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About BOTOX

BOTOX® Cosmetic is a highly purified form of botulinum toxin that is used to treat dynamic wrinkles, which are wrinkles that form when facial muscles contract, and it is a proven treatment supported by more than thirty years of studies worldwide.

BOTOX® is derived from the bacterium that is directly associated with botulism, but it has effective medical and cosmetic uses. Its cosmetic form is used to treat age lines or wrinkles, but medically it’s used to address health problems such as dystonia (a disorder that causes involuntary muscle contractions), excessive sweating (hyperhidrosis), and migraine headaches, to name a few.

As a cosmetic treatment, BOTOX® is injected into the skin in very small, safe amounts to selectively block the function of certain facial muscles that cause dynamic wrinkles. BOTOX® isn’t used for static wrinkles, which are those present when the muscles of the face are not moving, but it can help prevent them from forming by keeping the muscles relaxed.

For more comprehensive results, combo treatments are available for Botox injections plus advanced treatments: SkinPen Microneedling, RF Microneedling, HALO laser, etc.

The History of BOTOX®

Although researchers started experimenting with botulinum toxin as early as the 1970s, BOTOX® was first approved by the FDA in 1989 as a medical treatment for blepharospasm (uncontrollable blinking) and strabismus (misaligned eyes), and was approved to treat cervical dystonia, a neurological disorder that causes severe shoulder and neck muscle contractions, in 2000.

The results of earlier research and treatment showed that BOTOX® could also be used to treat wrinkles caused by muscle activity. In 2002, BOTOX® was approved as a cosmetic treatment, and in 2004, it was approved as a treatment for axillary hyperhidrosis (excessive underarm sweating) for patients who did not respond to topical prescription drugs.

Before & After

Botox

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Combination Treatments:

Botox works best when paired with treatments that improve overall skin quality and health. To help patients achieve smoother, longer-lasting results, we strongly recommend a comprehensive approach that includes advanced treatments and a consistent Medical-Grade skincare routine.

  • SkinPen microneedling is an excellent option for younger skin or early signs of aging, helping refine texture and support natural collagen production.
  • RF microneedling is ideal for addressing more advanced concerns such as sun damage, rosacea, and deeper wrinkles, while still allowing minimal downtime. Best for patients who do not have the option of recovery time.
  • HALO Laser treatment offers more intensive resurfacing to improve crepey skin, significant sun damage, and deeper wrinkles. This requires downtime.

Medical-grade skincare is also an essential part of every Botox plan. Our curated selection of such as Alastin and Ourself skincare—available through our med spa—helps strengthen the skin, protect results, and maintain a healthy, resilient complexion over time.

Alternatives to Botox

Alternative treatments to BOTOX®, like Dysport®, Jeuveau®, and Xeomin® are also available and work in a similar manner. Our aesthetic experts will sit down with you and go over your options.

At your consultation, where we’ll also discuss your aesthetic goals and individual needs so we can determine the best treatment for you.

Areas BOTOX® Treats

  • Frown lines between the eyebrows
  • Horizontal forehead lines
  • Crow’s feet at the outer
  • corners of the eyes
  • Bunny lines on the nose
  • Vertical lip lines
  • Chin dimpling
  • Vertical neck bands
  • Marionette lines
  • Shaping and lifting the eyebrows

