Piazza Center for Plastic Surgery and Advanced Skin Care
7900 Farm to Market Road 1826, Bldg 2, Suite 206
Austin, TX 78737
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.

BOTOX® Cosmetic

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 The Piazza Center in Austin, TX, lead nurse injector Hayley Peña, 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) 288-8200.

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

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 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. 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.

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 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.

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Actual Patient Photo

Your BOTOX Cosmetic Procedure

Once your plan has been created, Hayley will begin your treatment. 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 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.

SkinMedica® Products

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


Your BOTOX Results

After your 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 patients can enjoy their natural, beautiful results for about 3 to 4 months; although, this varies between patients.

Our Injectable Experts

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

Meet the Staff Request Your Consultation

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 results last?

In general, a treatment with BOTOX 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 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 be combined with other treatments?

Yes, BOTOX is often combined with surgical treatments such as a facelift for optimal facial rejuvenation. Also, BOTOX is 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 with other treatments.

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