BOTOX® Cosmetic & Dysport®

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 or Dysport®. At The Piazza Center in Austin, TX, advanced nurse injectors Hayley Peña, R.N., C.P.S.N. and Alison Kothmann, R.N., B.S.N., use BOTOX or Dysport 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 and Dysport, you can request an in-person or virtual consultation online, or call our office at (512) 288-8200.

BOTOX® Cosmetic Before & After Photos

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

Case: 1 of 4
Case: 1 of 4
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 1 of 3

Case #100

This mother-of-two decided that she wanted to ease the presence of pesky frown lines. She sought a consultation for Botox Cosmetic. In Austin, Dr. Piazza and Nurse Injector Hayley see both men and women who desire to have a refreshed appearance and diminish frown lines, crows feet and forehead lines. This patient had similar desires. All 3 ar... Read More
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 2 of 3

Case #55

This gentleman presented to our Austin plastic surgery office with concerns about forehead and frown lines.  He wanted to soften lines without freezing the motion of his forehead.  Taking this into consideration, we treated both his glabella (frown lines) and forehead to give him the result he desired. Read More
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 3 of 3

Case #53

This 28-year-old female desired BOTOX® Cosmetic for 2 reasons. First, she liked her skin and wanted it to keep it looking the way it does.  Second, she felt that she could avoid getting deep wrinkles by stopping those nasty frown lines that develop between the eyebrows. After her consultation... Read More

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

What Are BOTOX and Dysport?

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 like JUVÉDERM® or a collagen stimulator like Sculptra® Aesthetic. 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.

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.

BOTOX Cosmetic and Dysport are approved by the FDA for several aesthetic uses.

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 Areas 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 last 3 to 4 months Results appear instantly and last 6 months to 1 year

Alternative Uses for BOTOX

In addition to smoothing away wrinkles, BOTOX 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.

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 or Alison. During this time, you discuss your aesthetic goals, and they help create a plan for your BOTOX or Dysport injections, which will depend on the degree of correction you would like.

BOTOX treatment areas

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 and Dysport patients are so much more than that; we consider every patient at The Piazza Center a “patient for life.”

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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.

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Actual Patient Photo

Your Cosmetic Procedure

Once your plan has been created, Hayley or Alison will begin your treatment with BOTOX or Dysport. She 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 and Alison use 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 Results

After your treatment with BOTOX or Dysport 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 and Dysport patients can enjoy their natural, beautiful results for about 3 to 4 months; although, this varies between patients. In order to create predictable and consistent results, we will follow up with you in 2 weeks for after photos and a possible dose adjustment. It is at this appointment that we finalize and save your individualized photo map for future treatments.


Hayley, R.N., C.P.S.N. and Alison, R.N., B.S.N., Answer Common Questions

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

Contrary to what some may believe, BOTOX Cosmetic and Dysport should not result in a “frozen” look. A skilled BOTOX Cosmetic and Dysport 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.

Real Patients. Real Stories

Helping Our Patients to Live Confidently

Find out what it's like to be a patient of The Piazza Center. Review the stories and "after" photos of some of the plastic surgery patients who've shared their experiences with us.

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Actual Patient Photo

How long will my results last?

In general, a treatment with BOTOX or Dysport 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 and Dysport are often combined with other treatments for optimal facial rejuvenation:

  • Dermal fillers: BOTOX and Dysport are often combined with injectable fillers for a nonsurgical approach to correcting facial wrinkles and fine lines.
  • Laser skin resurfacing: You can achieve even smoother and younger-looking skin across your whole face with this rejuvenation treatment.
  • Microneedling: Microneedling stimulates extra collagen production to provide ongoing skin improvements over several weeks. Combining it with BOTOX and Dysport is an excellent way to turn the clock back on your skin without surgery.
  • HydraFacial®: This refreshing facial treatment complements your wrinkle-reducing results by exfoliating your skin and infusing it with powerful anti-aging serums.

During your consultation, we will help you decide whether you can benefit from combining BOTOX and Dysport with other treatments.

Skincare Products

Enhance your daily skin care regimen with professional grade products. We can help personalize your routine based on your skin's unique features.


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