Botox® Cosmetic

Botox® Cosmetic is a neuromodulator that minimizes fine lines and wrinkles. Botox can also be used for facial shaping.

How does Botox work?

Botox is comprised of a naturally-occurring, purified protein. Botox safely and temporarily blocks nerve impulses from entering the muscle to reduce it’s activity. When a muscle is no longer contracting, it reduces the wrinkling you would normally see when making an expression.

In addition to treating wrinkles, Botox can be used to create facial symmetry or for facial shaping. Common areas for Botox treatment include elevating the brow, jawline slimming, reduction of TMJ pain, reversing downturned lips or a downturned nasal tip, uneven eye size or a “jelly roll” under the eye, correcting a “gummy smile” or “bunny lines”, and reducing neck bands.

Expert knowledge of facial anatomy is the key to outstanding results. Precise dose and placement determine success of the treatment. Dr. Cox has performed multiple clinical trials for Botox right here in Chapel Hill, and travels frequently teaching other physician’s best injection practice and how to avoid complications.

Before & After Treatment at Aesthetic Solutions

Frequently Asked questions

Is Botox safe?

The FDA has approved Botox to safely treat wrinkles. Like any surgical or non-surgical procedure, there are risks. As an international teacher and trainer of other physicians in facial anatomy and injection technique, Dr. Cox stresses the importance of finding an experienced physician who understands the finer points of injectable treatments. Dr. Cox performed clinical trials for Botox as well as new neuromodulators not yet on the market and is internationally recognized for her skills as an injector.

Botox downtime

Botox treatments are well tolerated. The treatment is comprised of a series of precise injections with a very small needle. This process only takes a few minutes. Patients often compare the feeling to having their eyebrows plucked.

There is no downtime associated with Botox. Once the injections are complete, there is typically mild swelling and redness around the pin-prick injection sites. This dissipates within a few minutes.

BOTOX RESULTS

You will begin to see results from Botox within three to four days. Full results will appear two weeks after treatment. Botox typically last three to four months. One Botox treatment will reduce or eliminate dynamic wrinkles in the treatment area. Wrinkles that are etched in (remain visible at rest) will need multiple sessions for optimal results. In the case of etched lines, additional treatment modalities may be needed.

YOUR TREATMENT TEAM

Dr. Cox, Dr. Ishii and Dr. Kamrani perform Botox treatments in our office. Dr. Cox has performed clinical trials for most neuromodulators on the market, and believes a physician injector with thorough understanding of facial anatomy and the nuances of various products is necessary to provide the best results.

Completed Clinical Trials

Aesthetic Solutions is an active clinical research center. View related completed trials here.

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Aesthetic Solutions Will Be Closed Friday, 7/3/26, and reopen monday, 7/6/26.

For Medical emergencies, please call 911.

To reach the provider on call or to leave a message for our administrative team regarding an appointment, call 919-403-6200.