BOTOX Cosmetic in Fort Worth, TX

When you smile, squint, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce wrinkles in the skin. These lines can make you look older, sad, angry or tired. BOTOX® Cosmetic is both preventative and  corrective.  It helps delay signs of aging and helps prevent these lines from deepening while it softens or erases these hallmarks of aging, leaving you looking younger and more refreshed.

Botox Cosmetic

How BOTOX® Cosmetic Works

BOTOX® Cosmetic is the brand name for onabotulinumtoxinA, a therapeutic muscle-relaxing agent derived from the bacteria Clostridium botulinum.  When injected in small doses in specific areas, BOTOX® injections block nerve conduction to muscles responsible for repetitive actions. Originally approved by the FDA for the treatment of eye muscle spasms, BOTOX® was quickly recognized for its cosmetic value.

In 2002 the FDA approved BOTOX® Cosmetic for cosmetic use in the area between the eyebrows.  Since then it has also been approved to treat forehead wrinkles and crow’s feet (laugh lines beside the eyes).  As it relaxes the muscles in the face that cause wrinkles the skin in those areas becomes smoother, helping a person look relaxed, less tired, and perhaps less angry.

A vial of BOTOX

Areas Usually Treated with Botox Cosmetic

BOTOX® Cosmetic is FDA-approved for treating moderate to severe forehead lines, frown lines, and 'crow's feet'.  People who have lines etched across their forehead, 'scrunch' lines between their eyebrows, and laugh lines beside their eyes can see dramatic changes from BOTOX treatments.  The results, usually lasting about 3 months, often result in a relaxed, refreshed appearance.  Typically BOTOX results begin to be noticed after about 3 days, but it can take 10 to 14 days to see the full effects.  Watch the video below.  It shows the effects of BOTOX injections of Dr. Kunkel's forehead, frown lines, and crow's feet areas.  Before photos are shown, followed by the results after 3 days, 1 week, 10 days, and 2 weeks.

In the next video, Krista describes how BOTOX® Cosmetic can be used to provide a subtle lifting of the end of the eyebrows.  Women love getting this little 'pick-me-up' effect!

BOTOX® Injection Treatments

The treatment takes just a few minutes.  Krista Barrington, R.N., does most of the injections in our Fort Worth office.  Most clients like to have a little topical anesthetic applied to their skin before the treatment.  Using a tiny needle, BOTOX® Cosmetic is injected under the skin into specific muscles of the face that are causing lines and wrinkles.    There’s really almost no ‘down time’.  People return to their normal activities within an hour or two.  Here’s a brief video of Krista talking about how she prepares BOTOX® for use:

If you want to see what's involved in a BOTOX treatment, watch the next video.  It shows Krista doing the actual injections of BOTOX to Dr. Kunkel's forehead, frown lines between the eyebrows, and crow's feet areas.

Botox Frequently Asked Questions

How Long Does Botox Last?

The effects of BOTOX® Cosmetic typically last between 3 and 4 months. It takes about 5 days to begin to see the effects. The peak results are noticeable about 10 – 14 days after injection. As the medication’s effects diminish, the muscles become more active and the wrinkles gradually return.

Who Is A Candidate For Botox?

BOTOX® Cosmetic is FDA-approved for use in anyone from age 18 to 65.  It is also often used in healthy men and women older than 65 and may at times be used in people younger than 18.  It’s a great treatment for someone with wrinkles in the forehead, between the eyebrows, and beside the eyes.  A person should be in good health, not pregnant or breast-feeding, and not have a neuromuscular disorder.  Individuals taking blood-thinners are at increased risk of bruising during and after treatments.

How Often Can I Have Botox Treatments?

It is possible to have treatments every 3 to 4 months.  Most people, however, don’t receive treatments that often.  Some clients receive two or three treatments a year.  Others do it more selectively.  They get treated about a month before a class or family reunion, wedding, or other prominent social engagement.  Having a treatment one month before a major even ensures that BOTOX® will be working fully by the time of the event and any bruising will be gone or very easily concealed.

Do Botox Injections Hurt?

Very little, if at all. Having said that, we do often place a topical anesthetic on the areas to be treated and leave that on for about 20 minutes before the procedure. Some facilities have clients use ice on the areas before they are treated. While that works, we prefer the topical ointment. After the injections are completed it is extremely uncommon for someone to have any pain.

Is There Bruising After Botox?

Rarely. A tiny needle, like those used for insulin injections, is used. Most people have no bruising at all. Sometimes one or two very small bruises may develop. A person taking a blood-thinning medication is more likely to have bruising. If a bruise does occur, it might be visible for a few weeks.

What Are The Risks Of Botox?

In our experience perhaps the biggest “risk” is that there may be a slight asymmetry of the effectiveness of the medication. Perhaps a client may notice a little more movement of one side of the forehead than the other a few days after treatment. In a case like that, she might come back and have a little more Botox placed in that area. Other risks include bruising, temporary redness at the injection sites, and headaches. In rare cases slight drooping of an eyelid may occur.

The Importance Of Choosing A Qualified Injector

Even though BOTOX® Cosmetic treatments are not surgical procedures, they are medical treatments. It’s important to choose an experienced, qualified person to do the injections. Dr. Kunkel and his Aesthetic Nurse Krista are intimately familiar with BOTOX® Cosmetic and have completed thousands of treatments at our Fort Worth office. They take time to talk with each client. This helps them understand what each person wants to achieve and allows a tailored, customized treatment plan to be performed. Krista treats clients from Fort Worth, Colleyville, Southlake, Mansfield, Austin, Dallas, and across Texas.

Schedule a Consultation with Dr. Kunkel!

To learn more about BOTOX® Cosmetic or to determine whether you are a candidate for the procedure, book an appointment with Dr. Kelly R. Kunkel today! Call 817.335.5200 or click here to send us a Consultation Request Form. Our office looks forward to serving you.

Office Information


M-Th: 9:00am - 5:00pm
F: 9:00am - 4:00pm
Closed Weekends

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