BOTOX is arguably the most-known and most popular method to treat moderate to severe facial lines and wrinkles by injecting the skin to relax the muscles associated with wrinkles. Denver plastic surgeon, Dr. Manish Shah, injects this FDA-approved medication into overactive muscles which relaxes them and in turn, lines and wrinkles on the skin’s surface become less noticeable. BOTOX is so effective because it’s made of a purified toxin, C. Botulinum type A. After Dr. Shah injects BOTOX, results can be seen in 2-7 days and effects last around 3-4 months. Since Shah Aesthetic Surgery has administered such a large amount of BOTOX safely and effectively, it is a BOTOX Platinum Level Practice.
"Awesome doctor! - Dr. Shah has been doing my injections (Botox and Juvederm) for some time now and had also done a non-surgical nose job for me as well. He is knowledgeable and very kind. I plan have him do my rhinoplasty next year as well. Best doc in Denver, hands down!"- M. / RealSelf / Sep 18, 2017
"Dr. Shah has been doing my injections (Botox and Juvederm) for some time now and had also done a non-surgical nose job for me as well. He is knowledgeable and very kind. I plan have him do my rhinoplasty next year as well. Best doc in Denver, hands down!"- M. / RealSelf / Sep 18, 2017
"I wanted to take this opportunity to share my experience with Shah Aesthetic Surgery. I was experiencing some age related issues in my face and neck, and my wife, who has been a patient of Dr. Shah, recommended that I visit with him. During my initial visit, Dr. Shah asked me what my concerns were and what I wanted to achieve. He then examined my face and neck and made some observations about what he felt were possible concerns, and recommended some corrective options. He encouraged me to think about what I wanted to achieve, and to let him know. I gave the matter a lot of thought, and went back to Dr. Shah for a second consultation. During the second consultation, I mentioned that I was concerned about always looking tired and angry; especially when I wasn't. Dr. Shah noticed my "scowl" and suggested that he could address that specific problem by Botox injections or surgery. That became an "ah-ha" moment for me because I realized I had been dealing with stress and pressure in my forehead and eyes (and a LOT of headaches) for most of my life. As a results, I agreed to a surgical correction to that problem, as well as some aesthetic corrections to my eyes, face, and neck. He told me how long short-term recovery would take, anticipated side effects (swelling, etc.), and how long it would take for the full results of the procedures to take effect (six months). I began following Dr. Shah's pre-surgery protocols a couple of weeks before the procedure. In addition, I followed Dr. Shah's rapid-recovery protocols after surgery. The surgery went well, and I was able to notice a lack of pressure in my forehead shortly after surgery. The relief has been profound and very much appreciated. As the swelling in my face and neck subsided, I began noticing the improvements to my appearance that were subtle and natural looking. I looked younger and less stressed. It has been two months since my procedure, and I am very pleased with the results so far, and I look forward to more improvements over the next four months. I am very impressed with Dr. Manish Shah and his staff for the quality of services they provide, and I am grateful for the genuine caring and professionalism they demonstrated throughout my consultations, procedure, and aftercare. I strongly recommend Shah Aesthetic Surgery. They get it, and they deliver. I am a happy camper!! Signed, A Happy Camper"- JT / Office Visit / Dec 27, 2017
"Dr. Shah is a physician artist - I live in northern Colorado and have been to a couple of plastic surgeons in my area. My first ps did my first BA in 1999 and the second BA for replacements 17 years later. I was never completely happy with either procedure/result.My second ps does my coolsculpt and botox, both very minor procedures. When I asked him about a lower facelift he said "too early for you, wait about 10 years" so I took my saggy jawline and baby jowls and got a second opinion from Dr. Shah after researching on Realself. So glad I did! Dr. Shah agreed with the other doc that my situation was not dire enough for a lower facelift but recommended lipo of the jawline and microneedling for mild wrinkles. The procedure was an hour and was a piece of cake. Recovery was a breeze, but my bruising was noticable. Glad I took two weeks off of work. I do still have a little numb and a little sore here and there. I am 4 weeks post and could not be happier. The entire experience is what good plastic surgery should be: comfortable, informed, and done by a master plastic surgeon!"- T. / RealSelf / Sep 25, 2017
"Shaw Aesthetic Surgery and Staff - I have been going to Dr Shaw for over 12 years. I can not say enough kind words about Dr Shaw and all the girls that assist Dr Shaw . No matter how little or major surgery you have done or you are thinking of doing , you can trust that that they will do what is best for you . They care about you as a person and you never feel like they would do a procedure just to make money but that it will enhance you as a person . From eye brow lift to head and neck lift to full face lift to fillers and Botox, I have always been treated with kindness and good advise. Dr Shaw has a kind heart that makes you feel safe but most of all , you are in great hands. The Office and Dr Shaw get a 5* from me"- J. / RealSelf / Oct 02, 2018
Tiny doses of BOTOX are injected into the skin where wrinkles are noticeable. It is normally done in the doctor’s office and the procedure can last from 15 to 30 minutes. The number of injections and dose amounts administered varies by patient depending on the severity of wrinkles. Patients are first marked with ink prior to the injection so that the practitioner can accurately inject the areas in need of wrinkle softening. This procedure does not create any discomfort other than a normal prick that comes with a small needle. A numbing cream may be applied to help with any discomfort. Patients will be able to go home right after treatment with no downtime from their normal routine.
