BOTOX® & Fillers

Injectables such as JUVÉDERM® and BOTOX® Cosmetic, have become increasingly popular at Houston Plastic and Reconstructive Surgery. These remarkable products soften lines and wrinkles, smooth out irregularities, and create youthful contours with little to no downtime. Many people choose to combine BOTOX (or XEOMIN® or Dysport®) injections with fillers for a “liquid facelift” that can take years off in a subtle, natural way.

Our medical spa offers a range of facial fillers and wrinkle smoothers for suburban Houston residents who want to polish their looks without surgery. Request a consultation online to learn more about our plastic surgeons and licensed spa staff, or call us at  (281) 282-9555 to schedule an appointment.

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Each plastic surgeon on our team has the training, experience, and talent needed to provide the natural-looking results patients want while ensuring their safety and comfort.

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BOTOX Cosmetic, XEOMIN & Dysport

Neurotoxin injections are the most popular cosmetic procedure in the world, probably because they give you a lot of “bang for your buck.” XEOMIN and Dysport are very similar to BOTOX as they all use purified forms of botulinum toxin type A to temporarily relax the muscles that cause dynamic wrinkles.

It’s important that the treatment is performed by a trained injector who targets the tiny facial muscles with precision. Our Houston med spa is supervised by our team of plastic surgeons, and most of our injections are performed by our licensed registered nurse injector.

Common areas treated with BOTOX, XEOMIN, and Dysport include:

  • Horizontal forehead wrinkles
  • Vertical lines between the eyes often called “frown lines”
  • Crow’s feet around the eyes

The results of these injections aren’t immediate. Patients who get botulinum toxin injections typically notice a difference beginning about 3 days after treatment and it usually takes 7 to 10 days before the results are complete. The effects of both products typically last about 4 months, although each patient’s experience is unique. We recommend touchup treatments every 3 to 4 months in most cases.

Common Questions About Wrinkle Smoothers

Will I be able to make my normal facial expressions?

Yes, your face will still be animated because only very specific muscles are weakened. For example, you won’t be able to make the scowl that forms your vertical frown lines, but you can still frown, smile, and raise your eyebrows.

Is it safe to inject a neurotoxin into my face?

Yes. Variations of the botulinum toxin have been used therapeutically since the 1980’s, and they have been approved for cosmetic use for more than a decade. Of the millions upon millions of these procedures performed, there have been very few adverse reactions. Up to 5% of people may experience mild injection site bruising or headaches. To put it into perspective, BOTOX has a much better safety profile than aspirin.


Dermal fillers are an excellent cosmetic treatment for patients who want to improve their looks but who aren’t ready for more invasive procedures such as eyelid surgery, rhinoplasty or a facelift. Although the results are temporary, filler treatments are lasting longer than ever and are very popular among our Houston-area patients. We offer JUVÉDERM, JUVÉDERM VOLUMA® XC, RADIESSE®, Restylane®, Restylane® Silk, Perlane®, and BELOTERO BALANCE®.

JUVÉDERM — JUVÉDERM products use hyaluronic acid (HA), a substance found naturally in the human body that helps plump and hydrate the skin, giving it a youthful appearance. As we age, the amount of HA begins diminishing and our skin becomes “deflated,” causing it to droop and form lines. JUVÉDERM fillers are silkier than most fillers and are an excellent choice for treating wrinkles and fine lines, such as nasolabial folds and lines around the mouth and chin. It is also used to give lips a fuller look and to restore volume to areas of the face that have a sunken or flattened appearance. JUVÉDERM VOLUMA® XC is the only filler approved by the FDA specifically to treat the cheek area, and is clinically proven to last up to 2 years.

RADIESSE — RADIESSE is made of tiny calcium-based microspheres suspended in a water-based gel. The microspheres are similar to material found in the body and patients don’t need allergy testing before treatments. RADIESSE is thicker than most fillers and immediately restores volume to the treatment areas. Over time, the filler also triggers the production of your body’s own natural collagen, giving the skin a firmer, smoother appearance. Because RADIESSE provides more structure than other fillers, it’s a good choice for smoothing out contours of the nose and jawline and for filling chin wrinkles.

Restylane, Restylane Silk & Perlane — This family of fillers also uses hyaluronic acid to fill in wrinkles and add volume to areas such as the lips. Restylane is used to treat moderate wrinkles such as lines around the lips and the nasolabial folds. Perlane has slightly larger particles than Restylane, making it well-suited for deeper injection to fill in more severe wrinkles. Restylane Silk has the smallest particles and is designed specifically for enhancing the delicate lip area. Results last 6 to 12 months.

BELOTERO BALANCE — The introduction of BELOTERO provides more versatility to treating facial wrinkles and fine lines. BELOTERO is a thinner gel than JUVÉDERM and is injected using a smaller needle, so it’s a good choice for treating superficial lines that require precision. It is often recommended for “smoker’s lines” around the mouth and for fine lines under the eyes.

Common Questions About Fillers

How long do filler results usually last?

It depends on the filler. Most hyaluronic acid fillers produce results that last 6 to 9 months, depending on the treatment area and the patient. VOLUMA is proven to last up to 2 years, and RADIESSE can last up to a year or more in many patients.

How can I avoid puffy cheeks or “duck lips?”

The key here is to find an experienced, highly skilled injector. Our nurse injector has been using these products for years, and her aesthetic eye and skilled hands produce subtle, natural looking improvements. You can see our patients’ remarkable results in our before-and-after gallery.

Combining Treatments

We often recommend a customized treatment that combines injectables with other nonsurgical treatments, such as ThermiTight® and ThermiSmooth® Face at our MedSpa to address a patient’s specific needs and achieve a more complete facial rejuvenation. KYBELLA® is an FDA-approved injectable treatment to reduce the appearance of a double chin. For many women, permanent makeup such as eyeliner or lip color performed by our certified medical micropigmentologist, Sherah, makes an attractive accent. Injectables are also a nice adjunct to surgery, and many people use them to enhance or prolong their surgical results. Your physician will help you decide whether or not injectables are a good choice for your needs.

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