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Our physicians will evaluate each patient for botox treatment, listen to your concerns and together formulate a plan that is correct for you. Botox injections are simple and are made with a tiny needle into the areas causing your wrinkles and allows you to return to your regular activities.

Botox injections continue to be the single most common aesthetic procedure performed in men and women along with the growth in the use of injectable dermal fillers. Botox and injectable dermal fillers comprise over 50% of all nonsurgical aesthetic procedures. With Botox as a minimally invasive cosmetic procedure for wrinkles and with over 6.7 million procedures having been performed, is a 6 percent growth from 2013 to 2014 and continues to grow.

Wrinkles are described as static and or dynamic wrinkles. Dynamic wrinkles are cause by contracting muscles under the skin that can cause frown lines in the forehead, those number 11’s between the brows and crows feet. On the other hand static wrinkles are those wrinkles that are on your face when not making any expressions caused by muscle contraction. These are generally the result of photoaging of the skin either caused by sun or aging. This causes the skin to loose its elasticity and collagen resulting in wrinkles at rest giving one the appearance of being angry or tired all the time. Botox combined with fractional skin resurfacing for sun damaged and aged skin, will set your clock back many years

Botox injections can be used on the face and for chin dimpling, bunny nose wrinkles, neck lines that form from the platysmal bands and downward frown to corners of the mouth from the angularis muscle tensing.


“Is It Safe?”

Botox Cosmetic is the “Gold Standard” of wrinkle relaxer treatments and FDA approved for the cosmetic treatment of fine lines and wrinkles of the face, specifically crows feet and frown lines. Botox is commonly used to treat safely other areas of the face and neck and considered “off label” use.  Botox has a long safety history and is administered in over 75 countries and is the most popular cosmetic procedure in the country.

You should always have Botox administered by a physician experienced in the use of this product. Patients who receive injections by anyone other than someone experienced in its use runs the risk of the product in the wrong muscle or placing too much in one location that can result in undesirable results.

“Botox or Injectable Dermal Fillers?”

One of the more important changes in facial rejuvenation has been from the two-dimensional face which focuses on facial lines and immobilization of the corresponding muscle with Botox to the three-dimensional face which focuses on facial aging and particularly volume loss and its effect on treatment approach. Fillers used in conjunction with Botox injections make it possible to rejuvenate the face from a three-dimensional rather than a two-dimensional approach, thereby providing more pleasing, longer-lasting outcomes.

“How long does it last?”

After your treatment you will note a gradual visible improvement of your lines and wrinkles over the next 7-10 days. Your treatment will last approximately 3-4 months and with continued treatments you will notice continued improvement of your wrinkles. This is generally from a weakening of the underlying muscle that causes the wrinkle on the skin above. It is similar to having your arm in a cast for a period of time and removing the cast the arm is weak and needs time to recover. Likewise, if you stop having Botox treatments there will be a gradual return of your lines. This is why patients that regularly get Botox treatments notice the effect seems to last longer between subsequent treatments.


Who is the best candidate for Botox?

Men and Women equally benefit from Botox treatments to prevent or soften wrinkles of the forehead, crow’s feet and frown lines between the eyes that make you look angry. Botox can also be used on other areas of the face such as the Muppet and upper lip lines as well as for the treatment of excessive sweating (hyperhidrosis) of underarms, hands, feet and scalp areas.

Where is the procedure performed?

Botox is a very simple and fast procedure done in the office.  The physician will have you move the muscles of your face and determine which ones are causing those pesky wrinkles. With a tiny needle and a pinch of the skin he will inject a small amount of Botox into those muscles. It’s easy as that and in about 7-10 those wrinkles will slowly go away.

Is anesthesia used during the procedure?

We do not use any form of anesthesia. If done correctly while pinching the skin as the needle goes in there is no discomfort. We have heard from patients that have had their Botox elsewhere that they had discomfort and with Dr. Caglia’s technique there is none.

How long do the effects of Botox last?

After injection Botox begins gradually over a 7-10 day period and lasts for 3-4 months at which time you will slowly see the progression of wrinkles to which you had prior to treatment.

Will insurance cover the cost of Botox Cosmetic?

Botox is a cosmetic procedure and insurance will not cover this treatment, however, will cover depending on insurance carriers treatment for Hyperhidrosis (excessive sweating). You should call your insurance carrier to see if this is covered. We do not take insurance, therefore, it is your responsibility for payment at the time services are rendered. We will provide you with necessary codes and help you bill you insurance provider.

Are there any risks or complication with Botox Cosmetic?

Botox is very safe when used by your physician. Rarely, Botox can inadvertently drift into nearby muscles and cause some temporary drooping that usually subsides in 2-3 weeks. Infrequently, you may have bruising at the injection site. Your physician will explain any questions you may have at your consultation and prior to your treatment with Botox.


Dallas, Texas


7777 Forest Lane
Bldg C Ste 270
Dallas, TX 75230
American Academy of Dermatology
American College of Mohs Surgery
American Society for Dermatologic Surgery