What to Expect
After treatment, mild swelling and bruising may appear on the injection spots. Patients are advised to limit exercise and to sleep in an upright position the same night as the treatment. The redness and swelling will only last for a few hours, but some patients may experience bruising for several days. There are bruising medications, such as Arnica, that patients can take a week prior to treatment to help minimize bruising. The results from a BOTOX treatment take 5-7 days to appear. When they do, the face will look smoother and brighter, and patients will feel rejuvenated by their fresh appearance.
Plan Your Procedure
- Recovery Time
- Average Procedure Time
- 15 minutes
- Post-op Follow-up
- 3 months
- Procedure Recovery Location
How Safe Is It?
When administered properly, BOTOX rarely causes any complications. With that said, it is still very important to find someone who has experience in handling this medication. Too much of the product can cause an undesirable outcome. A skilled practitioner will use just enough of the medication to effectively freeze the facial muscles that cause wrinkles while leaving nearby muscles unaffected. BOTOX is one of the most popular cosmetic treatments on the market today. It is safe and effective, and approved by the FDA. BOTOX is also used to treat other medical conditions such as squints, excessive sweating, uncontrollable blinking and migraines.
There is an ongoing trend where people who wish to have BOTOX treatments will gather together and administer the BOTOX doses themselves called ‘BOTOX cocktail parties’. This is very risky. BOTOX, when administered incorrectly, may paralyze unintended muscles that can result in an abnormal facial appearance. BOTOX treatments should be done in a medical setting with an experienced, skilled injector.
Same As BOTOX?
In recent years, BOTOX has seen some competition as other drugs have been approved by the FDA and introduced to the aesthetic market. Dysport and Xeomin are muscle relaxers similar to BOTOX. Each has its specific trending function that can be addressed during the initial consultation. Sometimes, a combination of the drugs is used to treat various areas. For example, BOTOX for frown lines, and Dysport for crow’s feet.
Are Fillers Better?
BOTOX and fillers are both popular cosmetic treatments with the ability to decrease wrinkles and smoothen facial areas. The difference with each is the way the substances function to create the rejuvenating effect. Injectable fillers add volume under the skin to fill hollow areas and decrease the appearance of wrinkles on the surface. BOTOX, on the other hand, relaxes the muscles underneath the skin so that the muscles cannot contract, allowing a softer effect on the surface. It is very common for patients to undergo treatment using both a muscle relaxer and an injectable filler to attain optimal results.
Today, practitioners are treating patients of all ages with BOTOX. For some individuals, for example those as young as 30, BOTOX is considered a preventative way to prevent facial wrinkles. For others (i.e. 40 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles. Older individuals (55 and up) will still receive great benefit from having BOTOX injections, but for some, a facelift technique might be a better option to consider.
How Long Does It Last?
A BOTOX injection will last between 3-4 months. The treatment can be repeated every quarter and for most patients who receive this treatment, they usually come back for more. BOTOX is an effective, easy and safe way to minimize the appearance of facial wrinkles. Patients consider it a part of their normal beauty routine.