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BOTOX® Cosmetic

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BOTOX Cosmetic can help you look younger, brighten your appearance, or simply reduce frown lines and wrinkles. BOTOX injections are safe and effective, particularly when administered by a professional who has substantial experience with the product. Dr. Edward J. Gross and his physician assistant Eileen are trusted BOTOX specialists. People from Orlando as well as other parts of Florida visit our practice for facial rejuvenation treatments from our experienced team.

Dr. Gross and Eileen 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.

Before & After Photos
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Individual results may vary.

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Proven Techniques, Outstanding Results

BOTOX Cosmetic is an FDA-approved substance 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.

Dr. Gross and Eileen 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

The human face has more than 50 muscles. Because BOTOX removes wrinkles by preventing muscle contraction, 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. Dr. Gross and Eileen have the knowledge and experience to ensure your safety, create natural results and maintain a normal level of facial expression when performing BOTOX injections.

BOTOX Cosmetic With a Facial Aesthetic Specialist

Request a Consultation 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.

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 including the:

  • 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

We 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.

To learn more about our techniques and answers to other common BOTOX Cosmetic questions, please visit our FAQ page.

One Patient's Story

"The experience is just so professional. The Primera Med Spa team is great. It's all about you. Nothing is ever pressured as far as the conversation about treatment or procedure."
*Your experience may vary.

Read more about Katja's BOTOX experience

BOTOX Treatment Cost

At Primera Plastic Surgery, as well as most other practices, BOTOX is priced 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. In general, a BOTOX Cosmetic treatment at Primera Plastic Surgery costs anywhere between $300 and $600. During your consultation, we will give you a quote that reflects your specific needs and desired results.

What to Expect

Since we use an extremely small needle, most patients describe BOTOX injections as mildly uncomfortable but not painful. We can use a topical anesthetic to numb your face before beginning the injections to make the process even more comfortable. In addition, nitrous oxide (laughing gas) is available to reduce discomfort during this treatment. Nitrous oxide is a safe, short-acting analgesic similar to that used in sedation dentistry and preferred by many patients. 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.

Because it takes the active ingredient in BOTOX a few days to have an effect, results develop gradually. While patient experiences vary, BOTOX results typically appear in 5 to 7 days and peak at around 10 days. 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

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