Boston Plastic Surgery Specialists


Dr. Brooke R. Seckel

BOTOX® injections in Boston

What is Botox® Cosmetic?

Botox® is a synthetic pharmacy-grade medication that is used in very small controlled safe doses for wrinkle removal and cosmetic anti-aging skin rejuvenation. Botox® removes frown lines, crow’s feet, and worry lines. Botox® is a protein called Botulinum toxin A or Onabotulinumtoxin.

How does Botox® work?

When we frown, worry, purse our lips or squint our eyes the muscles that cause these facial expressions pull on the skin and create lines or wrinkles on the face. Botox® cosmetic relaxes these muscles so that the muscles do not pull as hard on the skin and the temporary lines or wrinkles go away.

Why do people get Botox® injections?

  • Botox® for frown lines: Frowning can make you look angry and create the 11’s, two vertical wrinkles between your eyebrows. Botox® can remove frown lines or 11’s.
Botox Boston
Botox® before and after correction of frown lines, patient is trying to frown in the second photo
  • Botox® for crow’s feet: When we smile or wince wrinkles called crow’s feet appear on the sides our eyes. Botox® removes crow’s feet.
Botox Injections Boston
Before and after crow’s feet removal with Botox® (Individual Results May Vary)
  • Botox® for worry lines: When that many people worry they form transverse or horizontal lines on the forehead. Botox® can reduce the worry lines.
  • Botox® brow lift: The muscles that causes frowning and crow’s feet, work together to pull the eyebrows down. Botox® relaxes these muscles and allows the brow to be lifted as much as 6 mm. This is called the Botox® brow lift. For a more comprehensive result, patients may consider traditional brow lift surgery.
Botox Treatment Boston
Before and after Botox® brow lift and removal of crow’s feet (Individual Results May Vary)

Botox® Gallery

  • Botox® mouth lift: There are two muscles on either side of the corner of the mouth that pull the mouth down into a sad expression. Small amounts of Botox® can relax these muscles and allow the corners of the mouth to be lifted by the upper facial muscles.
  • Botox® to remove chin crease: Small amounts of Botox® can relax the mentalis muscle and soften the chin crease.
  • Botox® to reduce sweating: Hyperhidrosis is excess sweating of the palms, feet and arm pit. Botox® can reduce sweating.
  • Botox® as part of liquid facelift: Liquid facelift uses dermal fillers to plump the face and Botox® wrinkles and lines.

Is Botox® safe?

Botox® is safe if administered according to the recommended directions in the Botox® package insert using approved dosage in international units, by a physician who is trained and experienced with Botox® injections. Botox® is not safe for patients with certain neuromuscular diseases and other chronic illnesses that are listed as precautions in the prescribing information.

What does Botox® injection cost? lists the average price of a treatment in Boston at $695. We give special discounts on birthdays and frequently run special discounts.

Do Botox® injections hurt?

Botox® injections should be nearly painless when topical numbing cream and ice are applied prior to injection.

What do you do to make me comfortable during Botox® injection?

We carefully explain the Botox® procedure and give you informed consent. The skin is cleansed and topical anesthetic is applied. Just before injection we apply cold which numbs the skin and prevents bruising.

What do I look like after a Botox® injection?

In most cases you will look perfectly normal after a Botox® injection. You may have a little pink discoloration of the skin from the cold therapy but this is temporary. In some rare cases there can be bruising around the corner of the eyes.

Will people know that I had a Botox® injection?

No. After Botox® injection you look like yourself. The improvement you see in your face will be obvious to you looking in the mirror; however friends, coworkers, and casual acquaintances are not going to see the difference. Botox® treatment should leave you looking like yourself just rested not frowning and with fewer facial lines or wrinkles.

How soon will I see the full effect of Botox® for wrinkle removal?

The full effect of Botox® takes about 4 weeks to develop. Most patients see improvement within 24 hours but this improvement continues to increase.

How long does the Botox® effect last?

On average people who want to maintain their Botox® effect return every 3-4 months. Botox® effect can last 6-9 months in some people.

Who should not have Botox® injection?

Patients with neuromuscular disease such as ALS and other paralytic diseases should not have Botox®. There are also chronic medical illnesses which contraindicate Botox® or require a decreased dose, so be sure to discuss any illness you have with your physician before you have Botox®. Pregnant or nursing women should not have Botox®.

Who should do my Botox® injection?

Only a trained physician should do your Botox® injection. I know there are “nurse injectors” who do Botox® injections in some practices. However, in our practice at Boston Plastic Surgery Specialists, physicians do the Botox® injections.

Schedule a Botox® Consultation

Botox is one of the most popular anti-aging skin care treatments available at our Boston practice. If you have been looking for a cosmetic boost, but are weary of surgical treatments, consider our non-surgical anti-aging skin care options, such as Botox®. Contact our practice today to schedule a consultation.

Meet The Surgeon

Boston Plastic Surgeon Dr. Brooke R. Seckel
  • 35 Years Experience
  • Assistant Professor of Surgery Harvard Medical School
  • Chairman Emeritus Lahey Clinic Department of Plastic Surgery
  • Best Doctors in America 2012-2017
  • Top Surgeons in America 2012-2018
  • Realself Top 100 2017-2018
  • Top Plastic Surgeon in Boston

  • American Society of Plastic Surgeons
  • American College of Surgeons
  • Best of Boston Award – Boston Magazine
  • Best Doctors Logo
  • RealSelf Hall of Fame Award
  • Patients Choice 2019 – RealSelf

Start Your Journey

Plastic Surgery Boston



160 Commonwealth Avenue, Suite L1 Boston MA 02116

Phone: (617) 455-2859

Plastic Surgery Concord



131 Old Road to Nine Acre Corner Concord, MA, 01742

Phone: (978) 369-4499