Botox Overview

With over 6.5 million treatments performed in the United States each year, BOTOX® cosmetic is the most popular aesthetic treatment, whether surgical or non-surgical. BOTOX® has been used in medicine for over 90 years and was approved by the FDA for cosmetic use over two decades ago. BOTOX® has an extremely safe profile for both medical and cosmetic use, as well as its partner injectable, Dysport®. It’s a purified protein made from bacteria (similar to an antibiotic) and in very small amounts, it produces muscle relaxation. Depending on where they are placed, Dysport® and BOTOX® injections can create a smoothing effect on lines and wrinkles, giving patients a more rested, youthful look.

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 an expert in facial plastic surgery, 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.

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Before & After Gallery

The BOTOX® Process


The first step to benefitting from cosmetic 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 what you’re looking for, Dr. Siegel will put together a personalized treatment plan for you. He may also use our advanced software to generate a three-dimensional BOTOX® “before and after” image to help you better imagine what your face might look like after having one or more injections. There is no time limit for your consultation. Dr. Siegel will meet with you for as long as necessary so that you feel comfortable and confident proceeding with BOTOX® cosmetic.


Depending on your particular aesthetic preferences and medical circumstances, Dr. Siegel will provide you with personalized instructions to help you get ready for cosmetic BOTOX® injections. Generally speaking, there is no preparation for BOTOX® or Dysport® Injections, but the small chance of bruising around the treatment site can be decreased by discontinuing any anti-inflammatory medications (such as Advil) about 10 days before treatment.


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 sufficient experience can determine the difference between achieving a rested, rejuvenated appearance, or a stretched and “worked on” look. Dr. Siegel will carefully and skillfully determine where and how to apply BOTOX® to your face based on your specific needs and preferences. 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.


There is no recovery from Dysport® or BOTOX® treatment, but as with any injectable procedure, the most common complication is mild bruising and swelling shortly after your appointment. However, Dr. Siegel’s experience with injectables can minimize or even eliminate these effects. You may also prevent or alleviate these symptoms by icing the area immediately after treatment. You should be able to return to work with no down time. You could begin to see results from your BOTOX® treatment as early as three days after your injection, becoming fully visible around one week following your treatment. You may notice your facial appearance continuing to improve for up to a month. BOTOX® typically lasts up to four months, at which point it may need to be repeated.


Where can I have BOTOX® injections on my face?

Because of the way that Botulinum toxins behave, both Dysport® and BOTOX® injections can be placed in virtually all areas on your face. 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. But a natural, fitting BOTOX result has more to do with it than simply smoothing out wrinkles. The human face has 43 muscles, so injecting the right muscles will result in a rested and youthful look. Injecting randomly to remove wrinkles is what results in many of the unwanted looks associated with BOTOX® Injections: droopy eyes, “evil eyebrows”, or just a fake appearance. Dr. Siegel’s expertise in facial plastic surgery and his thousands of completed Dysport® and BOTOX® treatments have given him the skills to precisely inject BOTOX® cosmetic in the right muscles. Placing them correctly creates results that compliment- not change- your appearance, as well as reflect a more rested, and rejuvenated look. Don’t assume that all providers offering BOTOX® Cosmetic injections have the same depth of knowledge and expertise as someone like Dr. Siegel.

What is the proper aftercare for BOTOX® injections

During your procedure, Dr. Siegel uses the smallest available needle on the market to inject the Dysport® or BOTOX® units, meaning any inflammation will be reduced greatly. This will also minimize the discomfort- most patients say that it feels like a tiny mosquito bite and nothing more, so they can also return to their work schedule immediately. Following an injection, you may want to ice your treatment sites to help reduce or avoid any possible inflammation or bruising, should they occur. 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 to have no impact on patients’ final results. Of course, your post-BOTOX® instructions may vary depending on your specific treatment and distinctive circumstances. Dr. Siegel and our team will provide you with precise guidelines to follow to ensure you remain healthy and enjoy optimal results.

How does cosmetic BOTOX® differ from medical BOTOX®?

As noted above, 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 their disparate uses. Dr. Siegel and our team administer cosmetic BOTOX®. If you believe you may need medical BOTOX®, 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 go over this with you at your initial consultation.

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 filler

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 of your injector, not the filler being injected.

The majority of injectors, not only be not be highly skilled facial specialist, but may have very limited experience performing this procedures or may be 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 will make the difference between a natural and more youthful appearance, as opposed to the overly filled and in-natural look associated with poorly executed injections.