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What is Botox?

Botox is a quick and easy injectable treatment that can effectively reduce the appearance of wrinkles without surgery. Botox is the most popular non-surgical cosmetic treatment every year. Botox works by limiting muscle movement in certain areas of the face that wrinkle or fold with certain facial expressions. It achieves this thanks to a tiny amount of botulinum toxin that blocks nerve signals from activating muscles in the area it’s injected into. Over time, these movements can cause wrinkles and folds to form with normal expressions like smiling or squinting. Botox injected into the individual muscles relaxes wrinkles and leaves a rejuvenated, refreshed look.

What Areas Can Botox Treat?

Botox can help address many dynamic wrinkles (wrinkles caused by moving facial muscles) throughout the face, including:

  • Marionette lines or “smoker’s lines” around the lips 
  • Lip flip 
  • Low brow 
  • Hyperhidrosis (excessive sweating) or underarms 
  • Glabella or “11 lines” between the brows 
  • Frontalis or severe forehead lines 
  • Crows Feet 
  • Nasalis or “bunny lines” 
  • DAO or “frown lines” 
  • Mentalis (lower lip/ chin muscle) 
  • Masseters (jaw muscle)
  • Platysmal (neck muscle bands) 
  • Other areas based on need/concern 
  • Some of the most popular areas for Botox include treatment to raise eyebrows for a “Botox browlift,” and treatments to reduce wrinkles in the and the chin (also referred to as the “peau d’orange” for an “orange peel” appearance that comes with age). 

Am I a Candidate?

The best candidates for Botox are those who wish to prevent wrinkles and fine lines before they start or who wish to treat existing moderate to severe facial wrinkles and lines. A consultation with one of our expert Nurse Injectors, or Dr. Coan, will help determine if you are a candidate for Botox. Most people who are generally healthy are good candidates for Botox injection, although make sure to disclose all your medical conditions, including muscle or nerve conditions, during your consultation, as these could make Botox unsafe.

How Is Botox Performed?

Botox can be easily performed during your lunch break at our state-of-the-art facility in Cary, North Carolina. Before the injection process begins, we can apply a topical numbing cream for maximum comfort, if needed. Our expert injectors will use a very fine needle to place the product into the individual muscles causing unwanted wrinkles. A handful of small injections may be needed to make sure your ideal results are achieved.

Botox can be easily performed during your lunch break at our state-of-the-art facility in Cary, North Carolina. Before the injection process begins, we can apply a topical numbing cream for maximum comfort, if needed. Our expert injectors will use a very fine needle to place the product into the individual muscles causing unwanted wrinkles. A handful of small injections may be needed to make sure your ideal results are achieved.

Post-Treatment Care

You might experience some minor swelling and bruises after treatment, but this usually subsides within a day or so. You can use an ice pack to manage any discomfort but should avoid massaging or rubbing the area. It’s safe to continue your regular skincare regimen and cosmetic product use after treatment.

Schedule a Consultation

Setting up an appointment at CARE Plastic Surgery is convenient and easy. Either click, call (919) 484-4884, or send us a direct message on our Instagram and we’ll be happy to schedule a time that works best for you. The length of your consultation appointment could vary depending on your evaluation and suggested treatment plan, but you could expect it to last anywhere from 30 minutes to one hour. Dr. Coan and our expert Botox Nurse injectors are highly trained in the latest Botox aesthetic techniques for consistent, effective treatment. The CARE office is located minutes from Raleigh, is convenient to the RDU airport, and is just off Interstate 40.

Patient Treatment Documents

If you are thinking of getting Botox, please take a moment to download and review these after CARE instructions. Please don’t hesitate to contact us with any additional questions you might have about the procedure.

Frequently Asked Questions

How long does Botox last?

Botox typically lasts between 3-4 months depending on your regular activity levels. We recommend patients stick to a consistent treatment regimen to fully reap the benefits of Botox.

What are common areas to treat with Botox?

Our nurse injectors can treat a variety of areas, including glabella (“11s” or between the brows), crow's feet, and forehead. Other areas include the “lip flip” to create a subtle pucker, the masseter muscle, and Platysmal bands.

When will I see results with my Botox treatment?

Most clients begin seeing Botox treatment results within 5 to 10 days, with full effects at the 2-week mark.

Is one brand or product better than Botox?

Botox Cosmetic is the most popular neurotoxin worldwide. We encourage you to schedule a skin analysis with one of our Expert Medical Injectors so you may determine the treatment that works best for you.

Is it possible to get Botox the day before or the same day as a big event?

Yes, Botox has no significant downtime other than a few possible marks at the injection site (these generally resolve within a few hours). If you are concerned about looking your best before a big event, you may consider scheduling treatment about two weeks in advance for your optimal full treatment effects.

What is the typical recovery time for Botox?

You should be able to resume your normal activities just after receiving Botox treatments. We simply recommended you avoid laying down for 4 hours after treatment and avoid high-impact or strenuous activities (like working out) for 24 hours.

Does it hurt to get Botox?

Patients describe Botox injections as a little “snap” or “pinch” at the injection site. While some patients are more sensitive than others, nearly all our patients tolerate the treatment well.

How does Botox get rid of wrinkles?

Botox relaxes the movement of the facial muscles that create wrinkles and lines on the face. Botox treatments work by blocking the uptake of acetylcholine by the muscles of the face. Through this process, facial wrinkles soften and may, in some cases, be eliminated entirely.

Can I get Botox done the same day as another injectable procedure?

Yes, you can receive Botox the same day you receive other injectable treatments. There is no contraindication to receiving multiple treatments to the face on the same day.

What happens if Im not happy with the results?

CARE Plastic Surgery is focused on your results. If you ever need an adjustment after your Botox treatment, CARE will gladly offer a complimentary correction up to two weeks after your procedure.

