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Botox Cosmetic®


Wrinkles & fine lines




3-4 months


Botox® is a simple Nurse Practitioner, administered treatment that involves the injection of a purified protein into the specific areas defined by a Nurse Practitioner during a consultation. Botox® is one of the safest and FDA approved non surgical treatments performed. It is not permanent, and most patients require a repeat treatment every 3-4 months to ensure that you’re always looking your best and maintaining your appearance.

When administering Botox® in Orlando office our Nurse Practitioner will evaluate patterns of facial muscles movement and look for moderate to severe facial lines caused by the action of these muscles. The location, size and action of these muscles that have created these “dynamic lines” vary among patients. We will mark these locations and administer several tiny injections of Botox® directly into the muscles that have caused these dynamic lines. Our goal is to create a relaxed and youthful appearance.

What to expect?

Before treatment

Our Nurse Practitioners will review your chart with you and confirm your skincare and what are your beauty goals.

We will discuss the risk factors associated with the treatment, and any other concerns you may have before to proceed with the treatment.

APRN will help you determine if Botox® is the right option for you.


During treatment


Mild discomfort may be experienced, but the process isn’t painful. We will cleanse injection sites to work and we may offer numbing agents as requested by patient.

The required number of Botox® units varies by patients and these will be injected below the skin’s dermis layer.

We will smooth out the Botox® injection to ensure it’s in all the desire places.

After treatment

You may expect to experience mild symptoms such as slight tenderness, temporary redness, swelling, and in rare cases, slight bruising on injection sites. This is temporary, and ice packs will help to relieve any swelling and discomfort you may experience post treatment.

We will schedule complimentary follow-up appointments to discuss how the treatment went and if any retouch is needed.

Enjoy your unique results!


Frequently Asked Questions About Botox® Treatments

What is OnabotulinumtoxinA?

Doctors first used OnabotulinumtoxinA (more commonly known as Botox®) to treat patients with blepharospasm (uncontrollable blinking), strabismus (crossed eyes) and other medical conditions. Its ability to smooth frown lines and wrinkles was first documented in 1989, and the FDA approved Botox® for cosmetic procedures in 2002. Since then, it’s become a popular non-surgical cosmetic procedure worldwide.

What are possible side effects of Botox® ?

  • Blurred vision

  • Drooping eyelids (ptosis)

  • Swelling of eyelids

  • Dry mouth

  • Discomfort or pain at injection site

  • Fatigue

  • Headache

  • Neck pain

  • Decreased eyesight

VIVA Bloom® offers complimentary consultations with our Nurse Practitioners so that you can discuss any questions and concerns you may have. All of our consultations are confidential and are conducted in our Orlando location or via Telemedicine. Together, you and our Nurse Practitioner will review your skincare and beauty goals and determine if Botox® is the right alternative that fit your needs. 

How much Botox® should my practitioner use?

The amount of Botox® used will vary by patient, depending on the condition of your skin, your age, skin type, and your overall skincare desire goals. To determine the number of units that should be used for your individual needs, our Nurse Practitioner will conduct a free skin analysis during your consultation. A personalized plan including illustrative face will be created to map out how many units will be administered.

Where should Botox® be injected?

The most common injection sites for Botox® approved by FDA are:

  • Forehead 

  • Between the eyebrows (glabellar lines)

  • Around the eyes (crow’s feet)

Botox® should NOT be injected into the lips

What happens if I stop Botox® treatments?

Since Botox® is not a permanent solution, you will need to return for further treatments after approximately 3-4 months, if you wish to maintain results.

Are there any contraindications for Botox®?

  • Allergy to Onabotulinum toxin A

  • Bleeding disorders

  • Have had surgery recent or plan to have surgery soon

  • Weakness of forehead muscles

  • Symptoms of a urinary tract infection (UTI)

  • Incontinence

  • Individuals younger than 21 years-old

  • Pregnancy, planning pregnancy, and breastfeeding

  • Nerve disorders (can cause cornea problems), speak to your doctor before receiving treatment

  • Muscle disorders

It is very important that you fill out our health history and consent forms in full details and discuss any health conditions, medications or treatments that you are having or have had near to the time of your treatment to ensure your safety and well being. This product may not be suitable for everyone. Please discuss whether Botox® is a suitable treatment for you with our Nurse Practitioner and keep in mine transparency and communication is crucial.

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