Botox Injections is a popular treatment, enjoyed by millions of people worldwide each year. We hear of interest in it from all around the South Puget Sound Area, from Seattle to Olympia to Portland. Find out why this simple procedure is a go-to choice for people looking to reduce the appearance of lines on their face.

before & after photos


Botox injections is a treatment used to reduce fine lines and prevent further signs of aging

The cosmetic form of botulinum toxin, sometimes referred to as “Botox” by patients, is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, crow’s feet near the eyes. Several other areas have been treated such as thick bands in the neck, thick jaw muscles, lip lines and gummy smiles.

Botulinum toxin (Type A) is a cosmetic injection that blocks the nerve signals that cause muscles to contract. This effect relaxes and smooths the look of lines and wrinkles caused by repetitive movements on the face—most commonly, between the brows, crows-feet around the eyes, and horizontal forehead creases. Botulinum toxin is also used cosmetically to balance facial asymmetry and relax tight neck bands, as well as medically to reduce perspiration and to treat migraine headaches and muscle spasticity.

BOTox injections CAN BE USED TO

  • Smooth crow’s feet, forehead furrows, frown lines, lip lines and bunny lines
  • Diminish neck bands
  • Improve the appearance of skin dimpling of the chin
  • Lift the corners of the mouth
  • Soften a square jawline
  • Correct a gummy smile


Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals, expectations and desired outcome
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Any past treatments or surgeries to the treated area 

During the consultation for Botox Injections we will:

  • Examine your face and take photos for your medical record
  • Discuss facial rejuvenation options
  • Evaluate your overall health and any pre-existing health conditions
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications



Botox Injections may seem like a simple procedure to you, since it’s just a few shots. But it’s actually both an art and science that only an experienced healthcare professional should do.

A very thin needle is used to inject small amounts of botulinum toxin into specific muscles. By carefully choosing specific muscles, your healthcare provider weakens only the wrinkle-producing muscles, preserving your natural facial expressions.

Botox injections usually take less than 15 minutes.

The number of injections you need will depend on your facial features and the extent of your wrinkles. Crow’s feet, for example, usually demand two to three injections. Furrows above your brow could take five or more.

Botox injection RESULTS

You may notice results within a few days, but it can take up to a week to see the full effect. This improvement typically lasts about three to four months. You will notice smoother skin with less lines and wrinkles!

Dr. Nichols’ goal for each patient is to create a natural and harmonious look so that no one feature stands out as noticeably treated or obviously different from the rest of the face. Surgical and nonsurgical solutions can be combined in a variety of ways to suit each particular face, making your cosmetic journey as unique as you are.


We’d love to chat with you about Botox Injections. We will help you explore your Facial Rejuvenation options at Pearl Plastic Surgery. Contact us today to schedule your consultation!

Find out more about our Location and Scheduling.

Skip to content