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What Is Botox?
Botox® is an FDA-approved neuromodulator that works by temporarily relaxing targeted facial muscles. By reducing muscle activity, Botox softens lines and prevents them from deepening over time. It’s most commonly used for:
- Crow’s feet around the eyes
- Horizontal forehead lines
- Frown lines between the brows (“11” lines)
- Bunny lines on the nose
- Neck bands and chin dimpling
Botox results typically appear within 3–7 days and last 3–4 months. With consistent treatments, many patients notice their lines becoming less pronounced over time and enjoy a more youthful appearance.
Why Choose Dr. Hetal Fichadia for Botox?
Choosing the right provider for Botox matters. The best results from wrinkle relaxers depend on artistry, anatomical knowledge, and an understanding of how to keep your expressions natural.
Patients choose Dr. Fichadia for Botox skin rejuvenation because she offers:
- Woman-to-woman insight: She understands the desire to look more rested and youthful without looking “frozen.” With a patient-first philosophy rooted in honesty, education, and genuine care, Dr. Fichadia has been consistently selected by her peers as a Portland Monthly Top Doctor every year since 2018.
- Surgical-level precision: Her expertise in facial anatomy as a double board-certified plastic surgeon ensures safe, symmetrical results.
- Natural, elegant outcomes: Every injection is customized to your facial structure and goals.
- Combination expertise: For patients seeking more lift and contour, she can integrate Botox into a full non-surgical facelift plan with fillers and/or fat grafting.
Benefits of Botox
- Quick treatment that’s often done in 15–30 minutes
- No downtime, meaning you can return to most activities immediately
- Prevents deepening of existing dynamic lines
- Can be combined with fillers or fat grafting for comprehensive rejuvenation
- Results that look refreshed, not overdone
Candidates For Botox
You may be a candidate if:
- You have mild to moderate lines or severe wrinkles caused by facial expressions
- You want a refreshed look without surgery
- You’re in good overall health and a non-smoker
- You have realistic expectations and want natural results
Botox is also popular for younger patients in their 20s and 30s as a preventive treatment to slow wrinkle formation. Dr. Fichadia will gladly help you determine if this treatment is right for you, and if not, which other options would work best.
Hetal Fichadia MD, FACS
Double Board-Certified Plastic Surgeon in Portland, OR
Botox and the Non-Surgical Facelift
For patients with early signs of aging, Botox alone can make a significant difference. But when paired with dermal fillers to restore lost volume and fat grafting for long-lasting fullness, it can create a true non-surgical facelift effect:
- Botox softens dynamic wrinkles and helps prevent new ones
- Fillers lift and contour cheeks, temples, jawline, and lips
- Fat grafting adds natural, permanent volume and improves skin quality
This layered approach can subtly lift and smooth your entire face without incisions or extended downtime.
What to Expect During Botox Treatment
- Consultation: Dr. Fichadia assesses your facial movements and listens to your goals.
- Preparation: The skin is cleansed, and optional topical numbing cream may be applied.
- Injection: Botox is delivered via a fine needle to targeted muscles; most patients feel only a quick pinch.
- Aftercare: You can resume most activities right away but avoid strenuous exercise and lying flat for several hours.
Botox Recovery and Results
- Minimal redness or swelling may occur and resolves quickly
- Results begin to appear in 3–7 days, with full effect at 2 weeks
- Smoother, softer expression lines last 3–4 months on average
- Regular treatments help maintain and enhance your results over time
How Much Does Botox Cost in Portland?
Botox pricing depends on the skill of the provider as well as the number of units used, which varies based on your facial anatomy and treatment goals. Dr. Fichadia will provide a personalized quote during your consultation and can discuss packages or combination treatments for a more comprehensive refresh.
Maintenance for Lasting Youthfulness
Most patients schedule Botox sessions 3–4 times per year to keep results consistent. If you’re also using fillers or fat grafting, these treatments may be done less frequently but can further extend your rejuvenated look.
Schedule Your Portland Botox Consultation with Dr. Fichadia Today
Whether you’re smoothing your first fine lines or looking to enhance previous facial rejuvenation, Botox can help you look as vibrant as you feel. For a more complete transformation, ask about Dr. Fichadia’s non-surgical facelift approach combining Botox, fillers, and fat grafting.
Call (503) 488-2344 or contact us through our online form to schedule your consultation in Portland or Lake Oswego. We look forward to hearing from you and developing your custom treatment plan.
Botox FAQs
Will my face look frozen?
Not with Dr. Fichadia’s approach. She customizes dosage and Botox injection placement so that you will look younger and refreshed but still like yourself.
Does Botox hurt?
Most patients feel only a quick pinch. The procedure is very well tolerated, and numbing cream is available if desired.
How soon can I wear makeup after Botox?
Usually within a few hours, once any pinpoint redness has resolved.
Can Botox be combined with other treatments?
Yes. It pairs beautifully with fillers and fat grafting for a non-surgical facelift effect.
What happens if I stop getting Botox?
Your muscles will gradually regain full movement, and lines will slowly return to their pre-treatment state.
How long does a Botox appointment take?
Most treatments take 15–30 minutes, making it easy to schedule during a lunch break. You can return to normal activities immediately after, aside from avoiding heavy exercise for a few hours.
When should I start Botox?
There’s no “right” age for Botox, as it depends on your goals and the extent of the signs of aging you have. Many patients start in their late 20s or early 30s as a preventive measure, while others begin later to soften existing lines.
Can Botox treat areas other than the face?
Yes. Botox can also be used for the neck, jawline contouring, excessive underarm sweating (hyperhidrosis), and even migraine prevention.
Will I need the same amount every time?
Not necessarily. With consistent use, some patients find they can maintain results with fewer units over time because the treated muscles become less active.
Is there downtime after Botox?
There’s no true downtime. You might have mild redness or swelling at the injection site for a few hours, but most people resume normal activities right away.
Can men get Botox?
Absolutely. Botox is increasingly popular among men to maintain a youthful, competitive appearance while keeping results subtle.
What’s the difference between Botox and fillers?
Botox relaxes muscles to reduce dynamic wrinkles caused by movement, while fillers restore lost facial volume and enhance contours. They can be used together for a more comprehensive refresh.
Is Botox safe?
Yes, when performed by a trained, experienced aesthetic medicine provider like Dr. Fichadia. Botox has been FDA-approved for cosmetic use for over 20 years and is one of the most studied aesthetic treatments in the world.
How do I know if I should get Botox, fillers, or both?
If your main concern is unwanted wrinkles from facial expressions (like crow’s feet or frown lines), Botox is the best choice. If you have volume loss, hollowing, or deeper folds, fillers may be recommended. Many patients benefit from a combination, especially as part of a non-surgical facelift.
Can Botox help with a downturned mouth or gummy smile?
Yes. Strategic Botox injections can subtly lift the corners of the mouth or relax the upper lip to reduce a gummy smile. Dr. Fichadia’s goal is always to keep your expression natural.
Will I bruise from Botox?
Bruising is uncommon but possible, especially if you’re prone to it or taking certain supplements/medications. Avoiding alcohol, aspirin, and other blood thinners for a few days before treatment can help minimize risk.