C. U. Kesh Nawada, M.D.

1121 1st St S, Winter Haven, FL 33880

BOTOX® (Injectable Wrinkle Relaxer) - Winter Haven, Tampa, Orlando, Central FL

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BOTOX Overview 

BOTOX® Cosmetic is the most popular and widely used brand name of botulinum toxin type A, an injectable treatment with multiple medical benefits. In addition to usage in neurology, the liquid extract is used in cosmetic nonsurgical wrinkle reduction treatments by injection. It relaxes the muscles that cause the facial expressions that lead to certain wrinkles over time. Both women and men visit board-certified plastic surgeon Dr. Kesh Nawada for BOTOX treatments in Winter Haven from Tampa, Orlando, and throughout Central Florida to look relaxed and more youthful. While improvements are temporary, typically lasting for 3-6 months, BOTOX treatments can be combined with dermal filler treatments for even more impressive results. Dr. Nawada uses BOTOX treatments to smooth out lines and wrinkles caused by the contractions of facial muscles, called “dynamic wrinkles,” which include:

  • Frown lines between the eyebrows
  • Horizontal forehead furrows
  • Crow’s feet around the outer corners of the eyes

Other often forgotten or unexpected  ways that Dr. Nawada, or other qualified physicians, may use Botox, both FDA approved use, or off-label:

  • Reducing excessively sweaty armpits, hands or feet.  This condition is medically known as hyperhydrosis, a condition that  affects millions and can be embarrassing.  It can be one of the most life-changing treatments.
  • Alleviate Intense Migrane Headaches.
  • Eliminate a gummy smile.  If you have more gum than tooth when you smile.  This off-label use can open up your smile and show more of your teeth.  
  • Stop a twitching eye.  Before Botox was known for its ability to smooth out wrinkles, it was originally used to correct muscle twitching around the eyes.
  • Tightness in the Jaw from TMJ.  Constant grinding of the teeth and clenching your jaw can swell the muscles that live in the edge of the jaw and in the scalp, which can make these muscles become overgrown and makes the face appear off balance.  Injecting these muscles with Botox can soften the angles of the face, as well as release any tension too.
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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. Patients will be marked for the specific areas on the face that are going to be treated. 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 controlled with a cold compress.



Common Botox Injection Sites

What to Expect with BOTOX®

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.

BOTOX Expected Cost

BOTOX treatment costs will vary depending on how much of the medication is used (the number of syringes). Most practices charge $350 for one full syringe of BOTOX. A treatment session typically takes 1-3 syringes. Therefore, the cost can range between $350-$700 per session.  

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Average Cost  
From $100
Recovery Time  
Average Procedure Time  
30 Minutes
Post-op Follow-up  
4-6 Months
Procedure Recovery Location  
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Is it Safe?

BOTOX is approved by the FDA and has a long, safe history. It is administered in over 75 countries and consistently ranks as the most popular cosmetic procedure in America. However, even with its popularity, BOTOX is a drug and should only be administered by a qualified medical practitioner. Individuals who receive injections by someone inexperienced run the added risk of bruising, over medicating and ultimately, obtaining undesirable result.

Comparable Medication?

In 2009, BOTOX gained competition when Dysport (abobotulinumtoxinA) was developed, approved by the FDA, and made available to the general public. Both drugs are used to relax the facial muscles that cause wrinkles and frown lines. Some practices lean towards BOTOX to address forehead lines, while considering Dysport for crow’s feet. There has been much debate as to which drug is superior. Both have their advantages. Some distinct differences can be discussed during the consultation.  

BOTOX or Filler?

Injectable fillers such as Restylane, Juvederm and Perlane help decrease wrinkles by adding volume to certain facial structures, which creates the appearance of smooth skin. BOTOX, which temporarily freezes the underlying muscle, offers a similar result with a different approach. A skilled practitioner will be able to determine if a filler material or a product like BOTOX would garner the best results.  

Best Age?

Individuals who wish to soften and decrease facial lines and wrinkles may be candidates for BOTOX. The most common age to receive BOTOX injections is between 30-55. However, it is also common for patients younger and older to receive injections.  

Long Lasting?

BOTOX is not a permanent fix. Results will last for several months - sometimes longer - but they will not last forever. Qualified injectors will tell you there is good news and bad news when it comes to BOTOX. The good news is, if you are not happy with your results, the results will only last a few months. Likewise, the bad news is, if you love your results (which most people do), the results will only last a few months. Regardless, many patients recognize even the temporary results are worth feeling and looking younger. 

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary. Prices given are for information only and can vary from patient to patient, or case by case, based on many factors like age, conditions and size of the anatomical area(s) needing to be dealt with and/or medical conditions and length of surgery, etc. Quoted prices may include: Surgeon’s Fee, Facility Fee, Anesthesia Fee and the cost of Post-Op Garments (Liposuction patients only).