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BOTOX® Cosmetic

BOTOX® Cosmetic (onobotulinum toxin A) – Wrinkle Relaxer – Northern Virginia

Average Cost: $200 – $600

BOTOX® Cosmetic reduces wrinkles and lines, giving the skin an even appearance by an injection that temporarily relaxes the muscles beneath the skin.

BOTOX® Cosmetic Overview


BOTOX® Cosmetic is an anti-aging skin rejuvenation procedure at Mountcastle Medical Spa & Laser Center in Northern Virginia that treats facial wrinkles without surgery. [/lead]

Made under the name Botulinum Toxin Type A, this agent obstructs nerve impulses in the skin and temporarily relaxes the corresponding muscles. This makes the wrinkles shrink in size, resulting in a smoother, younger appearance. More than 6.1 million BOTOX® Cosmetic injections were given in 2012. When done correctly and consistently by our Chief Nurse Amy Hermann, BOTOX® Cosmetic can eliminate the fine lines and wrinkles between the eyebrows and alongside the forehead.

BOTOX® Cosmetic Before and After*

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Administering BOTOX® Cosmetic


BOTOX® Cosmetic is administered during an in-office appointment that typically takes about 30 minutes. The depth, length, quantity, and location of wrinkles vary for each patient. Therefore, the injection treatment, including the dosage and injection location, is tailored during the procedure. Patients will be marked for the specific areas on the face that are going to be treated. The injection is given through a syringe to localized areas on the face. Patients will feel a small prick as the needle inserts through the skin, but any pain or discomfort is controlled with a cold compress.

Mountcastle Plastic Surgery

Our new, state-of-the-art facility includes private consultation rooms, an operating room, monitored recovery areas, vein clinic and a medical spa.

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What to Expect?

At Mountcastle Plastic Surgery, we strive to make your BOTOX® Cosmetic injections as quick as possible. After a plan has been devised during your initial consultation, the areas to be injected are cleaned with an alcohol swab. Accurate doses of the BOTOX® Cosmetic are carefully administered via a small needle and syringe. The entire process from initial consultation to the conclusion of the BOTOX® Cosmetic injections lasts approximately 15-20 minutes.

Immediately following a series of BOTOX® Cosmetic injections, there will be some mild swelling and redness at the injection site. This will subside a few hours after the procedure. Patients can resume their normal activities immediately, but exercise should be avoided for a few hours. It is also recommended that patients keep their heads elevated for the first 8-10 hours. Results following BOTOX® Cosmetic will become apparent within 4-7 days. About a week after treatment, patients will notice an inability to fully move portions of their forehead. With limited movement, wrinkles will cease to appear. The result is skin that appears smooth and soft.

Allergan Diamond Provider


Thank you to our many loyal patients. Due to your continued visits and referrals to our practice, Mountcastle Plastic Surgery has been honored with Diamond Status by Allergan. Diamond recipients comprise only 5% of all the practices in the nation. Diamond practices are recognized as the top providers of Natrelle® Breast Implants, Botox®, Juvederm®, Latisse®, and Voluma® in the nation. This distinction signifies the large number of treatments performed in our Ashburn and Reston offices located in Northern Virginia.

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BOTOX® Cosmetic FAQs

Is BOTOX® Cosmetic safe?

BOTOX® Cosmetic is approved by the FDA and has a long, safe history. It is administered in over 75 countries and consistently ranks as the most popular cosmetic procedure in America. However, even with its popularity, BOTOX® Cosmetic is a drug and should only be administered by a qualified medical practitioner. Individuals who receive injections by someone inexperienced run the added risk of bruising, over-medicating, and ultimately, obtaining an undesirable result.


Are there any alternatives to BOTOX® Cosmetic?

In 2009, BOTOX® Cosmetic gained competition when Dysport® (abobotulinumtoxinA) was developed, approved by the FDA, and made available to the general public. Both drugs are used to relax the facial muscles that cause wrinkles and frown lines. Some practices lean towards BOTOX® Cosmetic to address forehead lines while considering Dysport® for crow’s feet. There has been much debate as to which drug is superior. Both have their advantages. Some distinct differences can be discussed during your consultation.

Botox vs Dysport

Do BOTOX® Cosmetic and fillers address the same issues?

Injectable fillers such as Restylane®, JUVÉDERM®, and Perlane® help decrease wrinkles by adding volume to certain facial structures, which creates the appearance of smooth skin. BOTOX® Cosmetic, which temporarily freezes the underlying muscle, offers a similar result, with a different approach. A skilled practitioner will be able to determine if a filler material or a product like BOTOX® Cosmetic would garner the best results.


What is the best age to start BOTOX® Cosmetic?

Individuals who wish to soften and decrease facial lines and wrinkles may be candidates for BOTOX® Cosmetic. The most common age to receive BOTOX® Cosmetic injections is between 30-55. However, it is also common for patients younger and older to receive injections.


How long will BOTOX® Cosmetic last?

BOTOX® Cosmetic is not a permanent fix. Results will last for several months – sometimes longer – but they will not last forever. Qualified injectors will tell you there is good news and bad news when it comes to BOTOX® Cosmetic. The good news is, if you are not happy with your results, the results will only last a few months. Likewise, the bad news is, if you love your results (which most people do), the results will only last a few months. Regardless, many patients recognize even the temporary results are worth feeling and looking younger.


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