Botox Cosmetic Treatments

Article by
Laguna Niguel Dermatologic Surgeon

Botox Cosmetic (Botulinum A Exotoxin), when used appropriately, is one of the safest and most effective treatments for relaxation of facial lines and wrinkles. When injected into certain facial muscles it relaxes these muscles, thus smoothing out the wrinkles. This relaxation typically lasts 3-6 months. Dr. Klein believes in customizing each patient’s treatment. Your Botox treatment will be individually designed specifically for you.

Dr. Klein is a National Botox Trainer for Allergan and a Diamond level aesthetic partner with Allergan, representing the top 1% of all physicians using Boto.x

Fees are based on the amount of Botox used (except for lips.) This is determined by the location of the wrinkles, strength of the muscles, and your previous results with Botox. Our average fees are:


o Creases between the eyebrows - $260 - $520
o Horizontal forehead lines - $160 - $260
o Crows feet - $260 - $400
o Brow lift - $50 - $185
o Dimpled chin - $65 - $130
o Corners of mouth - $80 - $130
o Neck - vertical bands/cords - $260 - $700
o Uneven eyebrows can be made more symmetrical - $25 - $300
o Lips- a flat fee of $150 for 1 lip, $250 for both. Touch-ups are included for lips during 1st 6 weeks, as needed.
o TMJ- Botox can relieve pain and reduce jaw clenching and teeth grinding - $260 - $520
o Botox for underarm sweating - results last for up to one year. $990 for up to 100 units.
Touch-up fees for all other areas usually range from $60 - $130 per area.

Side Effects
There is a relatively low incidence of side effects, all of which are temporary. These include:
o Lid Ptosis (drooping of the eyelid.) The incidence of this, although 3-10% in studies, has been less than 1 per 10,000 treatments in our office. If it occurs, it typically resolves in 2-4 weeks.
o Brow Ptosis (lowering of the eyebrow.) This can occasionally occur after forehead treatments in patients who normally have low-set brows and unknowingly use their forehead muscles to hold up their brows. If this has ever occurred, let us know and we can customize your treatment so that it can be avoided in the future.
o Bruising can occasionally occur at an injection site.
o A headache can rarely occur, usually due to a muscle spasm from the injection, not the Botox. It may last for 2-3 hours, rarely for several days. Tylenol or Advil can be taken after your treatment if this occurs.
Post-treatment Instructions
o Avoid rubbing the area for 4 hours after your treatment.
o Botox results appear between 2-14 days after treatment. Until we know your “perfect” dose, more Botox may be needed several weeks after treatment for optimal results. Wait 2 weeks before returning for a touch-up.