With nearly 10 million treatments performed in 2017, injectables (i.e., BOTOX and fillers) are by far the most popular cosmetic procedures in the U.S. Even if you haven't tried them yourself, chances are you know multiple people who have gotten them.
If you've been hesitant to jump on the bandwagon because you have questions about how they work or how much they cost, or you're deterred by bad BOTOX stories you've heard, asking a plastic surgeon is the best way to learn more. To help you get started, I've answered a few popular questions from my Maryland injectables patients below.
1. How much does BOTOX cost?
BOTOX prices vary depending on who is performing your injections, the area(s) you are having treated, and the amount of product needed to achieve the desired result. Patients with stronger facial muscles and thicker skin usually require more BOTOX to achieve the same degree of wrinkle reduction as those with thinner skin and musculature—this is one reason why BOTOX for men typically costs a bit more.
BOTOX and Dysport are priced either by the unit or by the area. In general, you can expect to pay about $350 to $600 or more per BOTOX or Dysport treatment. Smaller areas will cost less; larger or multiple areas will cost more.
2. How long does BOTOX last?
BOTOX results typically last about 3 to 4 months, at which point you'll want to schedule a touch-up to maintain your results. Some patients find their results lasting a bit longer over time with regular treatments.
3. Are BOTOX injections painful?
Most patients say that beyond a brief pinching sensation, BOTOX injections don't hurt much at all. Filler injections can be a little more uncomfortable for some patients as the gel goes into the skin. However, most fillers are infused with lidocaine (a mild pain medication) to offset discomfort. We'll also apply ice or numbing cream prior to treatment to maximize comfort.
Injector technique has a huge impact on what injections feel like—a good reason to choose an experienced board certified plastic surgeon for your treatments.
4. What is the difference between BOTOX and fillers?
BOTOX is a neuromodulator that relaxes the muscles causing dynamic wrinkles (like crow's feet and forehead lines). Dermal fillers add volume to smooth static wrinkles and restore lost volume in areas like the cheeks, lips, and jawline. They work differently and are often used together for comprehensive facial rejuvenation.
5. Is Juvéderm or Restylane better?
Both Juvéderm and Restylane are excellent hyaluronic acid-based fillers. Each brand has multiple formulations designed for different areas of the face. The best filler for you depends on where you want treatment and the result you're looking for—your plastic surgeon will recommend the ideal product during your consultation.
I invite you to contact my office to set up a personal consultation. I perform all cosmetic injections personally, and will be glad to help you understand how BOTOX, fillers, or any other facial rejuvenation treatment can help you improve your appearance naturally.



