University of Virginia Plastic Surgery
1300 Jefferson Park Avenue 4th Floor
Charlottesville, VA 22908
Phone: (434) 924-1234
Location Hours: Monday—Friday | 8 a.m.– 5 p.m.

BOTOX® Cosmetic

While BOTOX treatments are offered at salons, med spas, and in the offices of many types of doctors, it’s important to choose your practitioner carefully. The quality of your results and your safety depend on it. At UVA Plastic Surgery, our highly trained plastic surgeons perform all BOTOX treatments. Whether in our Charlottesville or Fishersville office, you can be confident that your BOTOX treatment will be performed by a physician with expertise in facial anatomy, facial aging, and the use of BOTOX itself. Women and men trust our team to perform these popular treatments with strict attention to safety and to provide attractive, natural-looking results.

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How does BOTOX work?

BOTOX Cosmetic and a newer alternative called Dysport® smooth out dynamic wrinkles, which are caused by facial muscle contractions. These FDA-approved products, classified as neuromodulators, contain a purified protein that is naturally produced by the clostridium botulinum bacterium. BOTOX and Dysport work by temporarily suspending facial muscle contractions. Injectable dermal fillers, such as JUVÉDERM® and Restylane®, are also used to treat wrinkles and other concerns; however these types of fillers work differently and actually replace volume within the skin.

Who is a candidate for BOTOX treatments?

Good candidates for BOTOX and Dysport treatments are healthy women and men who would like to look more youthful, relaxed, and rejuvenated. Our surgeons use these treatments to smooth out one or more of the following concerns:

  • Vertical lines between the eyebrows (glabellar lines)
  • Horizontal creases across the forehead
  • Crow’s feet at the outer corners of the eyes

These treatments are also used to treat a gummy smile, excessive sweating, and vertical neck bands. BOTOX and filler treatments are often combined to provide more complete facial rejuvenation. BOTOX is also used to maintain improvements from a facelift or facial plastic surgery .

What are BOTOX treatments like?

Our surgeons perform these treatments right in our office. They use a short, fine needle to make several quick injections in precise points on the face. Patients typically experience little to no discomfort, but may choose to have a topical anesthetic applied in advance if desired. The treatment takes only about 10 minutes to perform.

What can I expect after my treatment?

Downtime is usually not necessary after BOTOX or Dysport injections. Normal activities can be resumed immediately after treatment. However, you should avoid rubbing treated areas or lying down flat for the first 4 hours after treatment. You should also postpone strenuous activities for the rest of the day.

When will I see results?

Treated wrinkles begin to smooth out within 2 to 5 days and continue to gradually fade for up to 2 weeks. Results last approximately 3 to 6 months depending on individual factors. Patients can return for maintenance treatments periodically to keep improvements indefinitely.

What are possible risks and side effects from BOTOX injections?

BOTOX injections are relatively safe when performed by an experienced physician. The most common side effects are temporary and include discomfort at the injection site, headache, respiratory infection, flu syndrome, eyelid droop, and nausea.