Botox
Injections
Botox is not a single dose applied to a single line. It is a precise neuromodulator therapy that selectively relaxes the muscles producing dynamic wrinkles — while preserving the muscles that carry your natural expression. At Couture Dermatology and Laser, every injection is mapped to your individual facial anatomy in motion, delivering refreshed skin without the frozen look that comes from imprecise dosing.
Visible result
Result duration
Dermatologist
"The skill is not in injecting Botox — it is in knowing exactly which muscles to leave alone."
Selective Relaxation.
Natural Expression.
Botox is the brand name for onabotulinumtoxinA, a purified neuromodulator that temporarily blocks the chemical signal between nerve and muscle. When delivered into a specific muscle, that muscle softens — and the dynamic line above it smooths. The skin itself is not changed; the source of the line is.
The clinical decision is not "does Botox work" — it is which muscles to treat and which to preserve. The frontalis lifts the brows. The orbicularis oculi creates crow's feet but also closes the eyes. Treating one without weakening the other requires anatomical precision.
At Couture Dermatology and Laser, every patient is assessed in animation before a single unit is drawn into the syringe. We dose conservatively for first-time patients, refine at the two-week mark, and build a long-term protocol that maintains expression while softening the lines that age the face most.
From Assessment
to Refinement
Botox is a quick treatment, but the work happens before the injection — in mapping which muscles are creating which lines and how much movement to preserve.
Facial Anatomy Mapping
You are assessed in full animation — frowning, smiling, raising your brows — to identify exactly which muscles are producing your dynamic lines and how strong each one is.
Photographed for recordDosing & Marking
Injection points are marked precisely on the skin. Units are calibrated muscle by muscle — conservative on your first treatment, refined on subsequent visits based on observed response.
Customised dosePrecise Injection
Ultra-fine needles deliver micro-doses into the marked points. The session takes 10 to 15 minutes total. No downtime; you return to normal activities immediately with light aftercare.
10–15 minutesTwo-Week Refinement
Results begin at day 3 to 5 and peak at day 14. A complimentary review at the two-week mark confirms symmetry — small touch-ups are added if any area is under-responding.
Full effect @ day 14Neuromodulator
Options
Botox is the most recognised brand, but four FDA-approved neuromodulators share the same mechanism. The right product is selected based on onset preference, area treated, and personal response history.
The Original
Botox (onabotulinumtoxinA)
The most studied neuromodulator in the world, with two decades of clinical data behind it. Predictable, reliable results across the glabella, forehead, and crow's feet. Often the gold standard for first-time patients.
Faster Onset
Dysport (abobotulinumtoxinA)
Onsets slightly faster than Botox — often visible by day 2 or 3. Spreads marginally more from the injection point, which can be an advantage for broad areas like the forehead. Preferred by patients who want quicker visible results.
Pure Formulation
Xeomin (incobotulinumtoxinA)
Contains no complexing proteins — a "naked" formulation that theoretically reduces the risk of patients developing resistance over time. A strong choice for long-term consistent users seeking the cleanest possible formula.
Cosmetic-Specific
Jeuveau (prabotulinumtoxinA)
FDA-approved exclusively for cosmetic use, with a formulation engineered specifically for the aesthetic market. Often paired with the Evolus rewards programme, which loyal patients appreciate for ongoing maintenance dosing.
Softer Lines.
Preserved Expression.
Dynamic Wrinkles Softened
The forehead lines, glabellar 11s, and crow's feet that appear with animation visibly soften within two weeks. The skin reads as smoother, more rested, and harder to "place" in age — without losing the character of your expression.
Preventative for Future Lines
Repeated, low-dose Botox slowly trains the treated muscles to contract less forcefully. Patients who start in their late twenties and thirties often develop visibly fewer static lines later — Botox as long-term prevention.
Beyond Wrinkles — Functional Uses
Beyond cosmetic, Botox treats masseter hypertrophy for jaw slimming, excessive underarm sweating (hyperhidrosis), gummy smile, neck bands, and chronic migraine — all FDA-recognised therapeutic indications.
