Botox from a dentist who treats the muscles of the face and jaw every day, so lines soften and your expressions still look like you.
BOTOX® Cosmetic is a purified protein that, in very small doses, relaxes the specific muscles that crease your skin when you frown, squint or raise your brows. With those muscles at rest, the lines over them soften and the skin looks smoother and more rested.
It is meant for dynamic lines, the ones made by movement. We place each injection by the muscle in front of us rather than by a fixed pattern, so the result fits how your face moves. Creases that stay when your face is still often respond better to dermal fillers or to both together.
Botox is dosed in units. These are the ranges we typically use for each area, so you can picture what a treatment involves before you visit.
Horizontal lines that form when you raise your eyebrows.
The vertical "11s" between the brows and a common first area.
Fan-shaped lines at the outer corners of the eyes when you smile.
A small dose that lets the tail of the brow sit a little higher.
Fine crinkling just below the lower lashes.
Diagonal lines on the sides of the nose when you scrunch it.
Relaxes the muscle that pulls the upper lip high above the teeth.
Muscle strength and the look you want set your final number. We confirm your units with you before any injection.
Botox relaxes muscle movement. It does not add volume or change skin texture, so we match the treatment to what is causing your lines.
We tell you plainly at your consultation which group you fall into.
We offer both, and many patients need only one. The difference comes down to whether a line is caused by movement or by lost volume.
Botox is quick, but the result unfolds over two weeks. Here is how a typical treatment goes.
We watch how your face moves, ask what bothers you most and map the units for each area. You leave knowing the plan and the price.
After optional numbing, each area takes a few quick injections. Most visits last 10 to 30 minutes.
Some patients notice a change within a day or two. Lines keep softening, and the full effect usually shows at about two weeks.
Movement slowly returns as the effect wears off. Most patients book their next visit around this point to keep results steady.
Botox is only as precise as the injector's knowledge of the muscles beneath it. Dr. Silva treats the muscles of the face and jaw every day, and she trained in Botox at the Esthetic Skin Institute. She asks patients to call her Nelly.
She completed a TMD residency with the American Academy of Craniofacial Pain and graduated from the Las Vegas Institute for Advanced Dental Studies, a postgraduate center for aesthetic and neuromuscular dentistry. She also teaches at Temple University.
The positive energy, professionalism, modern tools and techniques, and personal touch all keep me and my family coming back.Steven Meyers, Google Review
Botox is priced per unit, so your total depends on which areas you treat and how many units each one needs. The ranges above give you a guide. Before any injection, we confirm your unit count and the full price, and we offer payment plans if you would like to spread the cost.
Straight answers to what patients ask before their first treatment.
Takes time for questions and gives detailed explanations. I felt very comfortable and relaxed.Lynn Maison, Google Review
For most patients the effect lasts about three to four months. After that the muscle slowly regains its movement and lines return gradually rather than all at once. Regular appointments keep the result steady, and we track how long it lasts for you so we can time your next visit.
It is the advice to stay upright and keep your hands off the treated areas for the first few hours after injections. We ask you not to rub or massage the injection sites and to keep physical activity light for the rest of the day. This helps the product stay in the muscles we planned to treat.
Most patients describe each injection as a quick pinch, much like a bug bite, and the feeling passes in seconds. We can numb the area first with a topical anesthetic cream or a cold pack. If you are still nervous, tell us and we will talk through other ways to keep you comfortable.
Botox is priced by the unit, so your total depends on how many areas you treat and how strong those muscles are. A single area such as the crow's feet uses far fewer units than treating the forehead and frown lines together. You get the unit count and the full price before any injection, and payment plans are available.
Botox is a prescription treatment and should be given by a licensed provider who knows facial anatomy well. Here every injection is given by Dr. Nelly Silva, DMD, who trained in Botox at the Esthetic Skin Institute. Her work on jaw and facial muscles includes a TMD residency and postgraduate study in neuromuscular dentistry.
With regular treatment over the years, the muscles that crease your skin are used less, so expression lines tend to etch in less deeply. Dosing stays tailored, and we adjust units as your face changes. The aim is that you keep looking like yourself, only more rested.
Yes. Many patients pair Botox with dermal fillers, which restore volume that Botox does not address. Others combine it with in-office teeth whitening or a dental visit so they can refresh their smile and face in one trip.
In one short visit, find out which areas to treat, how many units you need and what it will cost. Patients join us from Trappe, Oaks, Skippack, Royersford and nearby towns.
