Botox® in Seattle, Washington

Botox® is one of the most popular anti-aging treatments on the market. It’s safe, effective, minimally-invasive and requires little to no downtime.

With the popularity of Botox® on the rise due to the positive effects of treatment, it has become one of the most sought after non-surgical cosmetic treatments on the market. 

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What is Botox®?

Botox® is an injectable neuromodulator that works to treat certain types of lines and wrinkles known as “dynamic wrinkles.” These signs of aging are caused by the contractions of facial muscles. Botox® is also used to delay the onset of dynamic wrinkles, leading to an increase in preventative Botox® (sometimes called Baby Botox®), and people are now starting Botox® treatments in their mid-twenties and early thirties. 

Botox® injections are an FDA-approved treatment for frown lines, lines on the forehead and crow’s feet. It’s also effective for other areas of the face, such as the nose, lower face, lips, and neck. Botox® softens the appearance of lines and wrinkles by blocking signals from the nerves to the muscles to disrupt the contractions. 

Botox® is effective for people of all ages, from mid-twenties and older. It minimizes the appearance of existing lines, as well as weaken the muscles to prevent wrinkles from worsening as you age. Keep in mind that Botox® isn’t a miracle fix for all signs of aging. It won’t work on lines that are caused by other factors, such as sun damage. 

The Advantages and Disadvantages of Using Botox®

More and more people are relying on Botox® as their preferred anti-aging treatment for a number of reasons. However, in some cases, it might not be the ideal choice. Here are the pros and cons of Botox® to consider before opting for the injections.

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Pros
  • Botox® is the premier treatment for fine lines and wrinkles. It is considered more effective than almost any other option for reducing lines and wrinkles that are caused by muscle movement in the face.
  • Botox® is a temporary treatment, and injections last about four to six months. You can try it out, and decide if it’s right for you. If you decide against further injections, your skin returns to the same appearance as prior to the injections, with only signs of the natural aging process.
  • Botox® is safe. There are very few health risks associated with using the product.
  • There is little to no downtime with Botox®. You can resume your normal activities immediately after the injections.
  • You see immediate results. Some people see results right after the injections, but most people see results within a few days.
  • Botox® injections require very little time. The first treatment takes 30 to 60 minutes, and follow-treatments take about 15 minutes.
  • Repeated treatments offer longer-term benefits. Results last four to six months, and you’ll need follow-up injections about every four months. In addition to being an effective treatment for wrinkles, Botox® helps to reduce, sometimes even remove, lines caused by repetitive facial muscle movements. 


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Cons
  • The costs of Botox® injections can add up. Depending on where you live, Botox® injections in a single treatment area may cost between $400 and $500, but it may be as high as $2000. Depending on the number of treatment areas and the frequency of your treatments, the costs can add up quite quickly. 
  • Botox® must be done by a professional. It can be tempting to try to find a lower cost option. In order to ensure that the treatment is safe and effective, choose a medical practitioner, trained aesthetician, or nurse injector for your Botox® treatments.
  • Botox® may limit range of motion in your face. The treatment temporarily paralyzes facial muscles to soften wrinkles. This may prevent you from making certain facial expressions. You can reduce the risk of this effect by ensuring that the individual administering the injections is experienced and properly trained.
  • The temporary nature of Botox® can be a disadvantage. You’ll need maintenance injections about every four months to maintain the anti-aging benefits.
  • Although rare, side effects have been reported with Botox® injections. The most common are allergic reactions that may cause pain or discomfort.
  • Botox® is not recommended for women who are trying to get pregnant, currently pregnant, or breastfeeding. There is no research as to the safety of Botox® injections in these situations.
  • There is a chance of bruising at the site of the injection, and this can last for up to a week.


Botox® FAQs

Here are some answers to the most frequently asked questions about Botox®.

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  • Is Botox® safe?

    While Botox® remains one of the most popular minimally-invasive treatments, there are many people who have concerns. It is true that the active ingredient in Botox® is a toxin that temporarily paralyzes muscles. Complications from Botox® are rare, but it is possible that the Botox® can spread into other areas. This may result in drooping eyelids or an uneven smile. The results are not permanent and will wear off within 3 – 4 months.

    The toxin, botulinum type A, has very little risk and few to no side effects when administered by a qualified professional. This makes choosing the right provider important. Choose someone who is qualified and has proven experience in successfully and effectively offering Botox® injections. Every provider that is listed on Anzolo Medical has been carefully checked to ensure that they meet the medical requirements as set by WA.

  • What is Botox® used for?

    Botox® works by temporarily paralyzing the underlying facial muscles. It is most often used to reduce the appearance of fine lines and wrinkles. Botox® is also used for the treatment of migraines, muscular disorders, and excessive sweating. In some cases, it is also effective for certain bladder and bowel disorders, temporomandibular joint disorder, bruxism, vaginismus, and for reducing a gummy smile.

  • What can I expect from my Botox® appointment?

