What is BOTOX?

BOTOX is a purified protein made from bacteria (similar to an antibiotic) and in very small amounts, it produces muscle relaxation. Depending on where injections are placed, Dysport® and BOTOX® injections can create a smoothing effect on lines and wrinkles, leaving you looking refreshed, rested, and more youthful.

BOTOX: The Skills of YourInjector Matters Above All.

While there are many providers with different levels of expertise and experience providing BOTOX® cosmetic, the quality, longevity, and consistency of the results achieve will depend largely on the injector’s expertise. In addition to being among the most respected facial plastic surgeons practicing in Houston, Dr. Michel Siegel is a member of the BOTOX® Cosmetic Network in Houston. If you’re looking for BOTOX® injections in Houston, our plastic surgery practice is the best place to start.

Why Does Dr. Siegel CreateSuperior Results with BOTOX?

Dr. Siegel is a double board-certified facial plastic surgeon, this affords him with a deeper and more thorough understanding of facial muscular structure, as compared to most other injectors. When injecting BOTOX, he is conservative in approach, and understands which muscle strands are causing the lines and creases on your face. With his meticulous approach, and precise placement of injections, you can expect results that appear completely natural, fresh, and like you – not worked-on or obvious. Expect compliments, and comments about how well-rested you look – and who doesn’t appreciate compliments?

The BOTOX® Process

Your Private Consultation

The first step in gaining the benefits of BOTOX® injections is scheduling a consultation with Dr. Siegel. During this appointment, he will discuss your desired results with you and answer any questions you have about getting Dysport® or BOTOX® injections. Once he understands your particular goals for anti-aging, Dr. Siegel will customize a treatment, based on your goals, age, and individual aging specifically for you.

He may also use our advanced software to generate a three-dimensional BOTOX® “before and after” image to help you better envision how your face might look like after treatment. Dr. Siegel’s goals are to ensure that you are well informed and that all your questions have been addressed. He will spend as much time as needed during your visit to ensure that these goals have been met and you are comfortable.

The BOTOX Procedure: What Should I Expect?

Dr. Siegel performs each Dysport® or BOTOX® treatment personally at our beautiful Houston cosmetic surgery office. It is ideal to have BOTOX® injected by an experienced facial plastic surgeon, since an intricate understanding of facial anatomy, refined sense of aesthetics, and extensive experience will determine the difference between achieving a rested, rejuvenated appearance, or a frozen “worked on” look.

Dr. Siegel will carefully and skillfully determine where and how to apply BOTOX® to your face for superior results. When you come in, no anesthesia is required, but Dr. Siegel may choose to numb the area with a cold pack or anesthetic cream prior to injecting. Discomfort is usually minimal and brief. You can expect to be in and out of our office in a manner of minutes.

Recovery: Are There Rules to Follow After BOTOX Injections?

There is no recovery from Dysport® or BOTOX® treatments, but as with any injectable procedure, the most common complication is mild bruising and swelling, which typically fade quickly. However, Dr. Siegel’s experience with injectables in Houston can minimize these effects. You may also prevent or alleviate these symptoms by icing the area immediately after your treatment.

You should be able to return to work with no downtime. You could begin to see results from your BOTOX® treatment as early as three days after your injections, becoming fully visible around one week following treatment. You may notice your facial appearance continuing to improve for up to a month.

The longevity of BOTOX® is also injector dependent. Diluting, or watering down the BOTOX® preparation will shorten the efficacy of treatment to two to three months. Expect consistent and uniform results in Dr. Siegel’s expert hands, with results typically lasting around six months at which point the injections will need to be repeated.


Because of the way that botulinum toxins behave, both Dysport® and BOTOX® injections can smooth many facial areas. Regardless who injects BOTOX® cosmetic, it will have the same effect: smoothing wrinkles and lines in your forehead, around your eyes, and surrounding your mouth. However; a natural, BOTOX result has more to it than simply smoothing out wrinkles.

The human face has 43 muscles, strategic placement into the right muscle(s) , and the proper dose will result in a rested and youthful look. Injecting randomly to smooth wrinkles is what results in many of the unwanted looks associated with BOTOX® injections: droopy eyes, “evil eyebrows,” or just a fake, frozen appearance. Dr. Siegel’s expertise in facial plastic surgery and his thousands of completed Dysport® and BOTOX® treatments have given him the skills to create results that will make you look refreshed.

