Dynamic wrinkles, or lines that develop as a result of repetitive movement from facial expressions, are a common occurrence that comes with aging. These fine lines and wrinkles can make patients feel that they look older than they are. Thankfully, effective and minimally invasive treatment using Botox injections can reduce the appearance of these fine lines and wrinkles, helping patients in Lone Tree and Denver, CO look and feel more youthful. At Faces First, our Denver Botox® patients benefit from the expertise of plastic surgeons to make sure they achieve the best possible results.

What is Botox® Cosmetic?

Botox® Cosmetic is a prescribed medicine that is a simple, nonsurgical treatment administered by professionals on the forehead, in between the eyebrows, and into the crow’s feet around the eyes to relax the underlying muscles and smooth wrinkles with no downtime. Botox is made using a purified form of botulinum toxin and is classified as a neurotoxin injectable.

How Does Botox Work?

When injected, Botox® Cosmetic blocks the chemical signs from the nerve to the muscle and temporarily prohibits the muscle’s capacity to contract and create wrinkles. This relaxes and smooths the underlying muscles and wrinkles with no downtime, beginning within four to seven days of the injection. Repeat injections are necessary every three to five months to maintain the wrinkle-free appearance, as the body naturally and safely metabolizes the product over time. Many Botox patients report that their results last longer each time they receive injections as they continue with the treatment. Botox® Cosmetic has one of the highest patient satisfaction rates of all of the non-invasive procedures available in our Denver, CO practice.

Where can Botox® Cosmetic Be Used?

Botox has several uses. Primarily, Botox is used to reduce wrinkles and fine lines that develop as a result of repeatedly making facial expressions, such as frowning, squinting, or smiling. The most common injection sites for Botox include:

  • The forehead
  • Between the eyebrows (“11 lines” or “frown lines”)
  • In the crow’s feet

In addition to these uses, patients in Denver can use Botox for several other cosmetic purposes. First, Botox can be strategically placed to reduce marionette lines, which are vertical lines or folds that run from the corners of the mouth down, causing the lips to have a downturned appearance. Around the lips, Botox can also be used to reduce smoker’s lines. When injected in the chin, Botox can reduce excessive dimpling. Some patients have also received Botox injections below the nose to fix a “gummy” smile. Finally, Botox can be injected in the neck area to reduce bands or ridges commonly found in the neck as we age.

Aside from these cosmetic uses, Botox treatment can be used as a non-surgical and minimally invasive option for various medical issues. Some physicians have used Botox to reduce excessive sweating by injecting the product into the hands and/or feet. It is also useful in relieving TMJ pain when injected into the masseter muscle, which can also narrow the lower face for a positive cosmetic side-effect. Finally, Botox injections in the head or neck can reduce migraine headaches and may even ease depression.

Who is a Candidate for Botox?

Most people in Denver who have wrinkles, folds, or fine lines that are worsened when they make certain facial expressions are good candidates for Botox treatment. In addition, those with other concerns, such as a gummy smile, dimpling in the chin, or marionette lines, may be good candidates for Botox in Denver. Not all signs of aging are effectively treated using Botox, however. Your plastic surgeon may recommend an alternative treatment plan such as the use of dermal fillers to address your fine lines or wrinkles instead. Botox candidates should also be generally healthy and have realistic expectations for their treatment and results. Your Denver, CO plastic surgeon will explain whether Botox or another treatment is correct for you after a consultation. Typically, Botox injections can take place immediately after a consultation during the same appointment in our Denver office.

What is the Botox Procedure Like?

During your Botox appointment, the first step is to thoroughly cleanse the injection site, and your injector may apply a numbing cream to the area as well. The appropriate number of injections to achieve your goal results will then be administered. Immediately following your injections, you will likely see some redness and slight swelling, which quickly dissipates. Botox patients are usually advised to avoid strenuous activity such as exercise for about 24 hours after their procedure, but can otherwise return to work or their routine as normal immediately following their Botox injections if they choose.

If you have questions about Botox® Cosmetic or would like to set up a consultation to discuss your options, call our Denver office today at 303-744-2300.


View More Botox® Before & Afters
Botox®before and after

*actual patient of Botox® Cosmetic Surgery

Frequently Asked Questions

Can Botox age you?

Botox should not cause you to look older, even after the results fade. Many patients also use Botox to prevent wrinkles from getting worse over time.

Can I go for a walk after Botox?

You can go for a walk after Botox injections. However, it is best to avoid strenuous exercise for about 24 hours to prevent bruising or other complications.

Can Botox cause weight gain?

Botox does not cause weight gain.

Can I have wine after Botox?

It is best to avoid drinking alcohol for about 24 hours after receiving Botox injections, as this can increase your risk of bruising or bleeding.

Can you drink coffee after Botox?

There are no restrictions on drinking coffee after receiving your Botox injections.

How long until I will see the results of the Botox?

When you are given Botox, it may take one to two weeks to start seeing the full effect. Botox lasts on average 2 to 4 months and the duration can depend on a number of factors including the amount, the muscle characteristics of your face and how expressive the treated muscles are, and how often they are used. For example, it is important to receive the full dosage as a lower dose will not last as long. In addition, some people have larger muscles or increased activity that require higher doses and Botox effect may wear off faster.

Can I wear makeup after Botox?

In the first few hours after receiving Botox it is important not to put excessive pressure or irritation on the treated areas. Beyond that there’s no problem with your usual skin treatments, including makeup.

Do I have any restrictions with bending over or working out after Botox?

For the first few hours after receiving a Botox treatment you need to be careful about a few things so that the Botox does not spread away from the muscle being treated. This includes avoiding bending over, excessive exercise, or placing direct pressure such as by wearing a hat or goggles in the treated area.

Board-Certified Plastic Surgeons at FacesFirst Cosmetic Surgery | Website

Dr. Christopher Cote and Dr. Nicolette Picerno are board-certified plastic surgeons practicing in Denver and Lone Tree, Colorado. They have over 40 years of combined experience together in facial plastic surgery. Both Dr. Cote and Dr. Picerno specialize in procedures like Facelift, Browlift, Facial Rejuvenation, Nose Surgery, and many other types of cosmetic procedures at FacesFirst.