No Downtime, No Surgery
A single 10-to-15-minute appointment with no recovery period. You return immediately to work, social events, and exercise the same day — with results that develop gradually over the next two weeks.
Predictable, Reversible Results
Unlike permanent procedures, Botox results are temporary by design. If you ever wish to stop treatment, your muscles return to their natural state — no permanent change, no irreversible commitment.
"The goal is not to erase every line — it is to soften the lines that are reading as fatigue while preserving the ones that read as life."— Couture Dermatology and Laser
session length
Board-Certified
Every Botox injection is delivered personally by Dr. Chinonso Kagha Abisogun, MD, FAAD — a Fellow of the American Academy of Dermatology
Anatomy-First
Facial muscles assessed in motion before any injection point is marked — never a template-based dosing strategy
All Four Brands
Botox, Dysport, Xeomin, and Jeuveau in office — your dermatologist chooses based on your goals, not what is in stock
Two-Week Refinement
Complimentary follow-up at day 14 included — symmetry assessed and minor adjustments added at no extra cost
Areas We
Treat
Botox treats far more than forehead lines. Each area requires specific anatomical knowledge of the underlying muscle group and the appropriate dosing strategy.
Forehead Lines
Horizontal lines from the frontalis muscle. Dosed carefully to soften lines while preserving natural brow elevation.
Glabellar 11s
The vertical frown lines between the brows from the corrugator and procerus muscles — the most clinically validated Botox area.
Crow's Feet
The fan-shaped lines around the outer eyes from the orbicularis oculi muscle — softened without affecting the natural smile.
Masseter (Jaw Slimming)
Larger doses into the masseter muscle relax over-developed jaw muscles, slimming the lower face contour over time.
Lip Flip & Gummy Smile
Micro-doses subtly evert the upper lip border or reduce excessive gum show when smiling — high-precision micro-procedure.
Neck Bands & Underarms
Platysmal bands smoothed; underarm hyperhidrosis (excessive sweating) reduced with FDA-approved Botox dosing.
Is Botox
Right for You?
- Adults bothered by dynamic forehead lines, frown lines between the brows, or crow's feet that appear with normal expression.
- Patients in their late twenties and thirties seeking preventative neuromodulator therapy before deep static lines develop.
- Those who want natural, expression-preserving results — not the over-frozen, "done" look produced by poor dosing.
- Patients with a wider lower face who want subtle jaw slimming through long-term masseter treatment.
- Those affected by excessive underarm sweating (hyperhidrosis) seeking a long-lasting, non-surgical solution.
- Patients seeking the precision of dermatologist-injected Botox rather than a quick injection at a generic medspa.
Honest Expectations
Botox is best for dynamic wrinkles — the lines that appear with muscle movement. Deep static lines that remain at rest may soften but not fully resolve with Botox alone, and are often paired with dermal filler or laser resurfacing for complete improvement.
Botox is not permanent. Results last 3 to 4 months and require ongoing maintenance to preserve. Pregnancy, breastfeeding, and certain neuromuscular conditions are contraindications. Your dermatologist will confirm candidacy honestly during consultation.
Extend the Result
With…
Botox softens dynamic wrinkles. These adjacent treatments address volume, surface texture, and the static lines that remain — completing the full facial refresh.
Dermal Fillers
For volume loss, deep static lines, and structural facial support. Botox softens muscle movement; filler restores the volume that movement has slowly eroded over the years.
Explore dermal fillers →Laser Skin Resurfacing
Fractional laser for texture, pore size, and surface skin quality. Pairs beautifully with Botox to deliver smoother skin alongside softer expression lines.
Explore laser resurfacing →Microneedling
Collagen induction therapy for skin quality refinement, scar improvement, and ongoing rejuvenation between Botox treatment cycles.
Explore microneedling →Medical-Grade Skincare
A dermatologist-prescribed retinoid plus SPF 50+ protocol extends and protects every cosmetic investment — including Botox results.
