BOTOX 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 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
BOTOX® Cosmetic Before & After Photos
Keep in mind that each patient is unique and your results may vary.
This patient was bothered by 2 creases in his forehead when frowning. This is also known as an "11". 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 that enjoy... Read More
Results of upper and lower eyelid lift followed by Botox therapy to produce a younger, more youthful looking eye with a natural shape. Botox therapy is used following all eyelid surgeries to allow the muscles to relax and create an optimal outcome. Read More
Lindsey has excellent results shown 1 month after Botox therapy. Her eyes are more clear and her expression more open. Her crows feet and smile lines have been erased and her brow elevated. Botox /Dysport reduce the appearance of age and soften facial lines. These are FDA Approved treatments. Read More
Tear Trough/ Eye Circles in Orlando. This 50 year old Orlando area woman was bothered by dark circles, hollowness, and Crow's feet. We treated with Botox and Restylane to soften her look. No surgery was done. We use only FDA approved products for longevity and safety at Primera. Read More
Kathleen. Botox therapy to 11's. This patient was bothered by frown lines between the eyebrows. 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. Read More
Melissa | Botox | Orlando. This 33-year-old woman was bothered by creases on the forehead and frown lines. We treated her with Botox to achieve these results. Photographs taken at 1 month and she looks very natural. At Primera Plastic Surgery, we use FDA Approved medications for long lasting and natural results. Read More
Natalie. Botox results. Orlando/ Lake Mary. Her before photo shows a strong frown with the creases between the eyebrows. This results from activity in the Corrugator Muscle in the forehead. After Botox treatment at Primera, her face is brighter, more engaging, and younger -looking. At Primera Plastic Surgery, we use FDA Approved medications... Read More
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.
Leading the Way in Patient Satisfaction
No matter where you prefer to do your research, you’ll find plenty of 5-star reviews for Primera Plastic Surgery. Dr. Gross and his team strive for complete patient satisfaction, and they’ll go above and beyond to ensure you’re happy with every element of your experience.
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:
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.
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
"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."
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.
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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.
Although BOTOX doesn’t require any sort of downtime or healing, it’s important to avoid bending, lowering your head, or manipulating your face for the remainder of the day. This allows the product to distribute evenly, and these restrictions don’t typically interfere with most daily activities.
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.
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.
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