My first BOTOX Experience

If you haven’t heard about Botox, you’re probably living under a rock! I initially heard about botox in college when a few of my friends were talking about getting a couple of units in their forehead. I didn’t think much of it because I have great genetics (thanks mom and dad!) and I’m pretty healthy so I age a lot slower than most other people. Plus… I take extremely good care of my skin.

Fast forward a few years as I creep up on 30, I started noticing a lot more settled wrinkles on my forehead and especially between my brows, AKA my 11. I have a pretty expressive face and most people tell me that if my mouth doesn’t say it, my face will! I became curious about Botox, but always brushed it off because some ladies told me that botox was addictive, and I didn’t want to have to keep going back.

Well, I guess you can say I am addicted now!! 

I chose Maui MedSpa because I was recommended by a lot of other friends, plus the location is convenient for me. It’s literally 1 block away from my house! Setting up my appointment was extremely easy and I received pre-care instructions. I wasn’t nervous because Dr. Alexander answered any questions I had prior to me coming in for my appointment.

The appointment lasted about half an hour and the procedure only took about 5 minutes. 

I got 30 units of Jeuveau (a new type of Botox) on my forehead and brows and a couple units on my upper lip. WHAAAT??? Botox on your upper lip?? That was my reaction when Dr. Alexander recommended it to me. It’s called a Lip Flip. It is NOT filler. I have great volume in my lips already, but I had an insecurity where my upper lip would disappear when I’d smile. Injecting a few units into my upper lip would “flip” it up, giving the illusion of fullness and would help maintain that volume when I would smile.

The forehead botox was not painful at all, it just felt like a little prick. The lips on the other hand… those were a little spicy! It wasn’t the worst pain I felt in my life, but it was uncomfortable. The best part about it was that it didn’t last too long. Immediately after the procedure, there was no pain. There was a little bit of blood, but that’s to be expected with needles.

Check out my results here:

14 Days in between photos to show settled results. Results will vary.
Fuller Upper Lip from Lip Flip

It’s been about a month since my procedure, and I am very happy with my results. It is a strange sensation the first 2-3 weeks not being able to move your face, but it does “loosen up” and you get used to it. I’m so glad I don’t have to worry about my expressive face for 6-8 months.

Once everything goes back to “normal,” I can’t wait to go back to get a Dracula Facial!!! More information on that plus other services they offer here

General Information, Tips, & Your Questions answered by Dr. Alexander:

Pre-Care Tips for Jeuveau and Botox:

  • Skin care is key! Larger wrinkles are made by underlying muscle movement and treated with a neuromodulator such as Jeuveau or Botox, but small wrinkles are often from sun damage and poor hydration. At a minimum, we always recommend a CeraVe moisturizer and sunscreen combination which can be bought at Target for $14 dollars and lasts about 3 months! 
  • The next level is an addition of a Retinoid and Antioxidant (Vitamin C, A, E), and a good example of this is Skin Better‘s AlphaRet and Antioxidant.  
  • Work out before if you wish! 

Post-Care Tips for Jeuveau and Botox:

  • Do not lay down for 4 hours after: This may cause the Jeuveau to spread to thin in the muscle, reducing its effect. 
  • Do not work out for 24hrs after: Many people think that you may sweat out the Botox, however the problem is when you have increased blood flow to the area where Botox was placed, it may “Wash Away” Botox that hasn’t settled yet, thereby reducing the effect. 
  • You MAY do all your normal shower and skin care routines, as well as wear makeup after 4 hours

It’s a pretty simple pre and post care routine and once you give it a try you will love it! 


What is the difference between Jeuveau, Dysport, Botox? 

Have you ever gone to get “Botox” and ended up learning that there are actually several kinds of Anti-Wrinkle treatment? Many people wonder what the difference between different neuromodulators are. The answer is actually pretty simple: They are all the same, except the outside layer of the botulinum toxin is different. 

Each brand of Anti-Wrinkle treatment is all made up of the Botulinum Toxin, which binds to muscles and temporarily stops them from contracting (thereby preventing deep wrinkles from forming). However, in the manufacturing process, they are coated with different kinds of proteins. Once injected, these proteins take several days to fall off which is why you don’t see a reduction in wrinkles for several days after your treatment. The difference in these proteins, and how long it takes for them to fall off, accounts for the difference in time it takes for the product to work (see reduction in muscle movement). In my experience Dysport starts working the fastest, followed by Jeuveau, followed by Botox. 

This difference in protein also affects how it spreads in the muscle. This is why some people like one better than the other, because it spreads differently producing every so small results. 

My advice is to try each one at least once, and see which one you prefer! Currently, the pricing for Jeuveau is the best because it is newest on the market! However, be on the look out for a newer Neuromodulator coming soon from Revance

The cost ranges are:

Jeuveau: $9-$11 per unit
Dysport: $4 per unit (keep in mind this is 2 units of Dysport to 1 unit of Botox)
Botox: $10-$13 per unit

General recommendations for number of units per area are:

Glabella/Frown Lines: 20 Units of Jeuveau/Botox or 40 Units of Dysport
Forehead: 10 Units of Jeuveau/Botox or 20 Units of Dysport
Crow’s Feet/Smile Lines: 10 Units of Jeuveau/Botox or 15 Units of Dysport

Maui MedSpa is currently offering Virtual Consultations here and once things are getting back to “normal” they can get you in to start feeling like the best you!

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