Botox

Botox (botulinumtoxinA) is a purified protein that temporarily blocks nerve signals to specific muscles. When injected into the small facial muscles that create wrinkles, those muscles can't contract as forcefully—so the overlying skin smooths out. It's FDA-approved for cosmetic and medical use since 2002, with decades of safety data.

On average, 3–4 months per treatment. First-time patients often see slightly shorter duration as the muscle hasn't been weakened over time. Patients who treat consistently for years often see results last 4+ months. Daxxify lasts longer (6+ months) if duration is your priority.

Standard dosing: forehead lines 10–20 units, frown lines ("11s") 15–25, crow's feet 12–24, jawline slimming 30–50 per side, lip flip 4–6, masseter 25–50 per side. Your provider calculates exact units based on your muscle strength and goals at consultation. We charge for what you use—no preset packages.

Botox is $14 per unit at The Spa by Sheena. You pay only for the units used—no preset packages. Typical dosing: 10–20 units for forehead lines, 15–25 for frown lines ("11s"), 12–24 for crow's feet per side, 25–50 per side for masseter (jaw slimming), 50 per underarm for hyperhidrosis. Your provider calculates exact units at your appointment. Members receive discounted per-unit pricing.

Initial softening at 4–7 days, full effect at 14 days. Don't judge your result before 2 weeks—the medication needs time to bind to muscle receptors. We schedule touch-up appointments at 2 weeks if any area needs adjustment.

Quick pinches with an ultra-fine needle. Most patients are in and out in 10–15 minutes. We can apply topical numbing if you're sensitive, but most people don't request it. Discomfort is on par with a mosquito bite per injection site.

Common: minor bruising or swelling at injection sites (resolves in 24–48 hours), occasional mild headache after first treatment. Rare: temporary asymmetry or eyelid droop (almost always from product migration, resolves on its own over weeks). Serious side effects are extremely rare with proper technique. We screen for contraindications at consultation.

No—we don't perform neurotoxin treatments during pregnancy or breastfeeding. There isn't sufficient safety data to justify the risk. We can resume treatments after you've finished breastfeeding.

Only if over-injected. Our approach: soften, not freeze. You'll keep natural movement and expression. If you want a more relaxed look, we can dose more aggressively; if you want minimal change with movement preserved, we'll dose lighter. The aesthetic matches you.

Cosmetic: forehead lines, frown lines (between brows), crow's feet (around eyes), bunny lines (nose), lip flip, lip lines, chin dimpling, jawline slimming, masseter (TMJ/grinding relief), neck bands. Medical: hyperhidrosis (excessive sweating), chronic migraines, certain muscle spasm disorders.

Wait 24 hours before strenuous exercise, hot yoga, saunas, or facial treatments. Light walking is fine. Heat and pressure can theoretically spread neurotoxin to unintended muscles during the first 24 hours. Stay upright for at least 4 hours after treatment.

Yes—called "preventative Botox." By relaxing muscles that cause repeated creasing, you prevent the wrinkles from setting in deeply. Most preventative patients are in their late 20s/early 30s, using lower doses less frequently. Starting earlier means using less product to maintain results long-term.

Botox relaxes muscles to soften wrinkles from movement (forehead, frown lines, crow's feet). Fillers replace lost volume (lips, cheeks, under eyes, jawline). They treat different problems and most patients use both. Botox prevents and softens; fillers replace and contour.

Yes—schedule 2–3 weeks before the event so results are fully visible and any minor bruising has resolved. Don't get Botox for the first time the week of a major event—we want certainty about your result before the big day.

Not for cosmetic use. Insurance may cover Botox for documented medical conditions (chronic migraines, severe hyperhidrosis, certain muscle disorders). We don't bill insurance directly but provide documentation for you to submit for medical-indication treatments. Cosmetic use is out-of-pocket.

Yes—Botox in the masseter muscles (jaw muscles) reduces grinding/clenching and can slim a square jawline. Common dosing: 25–50 units per side, repeated every 3–4 months. Many patients see significant relief from TMJ symptoms and headaches, with cosmetic jawline slimming as a bonus benefit.

Rare—called immune resistance. Some patients develop antibodies that reduce effectiveness, particularly with very frequent treatments or high doses over years. Xeomin (which lacks the accessory proteins that trigger antibodies) is an option for these patients. The vast majority of patients don't experience resistance.

All four are FDA-approved neurotoxins doing the same thing. Botox: original, most studied, predictable. Dysport: spreads more (advantageous for forehead, faster onset). Daxxify: lasts 6+ months. Xeomin: no accessory proteins, useful for patients with prior resistance. We carry all four; right choice depends on your goals.

Yes—commonly combined with fillers (different concerns), with chemical peels and lasers (do Botox first since the others can affect injection sites), with skincare regimens. We can sequence everything appropriately in your treatment plan.

First-time patients: book a complimentary consultation. Returning patients: book the treatment directly online or call (806) 701-5840. We schedule treatments six days a week. Most appointments are available within a week.