Botox/Filler Injections


Are you bothered by horizontal forehead creases, vertical “frown lines” between your eyebrows, or perhaps “crow’s feet” radiating from the corners of your eyes? .If you are not ready for plastic surgery, it is easy to refresh the face with BOTOX treatments. Our skilled Nurse Practitioner has restored a youthful look to the faces of many Fort Worth women and men with BOTOX treatments. These simple injections can effectively reduce your facial wrinkles while maintaining your ability to make natural facial expressions. The goal of BOTOX is to improve your appearance, yet keep you looking like you. Unlike other injectable treatments, BOTOX is not a filler, BOTOX stops the muscles in the face from contracting. This keeps skin creases from emerging while letting you retain full facial movement. In this sense, the skin isn’t allowed to fold repeatedly to create a wrinkle. This quick, minimally invasive procedure requires no downtime and provides noticeable results that are proven to last up to 4 months.

Administering Botox

BOTOX is administered during an in-office appointment that typically takes about 30 minutes. The depth, length, quantity and location of wrinkles varies for each patient. Therefore, the injection treatment, including the dosage and injection location, is tailored during the procedure. The injection is given through a syringe to localized areas on the face. Patients will feel a small prick as the needle inserts through the skin, but any pain or discomfort is minimized with a cold compress.

What to Expect

Immediately following a series of BOTOX injections, there will be some mild swelling and redness at the injection site. This will subside a few hours after the procedure. Patients can resume their normal activities immediately, but exercise should be avoided for a few hours. It is also recommended that patients keep their heads elevated for the first 8-10 hours. Results following BOTOX will become apparent within 4-7 days. About a week after treatment, patients will notice an inability to fully move portions of their forehead. With limited movement, wrinkles will cease to appear. The result is skin that appears smooth and soft.


Juvaderm Ultra+ - If you have unwanted lines and wrinkles, Juvéderm injectable gel is a modern, highly flexible dermal filler that can help reduce or eliminate them. Made with hyaluronic acid, it comes in a variety of formulations and is an effective choice for filling in small, vertical lines around the lips; deeper folds between your nose and mouth; forehead wrinkles; frown lines; smile folds; chin creases; lip wrinkles. It can also be used for enhancing facial features, such as sculpting cheeks and chin, and adding volume to lips. The effects of a Juvéderm treatment last up to a year and work well for both men and women. Juvéderm injection treatments are performed in the Southwest Med Spa office. Topical creams or local anesthesia are used to numb the skin of the treatment area. Microneedles are used to gently inject the filler beneath the surface of your skin. Results are typically seen immediately, and you can return to your regular activities the next day.

Administering Juvéderm

During your appointment, the areas of the injection sites will be marked and thoroughly cleaned prior to the treatment. With the possible comfort of local anesthesia and a numbing solution contained within Juvederm, the filler will be injected into the skin. After each injection, light pressure and a cooling ointment are applied to the area. Other than feeling a tingling sensation and some visible redness in the areas of the injections, there are usually no other side effects. Most patients are able to return to work with no downtime after their 15-30 minute Juvederm procedure.

What to Expect

Alternative Fillers

The majority of patients who receive Juvederm will notice remarkable improvements after their very first treatment with results lasting up to one year. Patients are generally thrilled with the fast-acting, visible results that the injections provide. Since hyaluronic acid is a naturally occurring substance in the human body, Juvederm side effects are intriguingly minimal with no missed time from normal activity. Alternative Fillers

Injectable fillers have made major advancements in the past two decades and offer a terrific cosmetic solution for patients who desire specific results without surgery. While hyaluronic acid fillers are a great choice for many patients, there are others to choose from that can garner youthful, smooth skin. Common filler procedures include those that are comprised of collagen, calcium hydroxyapatite, and polylactic acid. During your consultation, we will discuss the various fillers that are available today and will work to understand your aesthetic goals so that the best filler choice can be made.


Part of the Juvéderm family, Voluma is a hyaluronic acid (HA) wrinkle filler that subtly lifts and adds volume to areas of the face for a more youthful appearance. Voluma works best at correcting the sunken, hollow look that may occur naturally or have developed with age. Voluma works by by filling in the apices, apples, and hollows of the cheeks, as well as the moderate to severe wrinkles around the nose and mouth. Voluma is approved by the Food & Drug Administration (FDA) for patients over 21 and includes lidocaine in its formula to minimize patient discomfort during treatment.

What to Expect

Our skilled nurse practitioner injects Voluma into the apices, apex and hollow of the patient’s cheek. Results are immediate, and can last up to 2 years. Side effects are considered mild to moderate, and can last between 2 and 4 weeks. The most common side effects are tenderness, swelling, firmness, bumps, bruising, redness, itching or discoloration at the injection site.


Some people have naturally thin lips and just want to achieve a fuller appearance. Other people have noticed their lips thinning over time and may also have seen vertical lip lines become more noticeable. Whatever your unique needs are when it comes to your lips, our nurse practitioner at Southwest Med Spa can help with Volbella Juvéderm. Results are subtle and can last up to 18 months.


Over time, your skin loses elasticity, which contributes to moderate to severe lines and wrinkles around the nose and mouth. While serums and creams work on the skin’s surface, Juvéderm Vollure can add volume to smooth these lines and folds to help give you the subtle, long-lasting results you want. The results are subtle and natural, and can last for up to 18 months.


Kybella is the first and only FDA-approved nonsurgical, injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin.” Submental fullness is a common yet undertreated facial aesthetic condition. It can impact a broad range of adults, including both men and women, and can be influenced by several factors such as aging, genetics and weight gain, and is often resistant to diet and exercise alone.

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