Botox Cosmetic

Questions & Answers

How long will my results last?
BOTOX® Cosmetic starts to work within 24 to 48 hours and can last up to 4 months.

How many units will I need?
The amount of BOTOX® Cosmetic needed varies with each patient. We suggest you schedule a complimentary consultation with our Aesthetic Nurse, Kathy Nicassio to determine the appropriate amount for you to achieve your desired result.

Is the treatment painful?
Kathy Nicassion, R.N., A.N.S. is the only certified trainer on the central coast. She was selected by Allergan, the makers of BOTOX® to train other Doctors and Nurses on the central coast on the art of injecting. Kathy is very gentle and works to ensure the appointment is virtually painless. Most patients do not need any numbing agent, however, we do offer a topical numbing cream that can be applied to the injection prior to the appointment .

BOTOX® Cosmetic is a prescription medication that can relax the muscles that cause deep, unwanted lines on your face. While BOTOX® cosmetic was FDA approved in 2002 to treat the lines and wrinkles between the eyebrows (the glabella), it is also widely used by dermatologists and dermasurgeons to improve crow’s feet (lines around the eyes), forehead lines and lines elsewhere. Today, BOTOX® Cosmetic is the #1 selling product of its kind in the world

How It Helps

In one short office visit, Keith Llewellyn MD or Aesthetic Nurse Specialist, Kathy Nicassio R.N., A.N.S. (the ONLY certified nurse trainer on the central coast), can use BOTOX® cosmetic to relax the muscles that cause unwanted prominent lines and wrinkles between your eyebrows, around your eyes (crow’s feet) and on your forehead. No surgery or anesthesia is required. Typically, a few relatively painless injections of BOTOX® cosmetic are placed into the muscles that are causing these lines to form. Within 3 to 10 days, BOTOX® Cosmetic will relax these muscles and your facial lines and wrinkles will dramatically improve. There is no down time with BOTOX and the procedure itself only takes 10 minutes.

What to Expect

While initial effects with the injection are visible in as soon as 3-5 days, you should expect your final results to be achieved 2-3 weeks after an injection.

How to Prepare

Two weeks prior to your treatment, you should avoid taking aspirin (unless prescribed by your physician), non-steroidal anti-inflammatory medications (Advil, Motrin, Alleve or Ibuprofen), Gingko Biloba, Vitamin E or fish oil supplements. These agents may increase bruising and bleeding at the injection site.

Most patients do not need topical numbing cream. Please notify our office if you desire a topical numbing cream. as you will need a longer appointment time.

Post-Care Instructions

Following your BOTOX® treatment do not work out or lay down for 4 hours following your injection.

Do NOT have any facial laser treatments for two weeks following your BOTOX® injection.

Bruising is possible and, therefore, we recommend that you schedule any social plans accordingly.

Arnica supplements have been shown to reduce discomfort, bruising and swelling from injectable procedures. Arnica pills may be started the day before or the day of treatment and should be continued until bruising has resolved.

What Patients Are Saying...

I see Kathy Nicassio for my Botox treatments. She is the absolute best of the best! I am in love with my results.
— Female Patient, Age 30
Kathy is a master at enhancing your natural features and restoring a more youthful you. She has an amazing artistic eye and is truly an expert in facial rejuvenation. I trust her recommendations and I always end up looking like myself only better! Her injections are extremely gentle which makes the experience easy and enjoyable. I always look forward to my visits with Kathy.
— Female Patient, Age 44

Before & After Photos


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