During your procedure, Dr. Siegel uses the smallest available needle on the market to inject the Dysport® or BOTOX® units, so the risk of inflammation is greatly reduced. This will also minimize the discomfort. Most of our patients say that it feels like a tiny pinch and nothing more and return to their work schedule immediately.

Following your injections, you may want to ice the treatment sites to help reduce or avoid any possible inflammation or bruising, which is rare. The only restriction after treatment is avoiding massage to the injection sites, as this could interfere with your results. Lying down or abstaining from strenuous physical activity following your BOTOX® treatment are advocated by other providers, but Dr. Siegel has found these actions have little effect. Of course, your post-BOTOX® instructions may vary depending on your specific treatment your personal circumstances. Dr. Siegel and our team will provide you with precise guidelines, so you achieve optimal results.

BOTOX® has been used in medicine for nearly a century. Physicians may use medical BOTOX® to treat conditions such as excessive sweating, temporomandibular joint (TMJ) disorders, vision problems, neck spasms, and chronic migraines, to name a few.

Cosmetic BOTOX®, in contrast, is used to enhance the appearance of the face by smoothing the skin and softening wrinkles. While the ingredient is the same, cosmetic and medical BOTOX® have different labels and are approved by the FDA for each type of use. Dr. Siegel administers cosmetic BOTOX®. If you believe you may need medical BOTOX® to resolve migraines or another health condition, we suggest that you discuss this with your general practitioner or an appropriate specialist (such as an ophthalmologist for an eye disorder). If you are interested in both types of BOTOX®, Dr. Siegel can discuss this with you at your initial consultation.

When injected by an expert, BOTOX is an exceptionally safe treatment. Side effects are extremely rare. The only problem that can arise is when an injector uses too much of the product or injects it into the wrong area. You can stay safe and enjoy the smoothing effect by ensuring your injections are performed by Dr. Siegel.

The cost of BOTOX injections will vary, based upon the number of areas you want treated, and the number of units needed to achieve your vision. To discover what the cost will be for you, you are invited to a private consultation. Generally, BOTOX injections are one of the most affordable anti-aging treatments available.

Injectable Disclaimer

Dr Siegel is a Facial Plastic Surgeon, this gives him an expert knowledge on facial structures, allowing him to minimize complications and create natural enhancements by knowing how much and where exactly to inject the right fillers.

Not all injectors have the same credentials, experience or artistry, and while this is not a surgical procedure, it is still a medical procedure, and the results depend on these qualities in your injector, rather than the type of filler or skin-smoothing injectable such as BOTOX or Dysport being injected.

The majority of injectors are not highly-skilled facial specialists may have limited experience performing BOTOX injections, or are doing them on a part-time basis. It requires not only an eye for balance, but also years to achieve the mastery of injection skills. This makes the difference between a natural and more youthful appearance, as opposed to the unnatural, frozen look associated with poorly executed injections.

People travel from across the US and world for a improved look by Dr. Siegel, but many are right here in the Houston area. We often see patients from Cypress, Spring, Bellaire, Sugar Land, Fulshear, Humble, Katy, and other nearby communities. We also see many patients from other areas in Texas, including Austin, San Antonio, Dallas-Fort Worth, Midland, Odessa, to name a few. Wherever you are, we look forward to helping you achieve your best look.

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May 1, 2020 Update:

Our office has reopened as of Monday, April 27th and we are following the recommended guidelines for maximum safety.

  • To make this transition as safe as possible, and to comply with physical distancing, we will be limiting the number of people in the waiting room to only one person.
  • To prevent having multiple people in the waiting room, we will space out appointments.
  • To minimize personal contact please be punctual for your appointment.
  • Please be on time for your appointment. If you are early, please wait in your car. If you are running late please call the office at 832-900-4818, so we can make proper arrangements.
  • For new patients, please fill out all your new intake forms at home. We will send you a link for registration when you make an appointment.
  • Patients must wear a mask that covers the nose and mouth when in the waiting room or walking back to the exam room.
  • If you are wearing gloves, please remove them when you arrive, we will provide you with hand sanitizer.

Please contact our office with any questions you have!

-Dr. Siegel & Staff

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