in Houston, TX

What is Botox®?

Botox is the name-brand neuromodulator that most people recognize. This product is derived from a purified form of the bacterium Clostridium botulinum. This injectable, used since the early 2000s, smooths dynamic lines and creases by preventing muscle contractions. First used to reduce frown lines between the eyebrows, Botox is now one of the most widely used neuromodulators to be developed.

What is Jeuveau?

Jeuveau is a neuromodulator, a type of injectable wrinkle-reducer that works by relaxing muscle contractions. The product is the newest treatment for dynamic wrinkles to be approved by the FDA. It is formulated with the same purified neurotoxin as Botox.

What is the difference between Botox and Jeuveau?

Both Botox and Jeuveau are made from a purified form of Clostridium botulinum. The drugs work in the same manner, by preventing muscles from contracting and thereby releasing creases to become smooth.

Woman getting cosmetic injection of botox near lips, closeup. Woman in beauty salon. plastic surgery clinic.

One of the primary differences between the two is that Botox was discovered accidentally when patients receiving therapeutic doses of Clostridium botulinum showed signs of wrinkle reduction. Since the approval of Botox, the drug’s uses have expanded from the correction of glabellar lines to a nonsurgical brow lift, migraine treatment, solution for excessive sweating, and more. This has required extensive clinical testing. What makes Jeuveau unique is that this drug was developed solely for cosmetic usage.

What can Botox & Jeuveau do for you?

  • Diminish frown lines between the eyebrows
  • Smooth crow’s feet around the eyes
  • Minimize forehead wrinkling
  • Restore a youthful appearance

Who are the ideal candidates for Botox & Jeuveau?

Adults of all ages can get injectable treatments to enhance their appearance. Historically, Botox and other neuromodulators have been used correctively to reduce the appearance of dynamic wrinkles like frown lines. More recently, this type of treatment has become a popular method of preventing premature aging. Adults who are not allergic to the ingredients in Botox or Jeuveau and who understand what this treatment can achieve are usually great candidates for injectable wrinkle-reduction or “prejuvenation.”

Dr. Wiener recommends considering BOTOX or JEUVEAU injections if you:

  • Are over 18 years of age
  • Have lines and wrinkles around the forehead and eye area
  • Have recently had a cosmetic procedure and want to enhance or prolong the results
  • Are not allergic to any of the ingredients found in BOTOX or Jeuveau
Headshot of a woman with repaired skin areas highlighted


  • Results take longer to emerge (4-7 days)
  • Results last slightly longer (3-6 months)
  • BOTOX can also be used to contour the jawline

How to choose a BOTOX provider

BOTOX and Jeuveau injections are available everywhere lately – from medical spas to parties to plastic surgery offices. However, to avoid complications and undesirable results, it’s important to be selective when choosing your provider.

A board-certified plastic surgeon, like Dr. Wiener, is the ideal option. These individuals have experience performing cosmetic procedures and they understand the nuances of facial aesthetics and balance. They know how to place the medications to obtain the precise results you want – while avoiding an artificial, frozen, or overdone look.

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What to do after Botox treatment

After Botox treatment, we want the injected product to stay in the treatment area. To achieve this, patients should:

  • Refrain from touching or manipulating the treatment area for a few hours following injections. Do not rub the face or lie down for about 4 hours after your appointment.
  • Do not schedule other facial treatments such as chemical peels or laser resurfacing for at least 10 days after injections.
  • Avoid strenuous activities, including heavy lifting or intense exercise for 6 hours after Botox injections.
  • Patients are also encouraged not to drink or take aspirin around the time of their injections. This decreases the chances of bleeding and bruising.

How long do cosmetic injectable treatment take?

Injectable treatments are popular in part because they are so convenient. After your initial consultation, cosmetic injections typically take less than 30 minutes to complete. After a brief review of objectives, injections themselves take just a few minutes.

Skin Conditions Treated with Injectables

Botox and Jeuveau are unique injectables that work primarily on dynamic wrinkles. These are the lines and creases that form as a result of muscle movement. Examples include crow’s feet, frown lines, and the horizontal lines that develop on the forehead as we age. Some of the common complaints that can be corrected with neuromodulator wrinkle reducers include:

  • Frown lines
  • Crow’s feet
  • Bunny lines on the bridge of the nose
  • Horizontal forehead lines
  • Heavy, drooping eyebrows
  • Horizontal bands on the neck
Close-up female's face skin before and after aesthetic beauty cosmetic procedures with removed skin wrinkles

What to expect from your procedure:

When you arrive at our Houston office for your BOTOX or Jeuveau injections, you will meet with Dr. Wiener to review the procedure, potential side effects, and expected outcomes.

From there, you will sit in a reclining chair in the treatment room. Dr. Wiener will ask you to contract your facial muscles so that he can determine the appropriate placement of your injections. He will then mark the injection locations to guide him through your treatment.

