BOTOX® Cosmetic

A Popular Wrinkle-Smoothing Treatment in Nashville


Every time we move a facial muscle, skin moves with it. After decades of making expressions, this movement can start to reveal lines where the skin moves—especially after collagen and elastin begin to break down as we age. BOTOX® at Nashville Plastic Surgery Institute is administered to temporarily paralyze these active muscles in order to provide wrinkle reduction and/or sculpt the face.


In use since the ’70s and now the No. 1 noninvasive aesthetic treatment in the world, BOTOX® Cosmetic is key for reduction—and prevention—of facial lines, though it is just one type of injectable Botulinum toxin type A available. When you meet with Nashville Plastic Surgery Institute’ experienced skin care consultants, they will carefully assess your needs before guiding you toward a suitable treatment. For some patients, it may be more appropriate to combine BOTOX® with another skin care or rejuvenation treatment, such as injectable dermal fillers, but in many cases, BOTOX® applied by our highly skilled nurse injectors will be sufficient to create the results you want.

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For more information about BOTOX® in Nashville, contact the Nashville Plastic Surgery Institute office online to discuss a consultation or call 615.932.7700.

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More About BOTOX®

Botulinum toxin type A, in the form of BOTOX® Cosmetic, is by far the most popular cosmetic treatment in the United States. This purified protein, which comes from the bacterium Clostridium botulinum, has been used for decades both medically and cosmetically and has been proven to be highly effective and safe. Products derived from botulinum toxin are used to eliminate wrinkles and prevent future ones from forming.

Once you can reduce the movement of overactive facial muscles, you can then prevent those muscles from causing folds in the skin. Wrinkles and fine lines around the face are mainly created by the overarticulation of these muscles.

BOTOX® from Nashville Plastic Surgery Institute blocks chemical messages that trigger wrinkle-forming contractions.

Facial lines known as dynamic wrinkles form as chemical signals released by nerves cause muscles to contract, pulling the skin into furrows. BOTOX® from our Nashville-based injectors temporarily stops these chemical messages from arriving, which keeps the muscles—and skin— at rest. The result is a smoother and younger-looking surface.

The most common areas for facial wrinkles to form are typically around the forehead, eyes, and mouth. This natural aging process gets more pronounced with time as deeper and deeper lines become permanently etched into our skin.

The advantages BOTOX® offers to the cosmetic world are vast. Rather than undergoing a more invasive surgical procedure like a brow lift or facelift, which requires general anesthesia and recovery time lasting a week or so, injectables need no recovery time, and the actual procedure can be completed in less than 15 minutes.

Not only is there virtually no healing required, but the injection process itself involves very little pain—if any at all. Anesthesia is typically not needed due the nonsurgical nature of the process, but a topical numbing agent can be applied beforehand if the patient wishes.

In addition, BOTOX® treatments are a fraction of the cost of surgery and offer the advantage of serving as a preventative measure to future wrinkles, which keeps you looking younger longer.

BOTOX® injections are so convenient, they can be completed in Dr. Jacob Unger’s office during your lunch break on a weekday. Note that some patients experience minor headaches or bruising following the injections. The headaches should be completely gone in a few hours, and the bruises typically fade away on their own in the following days and weeks.

What Can BOTOX® Treat?

BOTOX® injections at our Nashville rejuvenation center can be used to soften the lines between the eyebrows, horizontal forehead lines, crow’s feet, and smoker’s lines. Advanced techniques can correct a gummy smile, soften platysmal bands in the neck, and reduce chin dimpling or a turned-down mouth, as well as excessive sweating of the underarms, palms, or feet. Results typically last three months.

See how many units of BOTOX® the Nashville Plastic Surgery Institute team uses for results in various treatment areas.

Each person is unique, so each patient’s BOTOX® treatment at Nashville Plastic Surgery Institute will be custom tailored to meet their specific needs and goals. Dosing to accomplish the necessary muscle relaxation takes numerous factors—such as muscle density, thickness, and activity—into account. An eyebrow lift or smoothing a dimpled chin may require as few as two units, while addressing frown lines can take up to 25. Most treatments fall somewhere in between, with roughly 10 units being common.

BOTOX® Lip Flips vs. Surgical Lip Lifts

BOTOX® can also be used for lip “enhancement,” in addition to correcting wrinkles and asymmetry. It’s commonly used for non-surgical lip treatments known as “lip flips,” which enhance the shape of the upper lip and make it appear fuller. Although a BOTOX® treatment does not physically add volume to the lips, very small amounts of the injectable are introduced to relax the lip elevator muscles, allowing the part of the lip that’s inside of the mouth to “flip” or unfurl outward. Patients who want to make their lips look poutier without the use of dermal fillers or who want to fix a gummy smile, which shows too much of the gums because the upper lip recedes too much or disappears, tend to prefer the BOTOX® lip flip option.

Note that a surgical lip lift is another option for patients who would prefer a long-lasting facial rejuvenation treatment so that they won’t have to return for maintenance injections every few months to consider. For this procedure, a small part of the skin above the mouth is surgically removed, creating a more symmetrical and youthful appearance with fuller-looking lips. This treatment may be best for patients who are interested in reducing the vertical space that runs between the nose and the mouth. Surgical lifts also improve the lips in a more subtle way than fillers and neuromodulators like BOTOX®.

BOTOX® vs. Dysport®

Dysport® is another Botulinum toxin type A-based muscle relaxer that prevents contractions. The Nashville Plastic Surgery Institute team works directly with patients to determine which injectable would work best for them when it comes to achieving a smoother, more youthful look.

Both injectable wrinkle-smoothing treatments function similarly on the neurological level, acting as neuromuscular inhibitors that block signals from the brain to targeted muscles in the face responsible for wrinkle formation. Once the treatment is injected under the skin, it limits the chemical messenger known as acetylcholine from the nerve cells, which reduces the movement capability of an overactive muscle.

There aren’t many differences between BOTOX® and Dysport®, but there are some details worth noting. Although they both derive from botulinum toxin type A, Dysport® has a reduced protein load, which means the body is less likely to attack the solution with antibodies. It also means BOTOX® is less likely to migrate from the injection site.

In addition, Dysport® has been known to activate a bit faster, taking about one to two days, whereas BOTOX® generally requires two to three days to start showing results.

Whichever you prefer, the best results will be achieved by returning for injections about every three months.


The skilled professionals at Nashville Plastic Surgery Institute are dedicated to providing premier-quality, individualized care through science-based treatments like BOTOX®. Nashville-area women and men who want to take the first steps in achieving their aesthetic goals can schedule a consultation with our skin care specialists today or contact the Rejuvenation Center at 615.932.7700.

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Am I a good candidate for BOTOX® treatments?

Anyone who has facial wrinkles that are bothersome is a candidate! Both females and males receive BOTOX® injections. Areas we commonly treat are the “frown lines,” forehead lines, and crow’s feet. There are also many other applications, such as lip lines, the masseters, and bunny lines.

Does it hurt?

Most patients find that BOTOX® injections feel like small pinches or stings. The pain is very minimal, and the injections are very quick!

How much does it cost?

BOTOX® is sold by the unit. Each area of the face varies greatly in the amount of units used, and each patient is unique. The best way to establish how much it costs is to come in for a complimentary consultation and make a treatment plan.

How long does it last?

BOTOX® takes several days to start working after the injection, and it becomes fully effective two weeks after your treatment. The results last for three to four months for most patients.