All treatments →Results That Speak for Themselves
Individual results vary. Peak effect typically appears 10 to 14 days after treatment, with results lasting 3 to 4 months on average before maintenance dosing is required.
Refreshed Skin.
Unmistakably You.
No Botox treatment is correct without a proper assessment of your facial musculature in motion. At Couture Dermatology and Laser, Dr. Chinonso maps your unique anatomy before any unit is dosed. The goal is always softer lines and preserved expression — never the over-treated look.
Sat · By Appointment Only
"I had been to other clinics where the Botox left me looking flat and unable to express. Dr. Chinonso treated only what needed treating — my 11s are gone, but I can still frown when I disagree with someone. That distinction is everything."
Jessica L.
Verified Patient · Beverly Hills
Frequently
Asked Questions
Direct answers to the questions patients most commonly ask before their Botox consultation — on dosing, duration, technique, and realistic expectations.
Most patients enjoy results for 3 to 4 months. The duration depends on the area treated, the dose delivered, muscle strength, and individual metabolism. Consistent long-term patients often find their results last slightly longer over time as the treated muscles weaken with repeated dosing.
Dosing is highly individual. Typical ranges are 10 to 20 units for the glabella (frown lines), 6 to 15 units for the forehead, and 10 to 24 units total for crow's feet. Your board-certified dermatologist will recommend the exact dose after assessing your facial anatomy in motion during your consultation.
Most patients describe Botox injections as a quick pinch. Ultra-fine needles and refined injection technique keep discomfort minimal. Topical numbing cream or ice is available on request, though most patients do not find it necessary for standard upper-face treatment.
Initial softening of dynamic wrinkles typically appears within 3 to 5 days. Full effect is achieved at 10 to 14 days. A complimentary two-week follow-up is offered so any minor refinements can be made for perfect symmetry and balance.
Not when dosed and placed correctly. A frozen appearance is a sign of overdosing or imprecise injection technique — not Botox itself. Our approach prioritises preserved natural expression: softer lines, but full ability to smile, frown, and raise the brows naturally.
All four are FDA-approved botulinum toxin type A products with the same mechanism. Differences are in molecular formulation, onset speed, and spread pattern. Dysport often onsets slightly faster; Xeomin contains no complexing proteins; Jeuveau is FDA-approved for cosmetic use only. Your dermatologist will recommend the best option for your goals.
Related Treatments
Botox
in Beverly Hills, CA
Couture Dermatology offers botox in Beverly Hills CA, providing expert treatments to help you achieve a refreshed, youthful appearance. Our experienced dermatologists use precise techniques to smooth fine lines and wrinkles. Discover how botox can enhance your natural beauty with minimal downtime.
How Botox Works
What to Expect at Your Appointment
Consultation and Assessment
Treatment Planning
Injection Procedure
Aftercare and Results
Check Your Insurance Coverage
Who Is a Good Candidate
- Adults seeking to reduce fine lines and wrinkles are ideal candidates.
- Those with realistic expectations about natural-looking results are well suited for botox.
- Candidates should be in good general health without neuromuscular conditions.
- Individuals not pregnant or breastfeeding are appropriate for botox treatment.
Benefits of Botox Treatment
- Dermal fillers add volume and smooth deeper facial lines.
- Laser resurfacing rejuvenates skin tone and texture.
- Microneedling stimulates collagen for firmer, smoother skin.
- Chemical peels help improve skin clarity and radiance.
Complementary Cosmetic Treatments
Botox Pricing & Value
in Beverly Hills, CA
The cost of Botox in Beverly Hills, CA typically ranges from $300–$700 per treatment session, depending on the number of areas treated and the amount of product used. Pricing can vary by provider, your unique facial anatomy, and your specific treatment plan. Contact us to request a personalized quote tailored to your goals.
Dr. Chinonso Kagha
Abisogun, MD, FAAD
Why Choose Couture Dermatology
Check Your Insurance Coverage
Testimonials
- Rosie D.
Meet Our Providers
Dr. Chinonso Kagha Abisogun, MD, FAAD
Healthy Skin.
Beautiful
Complexion.
A More Confident You.