    If you have concerns about your Botox® appointment, this should help you to understand what you can expect at each stage of the process:

    • The first step is a consultation with your provider. After a thorough examination and discussion about your concerns, the provider makes treatment recommendations to help you achieve your goals. This is an ideal time to ask any questions that you might have. 
    • The second step is the Botox® appointment. You will complete a consent form. Expect your first appointment to take about 30 minutes. Follow-up treatments may take slightly less time. Your provider explains the procedure and what to expect. Botox® is injected in the targeted muscles with a fine needle.
    • Immediately after the treatment, you can expect to have a small amount of swelling and redness which will disappear after ten minutes. It is possible that you may have a slight headache afterwards, although most people experience very little in the way of pain or side effects.
    • One day after Botox® treatment, you probably won’t have any symptoms, but there is a chance that you may have some minor bruising or a mild headache. You may not yet see the effects of the treatment.
    • A week after your treatment, you’re likely to see the results of the injections. The skin appears smoother and plumper.
    • Three months after your treatment, muscle movement starts to gradually return to normal. This is the time to schedule your follow-up appointment for additional Botox injections.
  • How long will it take to see results?

    The full effects of Botox® are not immediate. Botulinum type A takes some time to relax the muscles. You should start to see results around two to three days after treatment, but the full effects will take up to one week. Look for full results after about two weeks. 

    Keep in mind that you may still see some fine lines. The appearance of these lines will decrease as the facial muscles remain relaxed and immobile over three months. This is what makes long-term Botox® use so effective. The longer the muscles remain immobile, the fewer lines you may have. 

  • Do Botox® injections hurt?

    The pain from Botox® is minimal. The needles are very small. After the treatment, you may have small red bumps on your face that will last for 15 to 20 minutes. There is a small risk of bruising around each injection site that may last up to one week. You can minimize the risk of bruising by avoiding anything that thins your blood, unless it’s medically necessary. This includes aspirin, ibuprofen (and other non-steroidal anti-inflammatories), fish oil, vitamin E supplements, and alcohol. 

    If you are worried about the discomfort of Botox injections, you can request a topical anesthetic cream to numb the area before the injections. 

  • How long does Botox® last?

    Botox® lasts for 4 and 6 months. As the muscle movement gradually returns, you will notice the lines and wrinkles starting to reappear. At this point, you will need a follow-up treatment. With continued Botox injections, the lines and wrinkles are less severe. If you stop Botox® treatments, the effects will wear off completely, and muscles will go back to their normal movements. 

  • How much should I expect to pay?

    The total cost of treatment with Botox® varies from person to person. It depends on how many units are needed to treat the area. Additional considerations are the size of the area and strength of the muscles that need to be relaxed. In [STATE], the cost ranges from $10 and $25 per unit. Frown lines between the eyebrows are often treated with Botox® injections. Most people require about 25 units of Botox® to soften these lines, but it may 10 to 30 units. 

  • When should you start getting Botox®?

    Many patients start using Botox® around the age of 30 when lines and wrinkles start to become more noticeable. Others start Botox® injections around age 25 as a preventive treatment. 

Patient Testimonials

Read real reviews from the Anzolo community

1.0
Jan 11, 2026

Worst experience I have ever had in hospital. I got food poisoning by the time I was visiting Seattle. I waited 1 hour+ for the treatment in very poor physical condition at the emergency/urgent check-in lobby, and asked the front desk when they are available for my case. The front desk person refused to give estimated waiting time and I was feeling too sick to keep waiting, so I left and drove to somewhere else for help. This is not the end of the story, the most ridiculous follow-up happened 6 months later. I got called by an agent for paying an almost $300 bill, which was for the basic information collection during the check-in process. YES, they collected my information, measured my blood pressure and heart beats, AND THIS COST $300 WITHOUT OFFERING ANY ACTUAL TREATMENT! They didn't ask anything about my insurance status and simply let me be in full charge, maybe because I told them I was visiting Seattle for a few days, but I do have insurance fully covered by my school at Atlanta Georgia!! This is going way beyond ridiculous. Their employees are way too unprofessional to handle their business. Never come again.
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I noticed the hospital staff also left their comments below. So, for whoever is interested in any updates, here I'd like to share what happened later: I called the hospital to discuss my case, they successfully retrieved my visiting record from their database, asked my mailing address, and promised to mail me the form for my insurance reimbursement evidence. HOWEVER, IT HAS BEEN 3 MONTHS AFTER MY CALLS, I NEVER RECEIVED ANY MAILS FROM THEM EVER. I called them for 1 hour+ across several of their departments, and I felt stupid to waste my time on those conversations. They still believe it makes 100% sense to charge me ~$300 for zero treatment, and there is nothing they can do about it - they handed over my case to agents for collecting my payment, so their hands are clean on it. I ended up paying ~$300 to the 3rd party agent and not having enough evidence for insurance reimbursement - definitely, I could keep asking/requesting and waiting, but keep doing so is exhausting and seems to be endless, at this point, $300 doesn't worth the amount of time I wasted on my case.
What they said on the comment sounds nice and considerate, but this doesn't imply their business process and services are as what they sound like, saying nice words is always easier than taking actual actions.