Although anesthesia is not necessary with BOTOX or Jeuveau, Dr. Wiener may numb certain areas with a cold compress or topical cream to ensure a comfortable experience. Any discomfort you do experience will be extremely minimal and short-lived.

The actual injections take about ten minutes and will involve Dr. Wiener injecting the BOTOX or Jeuveau directly into your muscles using a very fine needle. Once your treatment is complete, you will be free to return to work and your normal daily routine right away, making this a true “lunchtime” procedure.

Are Botox injections safe?

Botox is made of the protein that causes botulism. Understandably, that can sound frightening. However, scientists put a lot of work into perfecting the dosage and timing of injections to ensure safety. Since the late 20th Century, millions of Botox injections have been administered in the U.S. alone. So long as injections are prepared and performed by a board-certified, trained professional, there is very little risk of adverse reaction. The effects of the neurotoxin remain localized in the muscle to achieve a desirable outcome. It may give you a sense of assurance knowing that the dosage administered during Botox treatments is much lower than the therapeutic use of Clostridium botulinum that has been common for many years.

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Maintain Your Look with Repeat Injections

On average, BOTOX and Jeuveau injections last between three and six months, depending on the medication used for your treatment.

Repeat injections will be scheduled no sooner than three months apart. As subsequent treatments are done, many of our Houston clients notice a longer-lasting result with each session.

Botox & Jeuveau Frequently Asked Questions

Dermal fillers such as Juvéderm and neuromodulators such as Botox work in entirely different ways. As their name implies, when injected beneath a wrinkle, crease, or area of volume loss dermal fillers simply add instant volume. They “fill” in space and push the skin back upward. This only works when the wrinkle is known as a “static” wrinkle. These are wrinkles caused by sun damage, declining collagen production, personal habits, and other factors. Static wrinkles show themselves at all times.

Botox and the other neuromodulators work in a completely different fashion. They are made from the botulinum toxin type A, the same bacteria that cause botulism. When the botulinum toxin is injected into a muscle, it stops the muscle from contracting for a period of time. Certain wrinkles on the upper third of the face form above muscle contractions under the surface skin. These are known as “dynamic” wrinkles. These are crow’s feet at the outside of the eyes, glabellar/frown lines between the brows, and forehead lines. When Botox is injected into the muscles that create these wrinkles when they contract, the botulinum toxin stops the muscle contraction. The muscle stays at rest and the wrinkle that forms on the surface skin is erased for a period of around four months.

Bottom line — neuromodulators only work on dynamic wrinkles on the upper third of the face, and dermal fillers only work on static wrinkles and areas of volume loss on the mid to lower areas of the face.

If you have wrinkles caused by muscle contractions, as described above, Botox is the answer to remove them. These wrinkles are found on the upper third of the face, the area where we form expressions. So, if you have crow’s feet, the 11s between your eyebrows, and forehead lines, Botox is a great choice.

But if your wrinkles occur on the mid to lower face and they show themselves at all times — such as smile lines, marionette lines, parentheses lines, and lip lines — Botox does not have any effect on them. These are static wrinkles and are addressed with dermal fillers, not Botox.

Dr. Wiener handles all of these injections. He injects both neuromodulators with a very tiny needle, and these injections are not made to great depth. Our patients equate the feeling of these injections to that of a pinprick, and they don’t require topical numbing beforehand.

Patients may have some mild redness and possibly slight swelling at their injection sites, but this typically passes within just a few hours. Really the only problem of note can be caused by the patient. It’s important that the patient not touch or rub the injection sites for the first 12 hours after your session. This can cause the Botox or Jeuveau to migrate to an adjacent, unwanted muscle. This can lead to drooping eyelids and other issues.

Yes. There isn’t any restriction or possible reaction. You shouldn’t press on the sites, but the typical sites for Botox or Jeuveau injections are outside the eyes, in a wedge shape between the eyebrows, and on the mid-forehead. These areas are not makeup heavy.

Botox has become one of the world’s most famous brand names. Why? Because it is very effective at erasing lines and wrinkles on the upper third of the face. Crow’s feet, frown lines, and forehead lines can all be removed with injections of Botox or Jeuveau. What’s the benefit in that? Looking younger. Feeling more confident. Pushing back against the hands of time just a bit. No wonder Botox has a rabidly loyal following all over the world.

Jeuveau and Botox are basically the same. Both are made from the botulinum toxin type A. Both work by blocking the nerve messages sent from a muscle to the brain, keeping the muscle relaxed.

The only real difference between these two neurotoxins is the price. Jeuveau has been initially priced from 20 to 30 percent lower than the price of Botox. Whether this is an introductory sort of price or a permanent one is yet to be seen.

Schedule a Consultation Today!

If you're interested in learning more about Botox please contact us for a consultation at 281-488-5795 or fill out our contact us form. We will discuss your needs and concerns, and determine your best course of action.




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