What Is BOTOX® & How Does It Work?
BOTOX® Cosmetic is an FDA-approved injectable treatment designed to smooth the fine lines and wrinkles that deepen with age and repeated facial expressions. Over time, the skin loses elasticity, and repeated facial movements, such as squinting, frowning or raising the eyebrows, begin to leave visible creases across the upper face. These early signs of aging can make us look tired, stressed or older than we feel.
At Campanile Plastic Surgery, our med spa offers BOTOX to soften the most common dynamic wrinkles, including:
- Crow’s feet at the outer corners of the eyes
- Frown lines between the brows
- Forehead lines from repeated lifting of the brows
BOTOX works by temporarily relaxing the small facial muscles that create these expression lines. When these targeted muscles stop contracting, the skin can lie smooth again, preventing new wrinkles from forming and softening the ones that already exist. The result is a naturally refreshed, more youthful appearance without changing your natural facial features.
In short, BOTOX reduces the muscle activity that deepens wrinkles, giving the skin a chance to appear smoother and more rested. This subtle, temporary reduction in movement helps restore a more relaxed, rejuvenated look to the upper face.
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The first step in achieving your ideal figure is scheduling your consultation with Dr. Campanile. Contact us today to get started! We look forward to helping you feel great about your body.
Dr. Francesco Campanile and his dedicated staff have helped hundreds of men and women in and near the Denver area and beyond to look and feel their best with BOTOX. Wherever your particular problem spots are, our office is equipped to offer you the most precise BOTOX results with our staff’s training and expertise in administering BOTOX injections.
Top 3 Reasons to Choose Us
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Dr. Francesco Campanile is an experienced BOTOX injector, ensuring that you’ll receive natural-looking results that help you appear refreshed and relaxed.
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Our medical spa also offers injectable fillers that can enhance your BOTOX results by treating deeper facial wrinkles and filling out areas on the face that appear thin due to lost volume.
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We are dedicated to maintaining ongoing relationships, and many men and women return to our medical spa regularly for their facial rejuvenation needs.

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Best Candidates for BOTOX
BOTOX can be an excellent option for women and men who are beginning to notice lines and wrinkles that remain visible even when the face is at rest. If topical skincare products or non-injectable skin treatments are no longer giving you the refreshed look you want, BOTOX may be a suitable solution to help soften early signs of aging and prevent deeper lines from forming over time.
Ideal candidates for BOTOX include:
- Women and men who want to smooth dynamic expression lines.
- Those who want a nonsurgical, low-downtime treatment for a more youthful appearance.
- Those looking for subtle, natural-looking results rather than dramatic changes.
- Those hoping to prevent future wrinkles by reducing repetitive muscle activity.
Beyond cosmetic use, BOTOX is also FDA-approved for several medical conditions, including excessive sweating (hyperhidrosis) and chronic migraines. Patients considering BOTOX for these concerns should discuss their symptoms and goals with Dr. Campanile to determine whether treatment may be beneficial.
What Can BOTOX Treat?
BOTOX is used to smooth wrinkles and soften expression lines across the upper and lower face. Some of the most commonly treated areas include:
- Forehead lines caused by raising the brows
- Frown lines (the “11s”) between the eyebrows
- Crow’s feet around the outer corners of the eyes
- Bunny lines along the sides of the nose
- Lip lines or “smoker’s lines” above the mouth
- A downturned mouth caused by overactive depressor muscles
- Dimpled or “orange peel” chin
- Neck bands (platysmal bands) for a smoother neck contour
BOTOX is also used in advanced techniques such as:
- Brow lift effects to gently open and elevate the eye area
- Facial slimming by relaxing the masseter muscles
- Gummy smile treatment to reduce excessive gum display when smiling
A personalized consultation will help to determine which areas will best support your goals and will create a natural, balanced result.
How to Prepare for BOTOX
Preparing for your BOTOX appointment is simple, but a few small steps can help to ensure the smoothest experience and the best possible results.
To get ready for your appointment:
- Avoid blood-thinning medications and supplements for about a week beforehand, unless otherwise instructed by your doctor. This includes aspirin, ibuprofen, fish oil, vitamin E, and certain herbal supplements, as these can increase the likelihood of bruising.
- Avoid alcohol consumption for 24 hours before treatment to help reduce swelling and bruising.
- Arrive with clean skin free of makeup, lotions or sunscreen.
- Plan your schedule accordingly, as you’ll want to remain upright for several hours following your injections.
