If you’re planning your first Botox treatment, you’ve probably asked:
- What is Botox?
- How does it work?
- How should I prepare?
- Is it safe?
Botox is a popular injectable treatment for softening fine lines and wrinkles, especially on your forehead, between your brows, and around your eyes. But before you book your first appointment, here’s what you need to know.
What Is Botox?
Botox is an FDA-approved neuromodulator for smoothing out fine lines and wrinkles caused by facial expressions, like squinting, frowning, or raising your brows. It works by temporarily relaxing the tiny muscles under your skin that create those lines over time.
It’s most commonly used to soften forehead lines, frown lines (aka the “11s” between your brows), and crow’s feet around the eyes. Some people also use it for a brow lift effect, to slim the jawline, or to prevent new lines from forming.
Botox helps you look less tired, less tense, and more like yourself on a good day. Results aren’t instant, but you’ll usually start noticing a smoother look within a few days. It’s quick, non-surgical, and can be done in under 30 minutes with no downtime.
Botox for frown lines before and after (2 weeks after first treatment)
Botox for forehead lines before and after (2 weeks after first treatment)
What Is Botox Made Of?
Botox is made from a purified form of botulinum toxin type A. While the word “toxin” sounds scary, it’s completely safe in the tiny, controlled doses used for cosmetic treatments.
It works by temporarily blocking nerve signals to the muscles, which prevents them from contracting and creating wrinkles. The formula also contains a few inactive ingredients, mainly proteins that help with stability and delivery.
Is Botox Safe?
When done by a trained, licensed professional, Botox is very safe. It’s FDA-approved and has been used for over 20 years in both cosmetic and medical treatments. Most people tolerate it well with minimal side effects. You might have slight redness, swelling, or a small bruise at the injection site, but that usually fades quickly.
The most important thing is to see someone who knows what they’re doing. Botox is technique-sensitive, so results can vary depending on your injector’s experience and skill. If you’re pregnant, breastfeeding, or have certain medical conditions, you’ll want to talk to your provider first.
Otherwise, for healthy adults, Botox is considered a low-risk, high-reward option for softening lines and preventing new ones from forming.
How Long Does Botox Take to Work?
Botox doesn’t work instantly, so don’t expect immediate results after your first treatment. You’ll usually start to see results in 3 to 5 days, with full results showing up around 10 to 14 days after treatment.
It starts slowly as the muscle activity reduces and the skin begins to smooth out. You might notice one area relaxing before another. That’s normal, so don’t panic. If it’s your first time, your injector may schedule a follow-up in two weeks to check your results and make any small adjustments if needed.
How Long Does Botox Last?
Botox typically lasts 3 to 6 months. Some people may see results fade closer to 2.5 months, while others can stretch it to 5 months with consistent treatments. Over time, as the muscle activity returns, fine lines will gradually come back, but usually softer than before.
If you stick to a regular schedule, you may even need fewer units over time. Touch-ups are usually done 3 or 4 times a year to keep results fresh and natural-looking.
How to Prepare for Your First Botox Appointment
Prep for Botox is simple, but it matters. Here’s what to do (and what to avoid) before your appointment:
- Avoid blood thinners like aspirin, ibuprofen, fish oil, and vitamin E for about a week. They can increase your risk of bruising.
- Skip alcohol for at least 24 hours before treatment.
- Hold off on skincare treatments like peels, waxing, or facials 2–3 days before.
- Come with a clean face. No makeup, lotion, or SPF.
- Let your provider know if you’re pregnant, nursing, or have any medical conditions.
How Many Units of Botox for Forehead?
Most people need 10 to 30 units of Botox to treat the forehead area. That includes both the horizontal lines across your forehead and the vertical “11s” between your brows (also called the glabella).
The exact number depends on your muscle strength, your goals, and whether this is your first time. A lighter dose gives more movement; a stronger dose gives smoother results and lasts longer. Your injector will assess your facial anatomy and recommend a personalized dose.
How Much Is Botox?
Botox typically costs $10 to $15 per unit. A typical forehead and frown line treatment uses about 20 to 40 units, so you can expect to pay $200 to $600 per session.
The exact price depends on:
- How many areas you’re treating
- How strong your facial muscles are
- Your desired result (lighter or stronger effect)
- The injector’s experience and credentials
Most providers charge by the unit, not per area, so your total cost is personalized to your treatment plan. Botox treatments are highly personalized, and the best results come from a customized approach. BOOK A BOTOX CONSULTATION at LiveWell Medical Aesthetics to discuss pricing.
Can You Get Botox While Pregnant?
No. Botox is not recommended during pregnancy. There haven’t been enough studies to prove it’s safe for you or your baby, so most providers, including us, won’t treat pregnant or breastfeeding patients.
Even though Botox stays local to the injection site and doesn’t travel far in the body, the risk just isn’t worth it. The safest choice is to wait until after pregnancy or breastfeeding before starting or resuming treatments.
How to Choose a Qualified Botox Injector Near You
Botox can legally be administered by:
- Physicians (MD or DO)
- Nurse Practitioners (NPs)
- Physician Assistants (PAs)
- Registered Nurses (RNs)
That said, your Botox provider should also be experienced: Look for someone who:
- Specializes in facial aesthetics
- Has advanced training and certification in cosmetic injectables
- Has before-and-after photos of real patients
- Takes the time to assess your face and explain your treatment plan
Don’t choose based on price alone. The best injectors are medically trained, have an artistic eye, and prioritize natural results. Your face deserves expertise, not shortcuts.
If you’re looking for expert Botox injectors in South Dakota, visit LiveWell Medical Aesthetics. Our injectors are medically licensed and trained to administer Botox treatments safely and effectively.
Call us at 605-545-9020 to book your Botox appointment today. Find us at 811 Columbus St., Rapid City, SD 57701. We also serve nearby areas, including Box Elder, Sturgis, Spearfish, and Hot Springs.
Frequently Asked Questions
Does Botox hurt?
Most people describe it as a quick pinch. Discomfort is minimal, and the entire treatment takes just a few minutes.
Can I wear makeup after Botox?
It’s best to wait at least 4–6 hours before applying makeup to avoid irritating the injection sites.
Will I look frozen after my Botox treatment?
Not if it’s done right. A skilled injector will leave you looking natural, just more refreshed and well-rested.
Can I get Botox and fillers at the same time?
Yes. At LiveWell, our injectors often combine them to treat both expression lines and volume loss in a single visit.