BOTOX FAQ's

Botox is a purified form of botulinum toxin type A, a neurotoxin produced by the bacterium Clostridium botulinum. When injected in small, controlled doses, it temporarily blocks nerve signals to muscles, causing them to relax. This reduces the appearance of wrinkles and fine lines caused by repetitive muscle contractions.

Cosmetic uses:

• Forehead lines
• Crow’s feet (lines around the eyes)
• Frown lines between the eyebrows
• Neck bands
• Lines around the lips
• Chin dimpling

Medical uses:

• Chronic migraines
• Excessive sweating (hyperhidrosis)
• Overactive bladder
• Muscle spasticity
• TMJ disorders, teeth grinding and clenching

Botox blocks the release of acetylcholine, a neurotransmitter that signals muscles to contract. By preventing these signals from reaching the muscle, Botox causes the targeted muscle to relax temporarily, which smooths overlying skin and reduces the appearance of dynamic wrinkles.

Results typically last 3-4 months for cosmetic treatments, though this can vary based on individual factors such as metabolism, muscle strength, and the area treated. Some people may see results last up to 6 months, while others may need touch-ups sooner.

Initial effects usually begin within 24-72 hours, with full results visible after 7-14 days. The gradual onset allows for natural-looking results as the muscle slowly relaxes.

When administered by a qualified healthcare professional, Botox has an excellent safety profile. It has been FDA-approved for cosmetic use since 2002 and has been used medically for decades. Serious complications are rare when proper injection techniques and dosages are used.

Common side effects:

• Temporary bruising or swelling at injection sites
• Mild headache

Rare side effects:

• Temporary drooping of eyelid or eyebrow (if injected near these areas)
• Flu-like symptoms
• Allergic reactions
• Difficulty swallowing or breathing
• Widespread muscle weakness

Botox is not recommended for people who:

• Are pregnant or breastfeeding
• Have certain neurological disorders
• Are allergic to botulinum toxin
• Have an infection at the planned injection site
• Take certain medications that affect muscle function
• Have unrealistic expectations about results

NWMA maintains competitive Botox pricing and has frequent discounts and specials for NWMA Members. Botox is typically priced per unit, with costs ranging from $12-20 per unit in the United States. Common treatment areas require:

• Forehead: 10-20 units
• Crow’s feet: 12-24 units (both sides)
• Frown lines: 15-25 units

Total cosmetic treatment costs usually range from $300-1,100 depending on the areas treated and geographic location. Medical Botox treatment costs can be higher based on the amount of target areas required.

Before your appointment:

• Avoid alcohol for 24 hours prior
• Stop taking blood-thinning medications if approved by your doctor
• Don’t take anti-inflammatory medications for a few days before treatment
• Arrive with clean skin, free of makeup
• Discuss your medical history and medications with your provider

The injection process typically takes 15-30 minutes. One of our highly trained and experienced ARNP’s will clean the treatment area and may apply a topical numbing cream. Using a very fine needle, they’ll inject small amounts of Botox into specific muscles. Most patients describe the sensation as a quick prick or mild sting and others can barely feel it all. Whatever the sensation, it is typically over in an instant.

Immediately after treatment:

• Avoid hot tubs or saunas for 24 hours 
• Don’t massage or rub the treated areas
• Avoid strenuous exercise for 24 hours

For best results:

• Follow up with your provider as recommended
• Protect your skin from sun exposure
• Maintain a good skincare routine

Yes, Botox is often combined with other cosmetic treatments such as dermal fillers, chemical peels, or laser treatments. This combination approach can address multiple signs of aging simultaneously. At NWMA, a licensed ARNP specializing in skincare treatment will assess your skin’s condition and recommend the best treatment plan for your specific concerns.

When performed correctly by an experienced provider using appropriate doses, Botox should not create a “frozen” appearance. The goal is to soften wrinkles while maintaining natural facial expressions. Over-injection or poor technique can lead to unnatural results, which is why choosing a qualified, experienced and reputable provider is crucial. 

Most people schedule follow-up treatments every 3-4 months to maintain results. At NWMA’s we recommend scheduling your next appointment before you leave the office to insure you will maintain consistent results. Regular treatments may also help prevent new wrinkles from forming.