BOTOX® Cosmetic

Houston Dermatology Specialists in Cypress, Texas, is your destination for BOTOX Cosmetic, a popular and effective solution for smoothing dynamic facial wrinkles and rejuvenating your appearance. Dr. Christopher P. Downing and Dr. Camila Antia provide personalized, top-tier medical and cosmetic dermatological care, making our practice the preferred choice for patients seeking quality and expertise.

Ready to transform your skin? Book your BOTOX consultation today!

What is BOTOX & how does it work?

BOTOX and Dysport® are injectable neuromodulators. They interrupt signals that tell specific muscles to contract, allowing those muscles to stay relaxed and eliminating the wrinkles caused by their repeated movements. With the correct dosage injected in the right location, you’ll never appear frozen, unnatural, or “worked on.” You’ll simply look like a younger and more refreshed version of yourself.

What does BOTOX treat?

BOTOX treats many of the most common dynamic facial wrinkles, including: 

  • Horizontal forehead lines 
  • Crow’s feet around the eyes 
  • Vertical “11s” between the eyebrows 
  • Bunny lines on the nose
  • Downturned mouth

It also has several indications outside of anti-aging, such as: 

  • Relaxing overdeveloped masseter (jaw) muscles to slim the jawline and relieve symptoms of TMJ 
  • Correcting gummy smiles 
  • Creating the illusion of a fuller top lip with a “lip flip” 
  • Treating excessive sweating (hyperhidrosis) 

What You Should Know about Masseter BOTOX

Masseter BOTOX slims the jawline and alleviates issues related to an overactive masseter muscle. During the treatment, BOTOX is injected into the masseter muscles, relaxing them to reduce their size and contour your jawline. This treatment can also help with bruxism (teeth grinding).

Ideal Candidates

You may be a good candidate if you want a slimmer jawline, have an overdeveloped masseter muscle, or suffer from teeth grinding. You should be in good overall health and have realistic expectations about the treatment and its potential results.

Duration of Results

  • Initial Effects: Noticeable within a few days.
  • Full Results: Visible after 4 to 6 weeks.
  • Longevity: Lasts 3 to 6 months; regular treatments maintain results.


  • Nonsurgical: Minimally invasive
  • Quick: Takes 15 to 30 minutes
  • No Downtime: Immediate return to normal activities
  • Dual Benefits: Improves jawline aesthetics and relieves muscle-related discomfort

What is a nonsurgical brow lift?

A nonsurgical brow lift elevates your brows with BOTOX rather than surgery. If you’re experiencing mild sagging in the brow area and want a subtle lift for a refreshed look, this procedure may be a good option for you.

How It Works

Strategic BOTOX injections target specific muscles around your brow area, relaxing those responsible for pulling your brows down. This relaxation effect allows your brow muscles to elevate naturally, giving you a slight lift and a more youthful appearance.


  • Subtle Lift: Provides a natural-looking elevation to your brow area, enhancing your facial features without drastic changes.
  • Minimally Invasive: Involves only a few injections, making it a quick and convenient procedure for you.
  • No Downtime: You can return to your normal activities immediately after the treatment.
  • Temporary Results: Ideal if you want to test the effects before considering more permanent solutions. Results typically last 3 to 4 months.

BOTOX vs. Dermal Fillers

BOTOX and dermal fillers are both injectables that rejuvenate and enhance your appearance, but they do so in different ways and achieve different goals. Here are a few concerns BOTOX and dermal fillers address:


  • Treats dynamic wrinkles
  • Lifts brows
  • Smooths dimpled chin skin
  • Treats excessive sweating
  • Prevents new expression wrinkles

Dermal Fillers

  • Treats static wrinkles
  • Shapes brows, cheeks, jaw, and chin
  • Adds volume to lips (lip fillers)
  • Refines the nose (liquid rhinoplasty)
  • Treats under-eye hollows and dark circles

We often recommend combining BOTOX with dermal fillers, a popular approach called a “liquid facelift” that restores you to your most youthful and natural appearance.

