Botox® and other neurotoxins such as Xeomin®, Dysport®, and Jeuveau® eliminate wrinkles and facial creases for men and women seeking a refreshed, younger appearance. Botox is often the first injectable patients try and the results can be quite impressive. Patients start Botox treatments as young as their mid-twenties and continue into their 80s.

At Zenn Plastic Surgery, Mary Shaver, Aesthetic Nurse Specialist, offers 18+ years of aesthetic injectable experience and artistry to patients. Mary devises a completely individualized plan for each and every patient. She is one of the most highly trained and well-respected injectors in the area which explains her hundreds of loyal patients who travel from both near and far for treatments. For those who prefer a plastic surgeon do their injections, Dr. Zenn also treats Botox patients (many of whom are also his surgery patients!).


How Botox Works

Botox is a non-surgical treatment that addresses facial wrinkles including forehead lines, “eleven’s” or frown lines between the eyebrows and crow’s feet at the sides of the eyes. Tiny lines like these are among the first to show your age and simply disappear with Botox treatment.

Botox is also used by advanced injectors to improve the shape of the eye by opening it more or by raising the brow, giving it an aesthetically pleasing arch. Botox can also improve the appearance of the mouth by raising the corners of the lips, by weakening and diminishing vertical “smoker’s” lip wrinkles and by making the upper lip have more prominence (“lip flip”). Botox can even diminish the prominence of wide jaws through its effect on the masseter (chewing) muscle.


How Botox is Injected

The Botox (botulinum toxin) is injected into the muscles of the targeted areas of the face to stop muscles from contracting. This happens because the Botox molecule blocks signals from nerves to the muscle so they no longer contract. And this stops the tissue movement that forms wrinkles. Only non-critical muscles are targeted as these muscles simply make wrinkles and are not necessary for function. After Botox is placed, wrinkles disappear over the next 4 or 5 days. Persistent wrinkles can be retreated one week after the initial injection if required.



What’s the Difference Between All the Brands of Neurotoxins?

Botox, Xeomin, Dysport, and Jeuveau

The U.S. Food and Drug Administration (FDA) approved Botox and other neurotoxins, for minimization of fine lines on the face. Each of the products are manufactured and sold by different companies. There are subtle differences between the different neurotoxins. The active molecule is very similar with only minor changes between different brands. Some are touted to last longer; others take effect more quickly. The effect on each patient varies and patients who do not respond well to one may do better with another, but this is unusual. Some brands may be less expensive at times — but that is marketing, not medicine.

Mary Shaver has been trained to inject all of these products and has years of experience doing so. She knows what works and what doesn’t and will recommend the product she believes is best for you.

Zenn Plastic Surgery uses Botox more than any of the other products on the market. Botox, produced and sold by Allergan, is the original neurotoxin and the market leader. In fact, Botox, like Kleenex, has become somewhat of a generic word in society. Zenn Plastic Surgery is often approached to trial new formulations of neurotoxins. Patients should expect the most up-to-date and cutting-edge treatments.


How Soon After Treatment Will I See Results?

Within 48 hours after your Botox treatment, the wrinkles begin to melt away. And in five to seven days, you’ll notice smoothness and rejuvenation of your face. The fine lines and frown lines no longer appear. What separates those who just inject Botox from those who use Botox to artistically create a more youthful face is experience, training, and pure talent. Each muscle is different in size, strength, and vector of pull. It is the appreciation of each patient’s unique anatomy and the knowledge of how much and where to place Botox that separates Mary Shaver from the rest. Who injects your Botox actually matters!


How Long Does Botox Last?

Typically, after 3 to 4 months, you slowly start to see wrinkles and lines reappear as the nerve impulses start reaching the muscle again. The larger and stronger the muscle, the faster the return. It is also true that with repeated treatments, fine lines and wrinkles appear less prominently than before and may require less Botox. There is no doubt that ongoing maintenance injections every three to six months will help to maintain a smoother and more youthful look. If you keep the muscles at bay and they are always at rest from Botox, the wrinkles will simply never form.


How Much Does Botox Cost?

Botox can be priced either by unit or by area to be treated. Because Mary Shaver’s patient plans are specific to the patient, Zenn plastic Surgery prices Botox by the unit. The real question is, how many units will I need? The answer – it varies. New patients are often more hesitant and start with 15-30 units but commonly are back after a week for more! Once your Botox routine is established, we know exactly how you responded to your last treatment and how many units you required. Mary Shaver will discuss all of this with you at your consultation before any treatment so you know exactly what the cost will be for your best result. It is widely accepted that Botox treatments offer the “best bang for your buck” as they are effective and long lasting, with little if any downtime.


Dr. Zenn always says, “it’s the injector not the product that can make the biggest difference in your final results.”

Why an Aesthetic Nurse Specialist for Botox Treatments?

While Dr. Zenn is an expert in surgery, Certified Nurse Injector, Mary Shaver, RN, BSN, CANS is an expert injector with two decades of experience only performing injections. This is what she does – all day, every day. Mary is known for her gentle touch (you will not need any anesthesia) so you feel little to no discomfort. Needles used for targeted areas are very fine in diameter, making the process easy and pain free. And Botox injections take only a matter of minutes – resulting in months of enjoyment!

To determine if you are a good candidate for Botox treatments, Mary Shaver offers one-on-one complimentary consultations. During the consultation, she will examine the condition of your skin and facial structure. She will ask about your goals and develop a personalized plan to achieve them. The plan is comprehensive and may include Botox (or other neurotoxins), skin care, fillers, peels, micro-needling &/or PRP. Mary’s patients are loyal and credit her with their natural and youthful look. They know from experience that she is special.