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BOTOX® Cosmetic

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Years of repeated facial expressions such as laughing, smiling, and squinting produce wrinkles and fine lines that deepen with age. These "dynamic wrinkles" may create an appearance that does not reflect the youth and vitality you feel inside. While some women and men may be candidates for surgical treatments such as a brow lift, those who desire a nonsurgical alternative often choose BOTOX® Cosmetic. At our Austin, TX practice, lead nurse injector Hayley Ruegg, R.N., C.P.S.N., uses BOTOX to smooth away forehead lines, crow's feet, and vertical lines between the eyebrows.

At The Piazza Center, we take a long-term approach to managing aging and helping you achieve your cosmetic goals and desires. If you would like to find out more about BOTOX Cosmetic, you can request a consultation online, or call our office at (512) 551-1067.

To view more before-and-after photos of Dr. Piazza's BOTOX patients, visit our photo gallery.

*Keep in mind that each patient is unique and your results may vary.

What Is BOTOX?

Although most people have heard of BOTOX, not everyone knows how the product works. BOTOX is an injectable remedy for wrinkles, but is not a dermal filler. Instead, BOTOX uses an active ingredient called botulinum toxin type A to temporarily relax the muscles in the face that cause wrinkles exacerbated by facial movement — especially crow's feet, forehead lines, and creases between the brows.

Unlike fillers, BOTOX requires several days to take effect. But once it does, you'll see why it's one of the most popular nonsurgical aesthetic treatments year after year.

Comparing Injectables

Active Ingredient
Designed to Treat
Common Areas of Use
BOTOX Cosmetic
Active IngredientBotulinum toxin type A
Designed to Treat"Dynamic" wrinkles caused by repeated facial movements
Common Areas of UseCrow's feet, forehead lines, glabellar lines, and more
RecoveryReturn to regular activities immediately; avoid bending or stooping for the day
ResultsResults appear in 5 to 7 days and last 3 to 4 months
Active IngredientMost use hyaluronic acid; certain brands use other ingredients
Designed to Treat"Static" wrinkles and volume loss caused by aging
Common Areas of UseNasolabial folds, marionette lines, lip lines, hollow cheeks, and more
RecoveryReturn to regular activities immediately; avoid bending or stooping for the day
ResultsResults appear instantly and last 6 months to 1 year
*Keep in mind that each patient is unique and your results may vary.

BOTOX Cosmetic is approved by the FDA for several aesthetic uses. BOTOX is also used in other areas of medicine to treat conditions including overactive bladder, migraine headaches, and excessive sweating.

Dysport®: A BOTOX Alternative

Dysport is an injectable product that's often mentioned in the same breath as BOTOX Cosmetic. Dysport uses the same active ingredient, botulinum toxin A, to treat many of the same concerns. However, due to subtle differences in its consistency and formulation, it may be a better option for certain patients. During your consultation, we discuss all of your options with you and evaluate your candidacy for BOTOX Cosmetic or Dysport.

Our Comprehensive Commitment

At The Piazza Center, your treatments are part of an overall plan we create together for maintaining your beauty and managing — or preventing — the signs of aging. First, you meet with nurse injector Hayley and Samantha LeBlanc, our director of patient services. During this time, you discuss your aesthetic goals, and they help create a plan for your BOTOX injections, which will depend on the degree of correction you would like.

Photo mapping helps us create consistent, natural-looking results with every session.

These injections may be part of a comprehensive package of services that also includes fillers, med spa treatments, or skin care products for you to use at home. We do a full facial analysis to determine how to best tackle your concerns, then provide you with recommendations on how to achieve those goals.

In this proactive approach, we like to see our patients every 3 months, and we use innovative photo mapping to track your progress and determine the next steps. Our BOTOX patients are so much more than that; we consider every patient at The Piazza Center a "patient for life."

A Patient for Life

When you get plastic surgery at The Piazza Center, we make a long-term commitment to your recovery, your beauty, and your well-being. Learn about the dedication you receive when you become a patient for life.

Learn More

Your BOTOX Cosmetic Procedure

Once your plan has been created, Hayley will begin your treatment. Hayley has advanced training and credentials in injectable cosmetic services. Our patients rely on her for results that look refreshed and rejuvenated, but still completely natural.

Hayley uses a tiny needle to make your injections, which are placed in the target areas determined during your consultation. A topical numbing cream may be used prior to treatment, but most women and men don't need this added step. The procedure typically takes about 15 to 30 minutes, depending on your specific needs.

Your BOTOX Results

After your BOTOX Cosmetic treatment is complete, you will be free to return to most everyday activities. While you may experience some slight swelling and redness, this will subside within the next few hours to days. Over the next few days, you will notice an improvement in your skin, which will continue over the subsequent weeks. BOTOX Cosmetic patients can enjoy their natural, beautiful results for about 3 to 4 months; although, this varies between patients.

Our Injectable Experts

Samantha and Hayley are happy to address any questions you may have about your injectable procedure at The Piazza Center.

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Hayley, R.N., C.P.S.N., Answers Common Questions

Will I be left with an unnatural appearance after the procedure?

Contrary to what some may believe, BOTOX Cosmetic should not result in a "frozen" look. A skilled BOTOX Cosmetic injector targets only the muscles responsible for the dynamic wrinkles, so you look more youthful while retaining your normal range of expressions. I strive to give you a natural appearance that looks like you — just refreshed.

How long will my BOTOX Cosmetic results last?

In general, a treatment with BOTOX Cosmetic can last 3 to 4 months. Many of our Austin BOTOX Cosmetic patients find that regularly scheduled treatments produce prolonged results, and they are able to go longer between BOTOX appointments. We like to see our patients around every 3 months or so in order to proactively manage all of their skin care needs.

Can BOTOX Cosmetic be combined with other treatments?

Yes, BOTOX Cosmetic is often combined with surgical treatments such as a face lift for optimal facial rejuvenation. Also, BOTOX Cosmetic is typically combined with injectable fillers for a nonsurgical approach to correcting facial wrinkles and fine lines. During your consultation, Dr. Rocco Piazza, Samantha, and I will help you decide whether you can benefit from combining BOTOX Cosmetic with other treatments.

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