- Let Dr. Campanile know if you have any upcoming events, photoshoots or travel so your treatment can be timed so you can see results in time for any important dates.
Your BOTOX Treatment
First, Dr. Campanile will assess which facial muscles should be treated to achieve your desired results. Depending on your goals, you may need just a few injections or several placed strategically for the best results.
The injection itself takes just moments to perform. First, the area near your BOTOX treatment sites is cleaned and a topical anesthetic or ice may be applied to ensure your comfort. A fine needle is used to administer BOTOX directly into the facial muscles that create unwanted wrinkles. The entire process typically only takes about 15 minutes from start to finish.
What to Expect After BOTOX
One of the best things about BOTOX is that there is no downtime, so you can expect to be able to resume your normal daily activities directly after your appointment. Dr. Campanile does recommend that you remain upright for the first few hours after your appointment, and that you do not rub or massage your face at the injection sites. This is to ensure that the BOTOX does not migrate elsewhere while settling into the desired areas.
Some people may experience temporary redness or irritation at the injection site, but this usually fades quite quickly. Some swelling and bruising may also occur but should resolve on their own over the next several days.
The Best BOTOX Results
Most people begin to notice a smoother complexion within just a few days after getting BOTOX. Full results typically develop within about two weeks, once the muscle activity has settled and the skin has had time to soften.
BOTOX offers temporary improvement, with results generally lasting 3 to 4 months. To maintain your refreshed appearance, Dr. Campanile recommends regular treatment sessions.
Because every face ages differently, the ideal approach to facial rejuvenation will vary from person to person. For some, BOTOX alone provides the perfect level of enhancement. Others may benefit from combining BOTOX with additional treatments or medical-grade skincare to achieve a more comprehensive, long-lasting result.
Many men and women choose to pair BOTOX with dermal fillers for enhanced facial rejuvenation. While BOTOX smooths dynamic wrinkles caused by repetitive muscle movement, fillers restore lost volume and soften deeper creases.
You may also wish to develop a customized skin care routine using medical-grade skincare products to ensure that your skin benefits from the most advanced formulas.
Request a consultation to see if BOTOX treatment is right for you. Be sure to view our BOTOX before and after photos to see how Dr. Campanile has helped men and women look younger and more refreshed. We’re here for you every step of the way and look forward to meeting with you.
BOTOX FAQs
How much does BOTOX cost in Denver?
Your total cost for BOTOX in our Denver office will depend on the number of units needed to achieve your goals, which is determined during your consultation. For personalized BOTOX pricing, please give us a call at 303-345-7476 or contact us online.
How many units of BOTOX will I need?
The number of units of BOTOX you will need will depend on the area(s) you want to treat and your specific goals. Generally speaking, forehead lines typically require 10 to 20 units, frown lines often require 15 to 25 units and crow’s feet typically need anywhere from 6 to 12 units per side. During your consultation, Dr. Campanile can explain how many units are recommended for your customized treatment.
What’s the best age to start BOTOX?
There is no “right” age that works best for everyone. Many people start getting BOTOX in their late 20s to early 30s as a preventive measure when fine lines first appear. Others start later when wrinkles become more noticeable.
Does BOTOX hurt?
Most people find BOTOX injections very tolerable. The treatment uses a very fine needle, and most people describe the sensation as a quick pinch or mild pressure that lasts only a moment. If you’re sensitive to discomfort, we can apply a topical anesthetic or ice to numb the area beforehand.
What’s the “4-hour rule” for BOTOX?
The “4-hour rule” refers to the recommended guidelines after treatment that you should avoid lying down, bending over and pressing or massaging the treated areas for at least the first 4 hours after treatment. Following this rule helps to prevent the product from migrating and ensures the best possible results.
How long does BOTOX last?
BOTOX results are temporary. On average, you can expect your new look to last for 3 to 4 months. The effects of BOTOX wear off slowly as your face returns to its pre-treatment appearance. Many of our patients schedule ongoing follow-up sessions at regular intervals to maintain their results.
What happens if I stop getting BOTOX?
If you stop getting BOTOX, your muscles will gradually return to their normal movement, and the wrinkles that were treated will slowly reappear over the next few months. Your skin won’t look worse than before; you’ll simply return to your natural baseline as the effects wear off. Many people notice that their lines still appear softer than they used to, since regular BOTOX can help to prevent deeper creases from forming over time.






