The Piazza Center for Plastic Surgery and Advanced Skin Care
5920 W. William Cannon Drive, Mesa Oaks Building Seven, Suite 200
Austin, TX 78749
Phone: (512) 288-8200
Monday–Friday: 8 a.m.–5 p.m.

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 6
Case: 1 of 6
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 1 of 5

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: 2 of 5

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 areas... Read More
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 3 of 5

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 with... Read More
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 4 of 5

Case #54

This patient has recently tried BOTOX® Cosmetic in Austin to soften fine line in the forehead and frown lines areas.  She was most interested in preventing deep lines from forming.  Areas treated were the frown lines (glabella) and forehead areas only.  Read More
BOTOX® Cosmetic Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 5 of 5

Case #264

This 43 year old patient, like many other women here in Austin, TX came into our office concerned with the increasing appearance of fine lines to her forehead, frown lines, and crow’s feet.  Friends and co-workers often mistaken her for being tired or upset. She was ecstatic with her refreshed appearance after her Dysport treatment to... 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 ike 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.

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

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

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.”

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
Actual Patient Photo

Your Cosmetic Procedure

Once your plan have 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.

Our Injectable Experts

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

Meet The Staff

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.

View Stories
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 surgical treatments such as a facelift for optimal facial rejuvenation. Also, BOTOX and Dysport are typically combined with injectable fillers for a nonsurgical approach to correcting facial wrinkles and fine lines. 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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