What To Avoid Prior to and Following Your BOTOX Appointment

To get the best possible results from your BOTOX treatment and to minimize the risk of bruising and swelling, we recommend following certain precautions before and after your appointment. Here’s a quick guide to help you prepare and recover smoothly:

  • Alcohol: Avoid consuming alcohol for at least 24 hours before and after your BOTOX treatment. Alcohol increases the likelihood of bruising and swelling at the injection site.
  • Blood Thinners: For a few days before your appointment, stop taking ibuprofen, aspirin, or any supplement that can act as a blood thinner, such as St. John’s Wort.
  • Heat and Sun Exposure: Avoid excessive heat and direct sun exposure for 48 hours post-treatment. High temperatures exacerbate swelling and discomfort.
  • Abrasive Skin Treatments: Avoid any abrasive skin treatments, including peels, facials, or microdermabrasion, for 1 week before and 1 week after your BOTOX session. These can irritate the skin and affect the treatment area.
  • Rubbing or Sleeping on the Treated Area: For 24 hours following your BOTOX injections, do not rub or apply pressure to the area around your injection site. Sleep in a position that doesn’t put pressure on the treated area; this can inadvertently cause the BOTOX to migrate to adjacent muscles.
  • Lying Down: Avoid lying down for the first 4 hours after your treatment. Doing so can cause the BOTOX to travel from the intended treatment area, affecting the results.

By adhering to these guidelines, you can help ensure a successful treatment outcome and enjoy the full benefits of your treatment.

How long does BOTOX last?

BOTOX results typically last between 3 to 5 months, but longevity can vary depending on your individual metabolism, the area treated, and the amount of BOTOX used.

Many patients report that their results last longer with regular use over time because the muscles gradually become “trained” to relax. This means you may need fewer treatments to maintain your desired appearance.

Dr. Christopher Downing, board certified dermatologist and Mohs Surgeon at Houston Dermatology Specialists
Christopher Downing, M.D., FAAD

Your Partner in Skin Health

Dr. Christopher Downing is a double board-certified dermatologist and fellowship trained Mohs surgeon serving the Cypress and Houston communities. He trained for years to provide his patients the best in dermatological care. His mission for establishing Houston Dermatology Specialists was to create a practice in which delivering professional, conscientious, and personalized care for patients is the #1 priority.

Meet Dr. Downing


Is BOTOX safe?

Yes, BOTOX has a long history of safe use when administered by a qualified health care professional. It’s important to follow pre- and post-treatment instructions and consult with us about any concerns.

What happens if I stop getting BOTOX?

If you decide to stop BOTOX treatment, your wrinkles will gradually return to their original state. There’s no permanent change, and the muscles will resume their normal activity over time.

Is BOTOX better than microneedling and laser services?

BOTOX and procedures such as microneedling or laser treatments target different concerns. BOTOX is primarily used for reducing the appearance of dynamic wrinkles, whereas microneedling and laser treatments address skin texture, scars, and overall skin rejuvenation. The best treatment for you depends on your specific skin concerns and goals.

How soon after treatment can I get a chemical peel?

We generally recommend waiting at least 2 weeks after your BOTOX treatment before undergoing a chemical peel. This waiting period allows the BOTOX to settle fully and ensures your skin is not overly sensitized, minimizing potential complications.

How much does BOTOX cost in Houston, TX?

We price BOTOX and other neuromodulators per unit at Houston Dermatology Specialists, so costs vary depending on how many units you need. As part of your consultation, we’ll provide a personalized price estimate.

What is the best age to start BOTOX?

The best age to start BOTOX is when you notice dynamic lines and wrinkles that keep you from feeling your best about how you look. Some of the people we treat start later in life, whereas others begin preventative BOTOX as early as their 20s.

What should I expect during my BOTOX treatment?

Neuromodulator treatments take just a few minutes and involve little to no downtime, making them easy to fit into a lunch break.  

When you arrive, we’ll have an in-depth discussion about your concerns and your goals for treating them. After carefully evaluating your skin and planning your treatment, we’ll cleanse the area and administer a series of quick injections. Patients sometimes say these injections feel like small pinches or bug bites.

After that, you will be free to return to work and most of your daily activities right away.

What can I expect from BOTOX recovery?

Recovery is minimal after a BOTOX or Dysport treatment. You may notice minor redness, swelling, or bruising around your injection sites, but this should subside within a day or two.

When will I see results after getting BOTOX?

Neuromodulators generally take effect within a week, with full results visible in 2 weeks.

Request Your BOTOX Consultation

To meet with Dr. Downing and his team, please request a consultation online or give us a call at (713) 487-8233. We look forward to meeting you.

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