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Botox in Asheville, NC

What is Botox?


The average treatment time is 10 – 15 minutes. Since Mountain Radiance is conveniently located near downtown Asheville, many clients have their injections on their lunch break (or even coffee break).


With over 4 million Botox injections performed per year in the United States, Botox has an extremely low rate of complications. While complications with cosmetic Botox are possible, they are extremely rare.


When the treatment is performed by an experienced injector, Botox offers reliable results that are significant, but subtle. Patients often point out how natural their results look after Botox at Mountain Radiance.

Botox® is a purified form of botulinum toxin type A, a toxin produced by the bacteria Clostridium botulinum. Botox is a purified form of this neurotoxin (or neuromodulator) used in clinical settings.

Understanding the science behind Botox

Botulinum toxin is a fascinating treatment that has revolutionized the world of cosmetic skin care. First discovered in 1898, then isolated in 1928, this toxin is one of the most potent chemicals produced in nature. It is produced by the bacteria Clostridium botulinum. In 1978, ophthalmologist Alan B Scott began Food and Drug Administration (FDA) trials for the use of botulinum toxin to treat crossed eyes. During his trials, patients noticed that the injections also smoothed out their forehead wrinkles and the rest, as they say, is history!

Allergan produces the Botox that we use today in our medical setting. The toxin is refined, diluted to the concentration needed for cosmetic applications, and carefully prepared so that it can be injected in a clinical setting. It can treat a variety of problems, from facial wrinkles to overactive bladder. When injected into muscle tissue, Botox blocks nerve signals, preventing the muscle from contracting and forming wrinkles. This effect lasts for months.

A comparison of Botox vs. other neuromodulators

Botox is one of several neuromodulators available on the market, with others including Dysport, Xeomin, and Jeuveau. These products all use botulinum toxin to achieve similar results, but there are subtle differences between them. Botox has been the industry leader for decades and is often considered the most trusted and reliable choice for neuromodulators. It’s been extensively studied in clinical trials, providing doctors and patients with a wealth of information about its effects and potential side effects. It is the neuromodulator that we use here at Mountain Radiance.

Real stories: Before and After Botox

Real stories and before-and-after photos can provide valuable insight into the potential results of Botox treatment.

“I initially found this practice while attending Blue Ridge Pride this year. I had wanted Botox for a couple of years but for some reason always talked myself out of it. The fact that I was able to meet the wonderful staff at Pride left an impactful first impression. They were wonderful and answered all my questions and I booked an appointment that day. When I went to my appointment, almost a month later, I was so pleased with the warm welcome of the woman at the front desk. The office is so aesthetically pleasing!! Lindsey was amazing while performing the injections. She didn’t make me feel silly or embarrassed about being nervous during my first time. It’s only been a week but I am obsessed with the results so far.” -Stephanie

Whether you are new to Botox or looking to continue an existing treatment regimen, we look forward to using our caring and expertise for your benefit.

“[The team at Mountain Radiance] is masterful at Botox—no weird frozen face, just a very natural smooth appearance. (And they work with your budget—that’s key!) I’ve also done the micro channeling series. The results are noticeable, impressive, and truly worth the money. – Jen

It’s important to remember that everyone’s experience with Botox is unique. Factors such the experience of the healthcare provider, your age, skin condition, and the specific areas being treated can all influence the results of Botox treatment. While you are flipping through our before and after photos, keep in mind they should not be the only factor in deciding whether to pursue Botox treatment. A consultation is the best way to determine if Botox is the right choice for you.

To see more before and after photos, please visit our gallery.

Preparing for your Botox treatment: what to expect

During a Botox treatment, we will use a thin needle to inject small amounts of botulinum toxin into your skin or muscles. The number of injections needed will depend on many factors, including the extent of the area being treated. Most people find that Botox injections cause little discomfort.

After the procedure, you may have some temporary bruising or discomfort at the injection site, but you should be able to return to your normal activities immediately. The effects of Botox will start to appear within a few days, with the full results visible in about two weeks. The results of Botox are temporary, typically lasting at least three months. Ongoing treatments are necessary to maintain the effects.

Botulinum Toxin – What are the benefits of Botox?

Botox can be used to treat dynamic wrinkles caused by repeated muscle movements in the face. When injected into your muscle, Botox blocks nerve signals to the muscle, thereby stopping it from contracting and forming wrinkles. Botox can also be used to treat other conditions such as hyperhidrosis, temporomandibular joint dysfunction, and chronic migraines. The effects of Botox can last for 3 months or more, depending on the dosing,  the individual and the areas treated.

