Superior Skill.
Compassionate Care.

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Superior Skill.
Compassionate Care.

Instant Appointment Request

What is Botox?

“Dynamic” facial wrinkles are caused by repeated muscle contraction. Botulinum toxin, commonly referred to as “Botox,” is a purified protein that temporarily interrupts muscular action, causing relaxation and weakness of the muscle.

Botox has been FDA-approved since 2002 for cosmetic use in treating facial lines and wrinkles.

Botox injections into specific facial muscles have achieved success and popularity as a non-invasive, safe, effective, and simple procedure to create a more overall rejuvenated appearance and smooth out:

  • Crow’s feet
  • Frown lines
  • Forehead furrows
  • Lip lines



Click on the image to view what Botox is and the conditions that it is meant to treat.


Everything You Ever Wanted to Know About Your First Botox Appointment

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Why choose ENT?
Who will inject my Botox?

At The Ear, Nose, Throat & Plastic Surgery Associates, we believe that our intimate knowledge of complex facial anatomy and musculature is critical to successful results with Botox and cosmetic injections.

Our providers’ extensive experience in otolaryngology and head and neck surgery allows our practice to offer the best quality of care.

Dr. Jeffrey Lehman and Dr. Hao “Mimi” Tran have been trained and certified for cosmetic Botox injection by the American Academy of Facial Aesthetics. Unlike most medical spas or walk-in facilities, our office has its very own, experienced allergy department equipped with the latest equipment, supplies, and staff capable of assisting in any potential allergic reaction.

What is a Botox treatment like?

Both your consultation and your injection treatment can be completed on the same day.

Your provider will first discuss with you your desired goals for treatment. Patient treatment is always individualized after assessment of their unique facial muscles.

Once your goals and treatment areas have been identified, specific sites will be marked for injection. You and your provider will determine together the approximate number of units to use. Tiny needles are used to administer the Botox into each site. Most people experience minimal discomfort from the injection or even none at all; therefore anesthetic is not required.

Once complete, cool packs can be used to minimize any swelling or redness. Usually, any signs of injection will resolve within 10-15 minutes. The entire process usually takes less than 30 minutes for a new patient. For returning patients receiving injections, the visit takes around 15 minutes. A two-week follow-up appointment is recommended to review your results. At that time, additional units of Botox could be added for enhancement if needed.

Botox FAQs

Our goal is to provide a natural, youthful appearance while preserving your ability to express emotion. We often start conservatively with our new patients in order to avoid over-injection. Additional Botox can always be added during your follow-up visit if necessary.
Your muscles will begin to relax over time gradually. Therefore, no immediate results will be seen after the injection. Typically between 2-10 days after the injection, you will start to see the exciting results.
Usually, results from Botox injections last approximately 3-4 months. There is a cumulative effect with regular use of Botox! Therefore, over time duration between treatment may be extended for up to 6 months.
Side effects are rare but can include a headache, bruising or bleeding at the injection site, weakness of unintended facial muscles, and respiratory problems. Fortunately, most patients do not experience any side effects. For those that may do so, the effects are temporary.

Botox injection may not be considered in the case of:

  • Pregnant or lactating women
  • Hypersensitivity to any botulinum toxin A products
  • Neurological disorders: ALS, Myasthenia Gravis, Lambert-Eaton syndrome
  • Active, acute flu/cold symptoms
  • Concurrent use of aminoglycoside antibiotics (for example Gentamicin, Neomycin, Tobramycin)
  • Active skin infection involving treatment areas
  • Pre-existing facial paralysis
  • You should avoid use of over-the-counter blood thinning medications or substances within 24 hours of an office visit (for example Alcohol, Aspirin, Ibuprofen, or NSAIDs).
  • If you’re on prescription blood thinners, please notify the provider beforehand.
  • We suggest that you wear little or no face makeup to your appointment.  Otherwise, it will need to be removed prior to injection.
  • Notify your provider of any upcoming or prior facial surgeries or treatment
  • Avoid lying down for two hours following your treatment
  • Avoid manipulation or heat to the area for 3-4 hours following injection
  • Avoid straining, vigorous activity, or heavy lifting for 3-4 hours following injection
  • Avoid facials, peels, or microdermabrasion for several days following treatment
  • Avoid direct sunlight for 1-2 days

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