What are some sides effects of having Botox injects in your face region?

Common side effects may include temporary headaches, minor swelling or bleeding at the injection site, and/or bruising. These side effects are often minor in severity and typically self-resolve fairly quickly. We encourage our patients to avoid blood-thinning agents, such as NSAIDs or alcohol consumption, before treatment to minimize any bleeding or bruising.

Is Botox safe to use on your face?

Botox is FDA-approved for the glabella region, crow's feet, and forehead. There are countless clinical studies available ensuring the safety and efficacy of Botox for the prevention of wrinkles.

Does Botox work for sagging eyebrows?

With the appropriate dosage and treatment plan, Botox can serve to open and brighten the eyes. This allows patients to achieve a refreshed appearance.

Will my face look unnatural?

One of the understated beauties of Botox is that oftentimes, others cannot tell you had it! At CARE Plastic Surgery, we pride ourselves on a natural aesthetic that enhances your natural beauty!

How much will I need?

Our injectors will recommend appropriate dosages for the areas you wish to treat. Common dosages include 10-15 units for the forehead, 20-25 units for the glabella region, and 15-20 units for crow's feet. However, some patients may require more or less depending on the frequency of treatment and the strength of the muscle. Ultimately, our highly-skilled providers will consult with you to develop the best treatment plan for you and your aesthetic goals.

Whats the difference between Botox and fillers?

Botox is a neuromodulator that works to relax muscles to prevent wrinkling of the skin. Botox serves to be a preventative treatment before dynamic, or moving, wrinkles become static, or fixed. Fillers primarily serve to restore volume loss due to aging and/or genetics. Fillers can also be used to augment and enhance lips. Juvederm fillers are comprised of hyaluronic acid (found in our bodies) and typically last anywhere between 12-24 months.

What is the difference between botox and other neuromodulators like Dysport and Xeomin?

Botox, Dysport, and Xeomin all serve as injectable neuromodulators to eliminate and soften the appearance of facial expression lines. At CARE, we consider Botox the gold-standard neuromodulator injection. The Dysport formula is more diluted than Botox, requiring a higher dosage to achieve the same results as Botox. At CARE, we are outcome-focused for our patients, striving to provide our patients with the best results possible. We find that Botox is predictable with both effective and lasting results.

Can Botox help with excessive sweating or other non-cosmetic concerns?

Absolutely. In addition to its cosmetic uses, Botox is FDA-approved to treat several medical conditions, including excessive underarm sweating (hyperhidrosis), chronic migraines, muscle spasms, and jaw tension related to TMJ (temporomandibular joint disorder).rnBotox can be injected into the masseter muscles—the muscles at the back of the jaw—to help relieve clenching, grinding, and jaw pain caused by TMJ. This treatment, commonly known as Masseter Botox, can also create a slimmer, more contoured jawline for patients with strong or prominent jaw muscles. During your consultation with our nurses, we’ll discuss whether Botox is the right solution for your specific concerns and goals.

How often should I schedule Botox treatments to maintain results?

Most patients at CARE schedule Botox treatments every 3 to 3.5 months to maintain smooth, natural-looking results. Over time, your facial muscles may become trained to relax, which can extend the time between treatments. That said, frequency can vary based on the treatment area. For instance, a lip flip often requires touch-ups every 6 weeks, as the lip muscles are more active and Botox tends to wear off more quickly there.

Can Botox be used as a preventive treatment for wrinkles?

Yes. Preventative Botox is a popular option among younger patients, typically in their 20s and 30s, who want to delay the development of deeper expression lines. Starting early allows Botox to minimize repetitive muscle movement, which helps prevent wrinkles from forming in the first place.rnThink of it as a wrinkle preventer—regular, low-dose treatments can help maintain a youthful appearance before fine lines become deeper and more noticeable.

What should I avoid before and after getting Botox?

Before your Botox treatment, it's best to avoid alcohol, blood-thinning medications, and supplements such as aspirin, ibuprofen, and fish oil for at least 24 hours, as they can increase the risk of bruising.rnAfter treatment, avoid lying down flat, bending over, vigorous exercise, and touching or massaging the treated areas for at least 4 to 6 hours. This helps ensure the Botox stays properly placed and settles evenly for the best possible results.

Who is qualified to inject Botox, and why does it matter?

Botox should always be administered by a licensed and experienced medical professional, such as a board-certified plastic surgeon or trained nurse injector. A qualified provider understands facial anatomy and knows exactly where and how Botox can be safely and effectively injected to achieve optimal, natural-looking results.rnChoosing the right injector helps minimize risks, prevent complications, and ensure your treatment is tailored to your individual features and goals.rnIt's also important to note that Botox is not approved for cosmetic use in individuals under the age of 18.

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Real Testimonials

Lisa was so kind and knowledgeable about Botox injections. She explains everything before doing it and I was in and out super fast!

- Lindsay Tracy

I have been getting Botox from april for years. Cannot praise her new toon skills enough. I will never trust another injection nurse as april surpasses them all.

- Samantha S

I have been seeing April at CARE Plastic Surgery for a few months now for Botox and lip fillers and I am obsessed! After experiencing service at other surgeons offices, I can say that CARE is my new go to for everything! Tica and Cammie are also super welcoming, professional, and will help you figure out exactly what you’re looking for! I can not rave enough about CARE!

- Katie Green

Dr. Cohen and his staff are amazing, from botox, lip fillers and liposuction 360 I’m really happy with my results and looking forward for more procedures at care plastic surgery1

- Judith Arroyo

I had the best experience today. April achieved the look I wanted with less filler than I expected. Best experience ever with the team here and excited to come back in the near future for more Botox, fillers and skin treatments.

- Verified Care Plastic Surgery Patient

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