At Mountain Radiance we use Botox to treat wrinkles in the following areas:

  • The forehead (frontalis muscle)
  • Between the eyebrows (glabellar area, or glabella)
  • At the top of the nose (bunny lines)
  • The wrinkles at the outer corners of the eyes (“crows feet” or periorbital rhytids)
  • The vertical lines above the upper lip (Note that treating this area may require dermal filler, such as Volbella, as well)

We can also treat the following areas with Botox:

  • Overactive or enlarged masseter muscles (implicated in TMJD)
  • Showing too much of the upper gum area when smiling (gummy smile)
  • Platysmal banding (persistent vertical neck lines)
  • Lip flip (to subtly enhance the lips, or in addition to lip filler)
  • Nefertiti lift (to enhance the jawline)

The effects last for 3 months or more.

Experience matters when choosing your injector

At Mountain Radiance, your Botox treatment will always be performed by either a medical doctor or a nurse injector with extensive training and proven results.

Because of the strength of this injectable and the complexity of facial musculature, it is critical to choose a highly-qualified, experienced medical provider for your Botox treatment. Injectors must have a detailed anatomical understanding of facial muscles, and how they interact. In the hands of an unqualified provider, patients may experience Botox that migrates to unwanted areas—this can lead to droopy eyelids, for example.

Our experienced healthcare providers know exactly where to inject the Botox to achieve the desired result as well as how to avoid potential problems. We stay up to date with the latest research and clinical trial information.

Frequently Asked Questions about Asheville BOTOX Treatments

How Long Does Botox Take to Work?

While some improvement in wrinkles can be seen as early as 4-5 days after your injections, it takes 2-3 weeks for Botox to take full effect. We have observed that in 2 weeks, the Botox is about 85% effective, and by the end of 3 weeks, it has had its full effect.

How Long Does Botox Last?

In general, the positive effects of Botox last about 3-4 months. While the effects often do last 6 months or longer, it’s important to have treatment repeated approximately every 3 months to keep the wrinkles at bay.

After someone has been getting Botox on a regular basis for 2 to 3 years, we can often space out their visits and cut back on the dose; this is because with regular maintenance, the muscles become progressively weaker, so that it takes less Botox to achieve the beneficial effects and takes longer for the Botox to wear off.

Difference Between Botox and Fillers?

Botox is a medication that is injected into the facial muscles; it takes 2 – 3 weeks to work and lasts about 3 months. Fillers, like Juvederm, Voluma, Vollure, and Volbella, are clear gels that are inserted beneath the skin to replace lost volume or enhance features; the effect of these is immediately visible and can last up to 1 or 2 years. Typically a treatment will filler will cost more than a treatment with Botox.

Botox For Migraines

Some of our clients who receive Botox for cosmetic purposes do report a reduction or (rarely) elimination of headaches. However, our expert injectors have been trained to practice cosmetic treatment with Botox, and have not been trained to use Botox to treat headaches. Therefore, we do not offer Botox treatment for headaches or chronic migraines.

Should someone want treatments for headaches, which would be billed to insurance, we recommend contacting Asheville Neurology Specialists, as their doctors specialize in headaches and other neurologic conditions.

Can You Workout After Botox?

Wait 4 hours after Botox treatment for light workouts (i.e. light treadmill or a walk). Patients should wait 24 hours before resuming heavy workouts, unusual body positions (i.e. yoga positions), and hot yoga.

How Much Does Botox Cost Per Unit?

Treatment of just the forehead can start as low as $100. The average price for forehead and glabellar complex (angry lines between the eyebrows) runs about $375 per treatment, but again this can vary. In rare cases, some clients need as many as 70 units, which may cost over $700. 

The overall cost of Botox varies widely from patient to patient: Botox cost is calculated per unit, and each patient has unique concerns that require a customized number of Botox units to treat.

Factor that influence the cost of your Botox treatment include your age and the strength of your muscles.

We offer complimentary consultations, and we are happy to meet with you to discuss how much Botox will cost for you based on your needs and desires. Many of our patients have found that, in the course of a year, regular treatment with Botox costs no more than getting their hair and nails done on a regular basis.

While some practices charge “by the area,” we think it is much better to charge for the exact amount of Botox a client needs to achieve their goals. 

To help with the cost of your treatments, you may sign up for the Allē loyalty program from Allergan Aesthetics (formerly called Brilliant Distinctions®) prior to your first visit. At our practice, you can take advantage of the loyalty points, which are worth at least $20 for each Botox treatment, and more for fillers like Juvéderm.

*Note that these estimates reflect our pricing at the time of writing; prices are subject to change.

Botox Treatment
$12 /Unit

We treat other areas besides the ones listed. For an accurate quote, be sure to schedule a free consultation with our talented injectors.

  • Eyebrow Lift: 2-5 Units
  • Crow’s Feet (each side): 5-15 Units
  • Forehead Lines: 10-30 Units
  • Frown Lines: 10-25 units
  • Lip Flip: 6-12 units
  • Smile Lift: 3-6 units
  • Neck/Platysmal Lines: 25-50 units

Number of units required for treatment will vary based on area treated.

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