator muscles in and between the eyebrows
  • Orbicularis oculi muscles surrounding the eyes
  • Procerus muscle over the upper nose
  • Orbicularis oris muscles encircling the mouth
  • Depressor anguli oris muscles at the corners of the mouth

Dr. Gross and his team have the knowledge and experience to ensure your safety, create natural results and maintain a normal level of facial expression when performing BOTOX injections. They can also treat neck sagging and bands by injecting the thin muscle that drapes from the jaw and down the neck called the platysmal muscle.

Patient's Share Their Stories

Patient’s Share Their Stories

"There were a lot of doctors to choose from ... so I wanted to make sure I did all the research I could. All of my research led me to Dr. Gross."

*Your experience may vary.

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What To Expect

Since we use an extremely small needle, most patients describe BOTOX injections as mildly uncomfortable but not painful. We can make the process even more comfortable by using a highly effective topical anesthetic called BLT to numb your face before beginning the injections. The procedure itself is extremely quick, lasting only a few minutes. For many people, a BOTOX appointment is easy to fit into a workday or an afternoon of errands.

Recovery After BOTOX Injections

Although BOTOX doesn’t require any sort of downtime or healing, some people experience light bruising after their injections. It’s important to avoid bending, lowering your head, rubbing or manipulating your face, or engaging in vigorous exercise for the remainder of the day. This allows the product to distribute evenly. These restrictions don’t typically interfere with most daily activities.

A Reputation Built on Results

I’ve wanted a nose job ever since I started high school and I finally got to do it. On May 19th 2023...
Extremely happy with my experience at Primera Med Spa in Lake Mary. Joy is wonderful and really takes...
Professional, efficient, and pleasant .
The surgery went very well I hardly had any pain and Dr Gross is very professional

How Long Does It Take To See BOTOX Results?

BOTOX results typically appear in 5 to 7 days and peak at around 10 days, although experiences vary. Because it takes the active ingredient in BOTOX a few days to have an effect, results develop gradually. Many patients say they like the gradual development of results because it is very discreet.

How Long Does BOTOX Last?

The results of a single BOTOX treatment typically last about 3 or 4 months, sometimes longer. One benefit of getting regular treatments is that they seem to have a cumulative effect for many patients, meaning you may be able to wait longer in between sessions.

“Face muscles are complex, and a thorough understanding of contracting and counterbalancing muscles is needed. This relationship must be understood before injecting BOTOX.”
– Dr. Gross


As a facial specialist and top distributor of BOTOX Cosmetic, Dr. Edward J. Gross is exceptionally qualified to answer questions about the product, the procedure, and the effects. Here, he and his team have provided answers to some of the most common questions our patients ask about BOTOX Cosmetic.

  • Is BOTOX Cosmetic safe?
    Yes, particularly when it is administered by a facial aesthetic specialist. Any cosmetic procedure comes with inherent risks, but those are minimized by the experience and training of our injectors, whose safety records are remarkable. BOTOX’s safety is one of the reasons it’s frequently the top non-surgical treatment in the country.
  • Are there any precautions I need to take prior to a BOTOX treatment?
    We often advise our patients to avoid certain medications that encourage bleeding in the days before their appointments, such as ibuprofen and aspirin, to keep bleeding and bruising to a minimum at the injection site. Other than that, you don’t need to do anything special to prepare for these simple treatments.
  • Will my results look natural?
    We advocate a conservative approach when it comes to using BOTOX. With their trained aesthetic eyes and many years of experience, our practitioners precisely target very small, specific muscles. They inject just enough BOTOX to achieve the desired correction without causing an “overdone” appearance. This ensures your results are subtle and natural looking and that your face remains expressive.
  • Are there any alternatives to BOTOX?
    We offer injections of Dysport®, a product that is very similar to BOTOX Cosmetic. Some patients see better results with one or the other, or a mix of both products. We also offer XEOMIN®, which works in a similar way. As part of your consultation, we will help you decide which product is best suited for your aesthetic goals.
  • Are there any risks or side effects I should know about?
    The most common side effects are minor and are related to the injection site, such as swelling, bruising, and redness. These typically diminish within a day or two, and we offer arnica gel as a temporary remedy to reduce these minor side effects. We also recommend patients take the supplement Arnica 30x®, which helps with bruising and swelling. More serious side effects include a drooping brow or eyelid, but this is extremely rare, particularly in the hands of a facial specialist who has a thorough knowledge of the musculature of the face.
  • Can BOTOX Cosmetic prevent wrinkles?
    Yes. It is becoming more common for patients to begin getting BOTOX injections at younger ages. Because the product limits the activity of the wrinkle-causing muscles, these patients tend to stave off dynamic wrinkles until later ages.
  • Do the treatments have any other uses?
    Before it was a cosmetic treatment, BOTOX was used to treat medical conditions related to overactive muscles. It has been approved by the FDA for a number of medical conditions, such as chronic tension headaches, migraines, excessive sweating, overactive bladder, and muscle spasms near the eyes.
  • What’s the best age to start BOTOX treatments?
    There is no “right” age for BOTOX. Patients in their 20s can use BOTOX as a preventative measure, and older patients who already have fine expression lines can use BOTOX to reduce the appearance of these wrinkles.

Take the Next Step

To learn more about BOTOX from Dr. Gross, please request a consultion, book online now, or call (407) 333-3040.

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