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BOTOX® by Mountcastle FAQs

Here are some of the questions you might have:

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a simple injection that helps soften dynamic wrinkles with a goal to prevent the dynamic wrinkles from becoming visible on your face at rest.

Is BOTOX® Cosmetic right for me?

BOTOX® Cosmetic can be used in a wide range of people. Since preventative is key it is actually best to start using BOTOX® Cosmetic in your mid-20s or early 30s to prevent wrinkles from becoming permanent. Once the wrinkles are visible at rest it is much harder to reverse.
How much does it cost? BOTOX® Cosmetic is charged by how many units per area is used. Typically in between the brows can take anywhere from 15-25 units depending on muscle mass and depth of wrinkles. The upper forehead can take 8-15 depending on the size of the forehead and severity of wrinkles. The crow’s feet usually require 10-14 on each eye. The amount of units is so variable from patient to patient and also depends on the look you are going for. BOTOX® Cosmetic can simply soften lines while providing you with natural movement or with a higher dosage can knock out the muscle leaving little to no movement in the areas.

How do I choose a BOTOX® Cosmetic provider?

Whether you choose a doctor, nurse, PA, or NP the most important thing when making a decision is the experience of the provider. BOTOX® Cosmetic is an art and requires a provider who can evaluate a patient and make decisions on dosage and placement based on your anatomy and needs and wants.


Not much preparation is needed before deciding if you want botox. We ask that you try not to take and NSAIDs, aspirin, or blood thinners the day of the injection and that your refrain from laying flat or exercising 4 hours after the injections. We also ask that you not schedule this appointment within a week or so of an important event as there is always the risk of bruising.

What happens on the day of the procedure?

You will come in to meet with myself, we will address what bothers you and discuss what I recommend based on the outcomes you desire.

What’s the recovery time?

There is little to no downtime. In some cases, you can be left with a bruise which is usually easily covered by makeup.
What results can I expect? Your result will depend on what outcome you requested. We can make you have a soft natural movement or provide a more “frozen” look.

What are the possible side effects or risks of BOTOX® Cosmetic?

The most common side effects are bruising, swelling, and a headache. There have been documented cases of eyelid droop but with correct placement and dosage, this should not happen. BOTOX® Cosmetic can always be tweaked, sometimes symmetry is very hard to achieve especially if we start with two different brow heights. I request every patient return two weeks after the injections to ensure the results are what the patient wanted.

What else do I need to know About BOTOX® Cosmetic?

We participate with brilliant distinctions, a rewards program offered by the maker of BOTOX® Cosmetic, the JUVÉDERM® family, SkinMedica®, and LATISSE®. It is a great way to earn rewards and save money if you regularly use any of those products or receive those treatments.

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