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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 physician who has substantial experience with the product. Dr. Edward J. Gross is a trusted BOTOX specialist. People from Orlando as well as other parts of Florida visit our practice for facial rejuvenation treatments from Dr. Gross.

Dr. Gross has spent 2 decades as a facial plastic surgeon. This experience allows him 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 temporarily relaxes the muscles that cause these wrinkles, reducing their appearance and smoothing the skin.

Dr. Gross is an experienced injector and conservatively administers BOTOX Cosmetic precisely where it's needed. At Primera Plastic Surgery, he uses BOTOX to treat common aesthetic concerns that include:

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

Before it was a cosmetic treatment, BOTOX was used to treat medical conditions related to overactive muscles. Today, it's used by many physicians to reduce symptoms such as chronic tension headaches, migraines, excessive sweating, overactive bladder, and more. BOTOX is trusted by doctors and patients all over the world for its versatile aesthetic and medical indications.

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 has 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 Plastic Surgery 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. Dr. Gross 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 of our Orlando patients, BOTOX works by limiting the movements of certain muscle groups in the face. These include muscles in the forehead (frontalis), in and between the eyebrows (corrugator), surrounding the eyes (orbicularis oculi), the muscle over the upper nose (procerus), circling the mouth (orbicularis), and at the corners of the mouth (depressor anguli oris). Dr. Gross also treats neck sagging and bands by treating the thin muscle that drapes from the jaw and down the neck (the platysmal muscle).

To learn more about Dr. Gross' 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, Dr. Gross will give you a quote that reflects your specific needs and desired results.

A Smooth Recovery

Unlike more invasive cosmetic procedures, BOTOX injections create minimal discomfort. We also offer nitrous oxide (laughing gas) 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.

Immediately following your treatment, you may experience some symptoms at or near your injection sites. These are typically mild and can include redness, swelling, itchiness, tenderness, or bruising. Typically, these symptoms resolve themselves within a few days.

While patient experiences vary, BOTOX results typically appear in 5 to 7 days and can last for 3 to 6 months or more. Repeated treatments often prolong BOTOX results.

"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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