Find Out Why Patients Love Us

Patient Reviews

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Lori Cauthen profile picture
Lori Cauthen
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I recently had BBL and RF at Evolve Medical in Charlotte. My skin is glowing, tighter and my brown spots gone. 😊 The entire staff is wonderful to work with and everyone makes you feel comfortable and a part of the Evolve Medical family. Great place to get ALL of your skin care needs met.
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A MH profile picture
A MH
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As always, Isabella gave me a great laser treatment. I highly recommend Evole for their knowledge, range of services and professionalism.
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Anji Patel profile picture
Anji Patel
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Esabelle is so professional..whole experience was just wonderful…I have been going to both Dr Suda and Esabelle for last 5 years and am always very impressed and happy with results I recommend them strongly
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Sarah Sanders profile picture
Sarah Sanders
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So Amazing Isabella is so sweet and kind I have never felt more relaxed and the results are absolutely astonishing! Definitely recommend!
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Kim Bostic profile picture
Kim Bostic
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Kim and Courtney are amazing! They listen to your needs and are very caring with follow up after the procedure. I'm looking forward to seeing them again soon.
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Fay Gao profile picture
Fay Gao
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I went in for a Sylfirm X microneedling treatment with Isabella and had a great experience. I noticed my breakouts visibly improving within just a few days. Isabella was incredibly patient, gentle, and very detail-oriented throughout the entire treatment. She took her time and made sure I was comfortable every step of the way. I truly felt well cared for and highly recommend her. Dr. Sudy is very honest with his patients and always gives straightforward advice. He will tell you directly if something isn’t suitable or if you don’t need a certain treatment. I had Botox injections with him, and his injection skills are excellent, he knows exactly how much to use and precisely where to inject.
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Mary Dovel profile picture
Mary Dovel
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The team is amazing! They do a fabulous job providing recommendations and setting clear expectations. Very detail oriented and take a lot of pride in how they help others feel more confident.
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Jennifer Hastings profile picture
Jennifer Hastings
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I have been going to Evolve for many years and plan to continue for many more! They are so fantastic - from wonderful Courtney and all she does to get appointments booked and make sure everything runs smoothly to Dr. Sudy and his excellent work with injections to Isabella and her amazing talent with services like RF Microneedling. I’m so grateful for all the staff - their professionalism, expertise and customer service is top notch! I can’t recommend them enough! Thank you so much to everyone at Evolve for all you do! You are the best!

Botox for TMJ
Treatment

At Evolve Medical Associates, we offer Botox as an effective solution for relieving TMJ (temporomandibular joint) disorder. Botox works by targeting the muscles responsible for jaw clenching and grinding, such as the masseter and temporalis muscles. By relaxing these muscles, Botox can reduce pain, improve jaw mobility, and help prevent long-term joint damage. Experience relief and improved comfort with our personalized TMJ treatment.

Botox for Hyperhidrosis Treatment

Say goodbye to excessive sweating with Botox at Evolve Medical Associates. Our Botox treatment for hyperhidrosis effectively reduces sweat production by blocking the nerves that stimulate sweat glands. Whether you’re dealing with excessive underarm, hand, or foot sweat, Botox can provide long-lasting relief—often up to six months—helping you regain confidence and comfort in everyday activities. Let us help you feel fresh and dry with this simple, effective treatment.

Frequently Asked Questions

Is BOTOX® Right for ME?

BOTOX® isn’t the right choice for everyone, but it depends entirely on the individual’s needs and goals. BOTOX® injections should be avoided if you have certain neuromuscular diseases, during pregnancy and breastfeeding, and while taking certain medications like antibiotics and blood thinning agents.

When you come to Evolve Medical Associates for your BOTOX® consultation, we’ll discuss your concerns and medical history in-depth to ensure that BOTOX® is right for you. If it’s not, we’ll adapt our individualized treatment plan and come up with another solution that fits your unique needs.

Do BOTOX® Injections Have Side Effects or Downtime?

Side effects from BOTOX® can occasionally occur, but they are only temporary, such as bruising at the injection site. Some patients have reported a mild headache after injection, as well as numbness and tingling. However, these symptoms wear off within the next day or so. Most patients return to their daily routine right away.

How Long Does BOTOX® Last?

Your first BOTOX® injection will typically only last three to four months, as it is injected into strong, thick muscle that has not been treated before. At subsequent sessions, the muscle is smaller and weaker (since it has not been used) and your injections may last longer.

When we craft your treatment plan, we’ll be able to determine how often you’ll need BOTOX® injections, as well as their exact placement and amount, to give you a better idea of how long it will last.

BOTOX® Treatments in Charlotte

Whether you’ve been curious about BOTOX® and are seeking your first treatment or have gotten BOTOX® in the past and are seeking a new provider, we have the experience necessary to deliver exceptional, natural-looking results. Call Evolve Medical Associates today or request a BOTOX ® consultation below.

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