How Does BOTOX Work?

BOTOX, a purified form of botulinum toxin, is a neurotoxin that temporarily paralyzes specific muscles. By blocking nerve signals to these muscles, our BOTOX in Austin prevents them from contracting, softening, and reducing the appearance of wrinkles and fine lines on the skin. The effects of BOTOX are temporary, typically lasting between 3 to 6 months.

What Causes Wrinkles?

Wrinkles are primarily caused by:

  • Aging: Skin loses elasticity and collagen over time.
  • Facial Expressions: Repeated movements like frowning, squinting, and smiling.
  • Sun Exposure: UV rays damage skin cells and break down collagen.
  • Lifestyle Factors: Smoking, poor diet, and inadequate hydration can accelerate skin aging.
  • Genetics: Your family history can influence how your skin ages.
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Comparing Injectables

BOTOX Cosmetic Fillers
Active Ingredient Botulinum toxin type A Most use hyaluronic acid; certain brands use other ingredients
Designed to Treat "Dynamic" wrinkles caused by repeated facial movements "Static" wrinkles and volume loss caused by aging
Common Area of Use Crow's feet, forehead lines, glabellar lines, and more Nasolabial folds, marionette lines, lip lines, hollow cheeks, and more
Recovery Return to regular activities immediately; avoid bending or stooping for the day Return to regular activities immediately; avoid bending or stooping for the day
Results Results appear in 5 to 7 days and lasts 3 to 4 months Results appear instantly and last 6 months to 1 year
woman touching her chin

What Are Alternative Uses for BOTOX?

In addition to smoothing away wrinkles, BOTOX cosmetic in Austin offers several alternative treatment options:

  • Excessive sweating (hyperhidrosis): BOTOX blocks the nerve signals responsible for sweating, relieving this concern in the underarms and other areas prone to sweating.
  • Lip augmentation (lip flip): While BOTOX does not add volume to the lips, it does create the illusion of fullness by allowing the upper lip to flip subtly outward and upward, exposing more of the pink area of the lip.
  • Jawline slimming: Also called masseter reduction with BOTOX, this treatment weakens the masseter muscles in the jaw responsible for chewing and clenching. This corrects the appearance of an overdeveloped muscle (a wide, square-shaped jaw) and provides a slimming effect. It may even relieve symptoms of TMJ, including jaw pain and headaches.
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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 our nurse injector, Hayley, April, or Alison. 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. These injections may be part of a comprehensive package of services that also includes fillers, med spa treatments, or skincare products for you to use at home. We do a full facial analysis to determine how best to tackle your concerns and 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.”

Botox patient

Am I a Candidate for BOTOX?

You may be a good candidate for BOTOX if:

  • You are in good general health.
  • You have dynamic wrinkles caused by muscle movement.
  • You have realistic expectations about the results.
  • You are not pregnant or breastfeeding.
  • You do not have a history of neuromuscular diseases.

A consultation with our specialists at The Piazza Center will determine your suitability for BOTOX treatment.

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What Are the Benefits of BOTOX?

  • Reduces Wrinkles: Effectively smooths out dynamic wrinkles such as crow's feet, frown lines, and forehead lines.
  • Non-Surgical: A minimally invasive procedure with no downtime required.
  • Quick Procedure: Treatments are typically completed in 10-20 minutes.
  • Prevention: Helps prevent the formation of new wrinkles by limiting facial expressions that cause them.
  • Safe: Widely tested and approved by regulatory bodies, including the FDA.
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What to Expect During Your BOTOX Procedure

Once your plan has been created, April, Alison, or Hayley will begin your treatment with BOTOX. They have advanced training and credentials in injectable cosmetic services. Our patients rely on our team for refreshed and rejuvenated results that are still completely natural.

Our experienced injectors use a tiny needle to make your injections, placed in the target areas determined during your consultation. A topical numbing cream may be used before treatment, but most women and men don’t need this added step. The procedure typically takes 15 to 30 minutes, depending on your specific needs.

Your BOTOX Results

After completing your BOTOX in Austin, 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 patients can enjoy their natural, beautiful results for about 3 to 4 months, although this varies between patients. To create predictable and consistent results, we will follow up with you in 2 weeks for after photos and a possible dose adjustment. At this appointment, we finalize and save your individualized photo map for future treatments.


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

How long will my results last?

Can these be combined with other treatments?

Is BOTOX Painful?

How Many Treatments Will I Need?

Is BOTOX Safe?

How Should I Prepare for My Treatment?

What Risks Are Associated with BOTOX?

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 results last?

In general, a BOTOX treatment can last 3 to 4 months, although experiences vary. Many of our patients find that regularly scheduled treatments produce prolonged results, and they are able to go longer between 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 these be combined with other treatments?

Yes, BOTOX is often combined with other treatments for optimal facial rejuvenation. During your consultation, we will help you decide whether you can benefit from combining BOTOX with other treatments including dermal fillers, laser skin resurfacing, microneedling, and HydraFacial®.

Is BOTOX Painful?

Most patients experience minimal discomfort during BOTOX injections. The needles used are very fine, and the procedure is quick. A topical anesthetic or ice can be applied to the area to further reduce discomfort.

How Many Treatments Will I Need?

The number of treatments varies depending on individual needs and the extent of the wrinkles being treated. Most patients see significant improvement with one session, but regular treatments every 3-6 months are recommended to maintain results.

Is BOTOX Safe?

Yes, BOTOX is considered safe when administered by a trained and experienced professional. It has been extensively studied and is FDA-approved for cosmetic use. Side effects are generally mild and temporary.

How Should I Prepare for My Treatment?

Refrain from taking aspirin, ibuprofen, and other blood-thinning medications for a week before treatment to reduce bruising. Drink plenty of water in the days leading up to your appointment. Discuss your medical history, allergies, and any medications you are taking with your provider.

What Risks Are Associated with BOTOX?

While BOTOX is safe for most people, some potential risks include: Bruising or swelling at the injection site, headache or flu-like symptoms, drooping eyelids or eyebrows (rare and usually temporary). Our team at The Piazza Center is committed to ensuring a safe and effective treatment experience. During your consultation, we will thoroughly discuss all potential risks and answer any questions you may have.

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