Xiaojing Ji on Craig S Murakami via Google Reviews

1.0
Jan 11, 2026

The following is a review of Dr. Michael J. Campbell III who is currently practicing medicine at UC Davis but completed some of his training at Virginia Mason.

I regret that my surgeon, Dr. Michael Campbell, did not put as much time and effort into my post-op care as he put into selling his skills and UCD's merits at my pre-op. I now have to go to elsewhere for cancer-care (including routine ultrasounds) because UCD lacks the resources and, frankly, the desire to help me further. I've also had to spend an exorbitant amount of time amending my inaccurate and biased medical records. My records depict conversations that never took place, statements that were taken out of context, and appointments with specialists that I never had.

When I chose UCD for my cancer treatment, I thought I had found an ally in my battle against cancer. I thought UCD would have my best interests at heart and would provide me with compassionate and comprehensive care. I couldn't have been more wrong. I've spent more time and energy battling UCD (and trying to recover from my treatment here) than battling the cancer itself. On the morning of my surgery when I was having second thoughts, rather than respecting my wishes or calling a time-out to regroup, my medical team coerced me into the procedure anyway. No one noticed that I hadn't signed an advanced directive after I had requested it. They couldn't keep the oxygen mask on my face on the operating table because I was hyperventilating. The anesthesiology resident disconnected the tube from the mask and tried to push it into my mouth. I thought she was going to break my teeth and I told her that she was hurting me. That was the last thing I recall.

When I awoke from anesthesia, the nursing staff chose to tell me the results of my surgery right away while I was still disoriented and then they proceeded to criticize me for crying. I couldn't get water, pain meds, or assistance with the restroom the day after my surgery because the hospital was reportedly understaffed.

Other than one brief post-op appointment with Dr. Campbell, I had little to no other care, resources, or contact from UCD in the weeks after my surgery. Once I was out of sight, I was out of mind. Dr. Campbell never informed me of my cancer stage and he denied my request for a referral for radiation treatment right after he told me that I should consider radioactive iodine. As for emotional support, keep your expectations low.

UCD does not practice integrative whole patient care. Dr. Campbell acted as though I was asking for something unreasonable or excessive when I requested additional time off from work at my post-op appointment to psychologically process the final pathology (lymph node metastasis) and to get a game plan for radiation treatment. UCD's Cancer Resource Center (a tiny self-serve room located inside the Cancer Center) didn't have any information on my type of cancer/endocrine disorders. The Resource Center is staffed with part time volunteers and not trained medical professionals. UCD doesn't have cancer nurse navigators. Their social worker, Jena Cooreman, will refer you back to the Resource Center if you reach out for support. UCD's Cancer Center website makes it look like they offer more resources for their cancer patients than they do.

Three years after my surgery, I'm now left on my own trying to figure out what to do with the cancerous lymph nodes I still have that can't be easily treated with surgery or radiation. Dr. Campbell told me that potential complications from further lymph node surgery could leave me disabled. He admitted that he does very few of these types of procedures, yet he couldn't (or wouldn't) refer me to another surgeon with more expertise (not even for a basic consult) and he was unapologetic about it. I have no choice but to look for cancer-care outside of the UC Davis health system and I'm left wondering exactly what part of my experience here at the Comprehensive Cancer Center was supposed to have been, "comprehensive."

Melissa Hayes on Craig S Murakami via Google Reviews

Botox® Additional Treatments

Although Botox® is widely known for reducing fine lines and wrinkles, there are a number of other cosmetic and medical conditions that are treated with Botox®.

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Migraines

Botox® is used for treating chronic migraines that are caused in part by muscle tension. If you struggle with headaches at least 15 days per month, Botox® is an FDA-approved treatment that relaxes the trigger muscles, effectively reducing the severity and duration of the headaches.

To receive treatment for your migraines, you will first need a diagnosis from a neurologist who may perform the Botox® injections. The injections can also be administered by a facial plastic surgeon or any specialist with knowledge of craniofacial anatomy. 

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Hyperhidrosis

Hyperhidrosis is a medical condition that causes excessive sweating. This condition can be treated by injecting Botox® into overactive sweat glands. Botox® works by disrupting the nerve signals that activate sweat glands. Its most effective in the armpit area. Treatment typically requires 20 to 25 injections for up to 50 units of Botox®. 

Individual injections are quite comfortable. You may only feel a slight prick in your skin. Because 20 to 25 injections are needed, though, it is common to numb the area before the treatment. The effects of Botox® for hyperhidrosis last 3 to 6 months. Some men and women find that Botox® helps with their excessive sweating for longer.

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Temporomandibular Joint Disorder

Injecting Botox® directly into the muscles of the jaw may help relieve symptoms of TMJ, teeth grinding, and a clenched jaw (bruxism). The treatment helps to prevent damage to the teeth. Botox® is often effective in reducing headaches that are caused by clenching. 

The effects of the Botox® for TMJ and other jaw disorders last 3 and 6 months. During this time, the muscles learn to relax. This may mean that follow-up treatments may not be needed, or that fewer units of Botox® are needed for subsequent treatments.