Botox and Fillers

Anti-Aging with Injectables


Botox Cosmetic is the most common nonsurgical anti-aging medication used to reduce facial lines such as crow’s feet, frown lines, smile lines, and forehead lines. Botox is extremely effective in adults of all ages to reduce dynamic lines and prevent deepening of furrows. We individualize the amount and placement for the best results.

How long does it last?

The effect of Botox is temporary and needs to be repeated for the desired effect. Different areas of the face have different speeds of neuro-muscular repair, but most patients enjoy the results and request retreatment in 3 to 5 months.


We ask patients to avoid taking elective supplements like fish oil or ibuprofen for 1-2 weeks before Botox injections. Since the needles are so tiny, most patients do not need any topical numbing cream before injection.

How does it feel?

Patients tolerate treatment very well and may only feel a slight pinch. Some patients request for numbing cream or cool the area before injection. Treatments take less than 10 minutes and most patients resume their day. Although most people have good results, responses vary and there are no guarantees as to the expected results.


Avoid lying down, massaging or touching your face for 3-4 hours where the injections have been placed. If you are out in the sun, very gently apply sunscreen to avoid displacing the medication. You can immediately go back to your usual routine; just avoid alcohol or high intensity exercise immediately after. Let us know if you would like a cool pack for the injection site; however, be careful to not massage or apply too much pressure. Patients may have minor swelling and redness at the injection sites; which usually resolves within an hour. If you notice a bruise; let us know and we can perform a light treatment help it resolve more quickly.


After Botox is injected into the targeted muscles, the weakening effect gradually begins in a few days. Some patients notice it working within days, but most patients need to wait 2 weeks to see the full effectiveness. Depending on your response, additional units of Botox may be needed in order to achieve the desired result. Especially for new patients or a new treatment area, we request for patients to return 2 weeks after Botox to confirm the optimum results.


At Aesthetic Pearl, we have experts in filler procedures. Fillers are a nonsurgical wrinkle treatment and volume replacement. Fillers replace volume especially under the eye, cheeks or lips. Topical and local numbing help make the injections more comfortable. The amount of various fillers used depends on the depth of the wrinkles and are individualized to your preference for a more natural or enhanced appearance. You will have swelling and temporary redness around the injection sites. The doctor will often massage the area after injection to spread and contour. Results may last anywhere from four months to two years.