Botox Michigan | Ann Arbor Plastic Surger


Botox with Ann Arbor Plastic Surgery

If you’re concerned that your wrinkles and fine lines are making you look aged, tense, or tired, BOTOX Cosmetic® may be perfect for you. Our board-certified Michigan plastic surgeons and experienced nurse injector are BOTOX specialists and have helped countless Ann Arbor women and men refresh and rejuvenate their appearance with this simple, safe treatment.

Frown lines, crow’s feet, forehead creases, lip lines, marionette lines — you’ve heard the terms and perhaps seen these lines on your own face, but do you know that most of these kinds of lines and wrinkles are caused by the repetitive contraction of certain facial muscles? By inactivating those muscles, BOTOX can lead to smoother-looking skin, helping you look more well-rested, relaxed, and youthful.

BOTOX is widely available in Michigan, but not everyone administers it well. Although it can be a simple procedure, outstanding aesthetic results require precision and skill to avoid an unnatural look or unwanted complications. At Ann Arbor Plastic Surgery, BOTOX is only performed by our board-certified plastic surgeons or experienced nurse injector. Our approach to BOTOX for all of our Michigan patients is skilled and sensible: We believe that the ideal treatment achieves a balance between softening wrinkles and preserving your own natural facial expression.

Learn More About Our Approach

BOTOX is the most popular cosmetic treatment in the world, a status it enjoys because of its ease of use, safety record, and natural-looking results. If you are considering BOTOX Cosmetic, Ann Arbor Plastic Surgery encourages you to do your homework and choose a trusted provider. Since so many people want this injectable, it seems that everyone from dentists to salons have started offering it, making it available far and wide—though not always from injectors who focus solely on beauty and aesthetics.

The truth is that BOTOX Cosmetic is so much more than a few injections. Each patient is different, with unique facial anatomy, wrinkles, and desired outcomes. In addition, many patients often want an overall refreshed appearance, which typically involves more than just the application of BOTOX Cosmetic. Dermal fillers, chemical peels, and a variety of other treatments may be used to great effect, with results that complement each other and enhance a patient’s natural beauty. The providers at Ann Arbor Plastic Surgery bring years of experience, as well as a focus on aesthetics and beauty, to every session, demonstrating an understanding of what treatments will best work together to safely deliver beautiful results to each individual. Whether you undergo treatment with one of our board-certified plastic surgeons, Dr. Malhotra or Dr. Ballard, or our experienced nurse injector, know that you are in excellent hands at Ann Arbor Plastic Surgery.

The Procedure

When you come for your BOTOX appointment at Ann Arbor Plastic Surgery, your provider will discuss your areas of concern with you and develop a treatment plan tailored to your unique needs. They will review how many units are planned and the expected cost. The medication itself is injected using special, ultra-thin needles to minimize discomfort. For their first BOTOX treatment, most patients are pleasantly surprised it was easier and less painful than they expected.

Before and After

Your BOTOX will take effect approximately 7-14 days after your injection, at which time you will notice less movement and your wrinkles softening and disappearing. Results usually last 3-4 months, at which time you would return for a repeat injection to maintain results. For stubborn, deep wrinkles, it often takes several treatments to see full results.

Best Injection Sites

BOTOX Cosmetic treatments may improve the appearance of fine lines and wrinkles throughout the face. BOTOX works by relaxing the muscles responsible for facial expression. While your face is one of your most prominent means of non-verbal communication, expressions like the furrowing of the brows can lead to fine lines and wrinkles. Relaxing these muscles can virtually erase these lines. Younger patients are now also using BOTOX treatments to prevent these lines from forming in the first place.

The eyes, forehead, upper lip, and nose are among the most responsive injection sites. Educated and skilled BOTOX specialists like those at Ann Arbor Plastic Surgery can even lift the tail of your eyebrow a few millimeters without surgery by injecting BOTOX at specific points. BOTOX can also be used for facial contouring by injecting the jaw muscles to slim and narrow a square jaw.

BOTOX treatments address many problem areas that can make people look aged, tense, or tired:

  • Vertical frown lines between the eyebrows
  • Forehead wrinkles or creases
  • Crow’s feet around the outer eye corners
  • Vertical lines on the upper lip
  • Prominent jaw muscles (Masseter), which give the face a square look
  • Bands along the neck

These areas can be made smooth again with BOTOX via a straightforward procedure at  Ann Arbor Plastic Surgery.

Is Botox Safe for Our Patients?

BOTOX is perfectly safe for most candidates. Prior to your treatment, your provider will review the risks and benefits of the procedure. Patients who elect to receive BOTOX in our Michigan offices understand that it is not a permanent procedure, and they may have to return for repeated treatments to achieve their desired result. Also, since it is a non-surgical treatment, patients should have realistic expectations of what BOTOX can and cannot do for them. To discuss your individual situation, schedule an appointment with any of our  BOTOX specialists at Ann Arbor Plastic Surgery.

Ideal Botox Candidates

BOTOX is the ideal treatment for anyone who wants to reduce the appearance of facial wrinkles without surgery. Men and women in their 20s and up can benefit from the wrinkle-preventing or wrinkle-reducing properties of this increasingly popular treatment. Unlike some injectable treatments, it does not require an allergy test, meaning virtually everyone is a candidate. If you would like to find out how refreshed your face can look with just a single treatment, contact us.


Let our before and after gallery show you the expertise of Michigan’s plastic surgery specialists Dr. Pramit Malhotra and Dr. Tiffany Ballard. Place your trust in the skilled hands of our board-certified surgeons who understand that the difference is in the details.

Alternatives to Botox for Michigan Patients

BOTOX is not the only product on the market. Dysport, its main competitor, is also safe and effective. Both of these trusted, FDA-approved neuromodulators are available at Ann Arbor Plastic Surgery.

If you would like to find other treatments to help smooth your fine lines and wrinkles, remember to ask your provider about dermal fillers such as JUVEDERM and Restylane, as well as quality skincare products that can help you pamper your way to better skin. We offer a full range of med spa services by licensed medical aestheticians at Ann Arbor Plastic Surgery, such as chemical peelsIPL, and microneedling.

Injections not for you? Want longer-lasting results? Ask about the surgical procedures offered at Ann Arbor Plastic Surgery by our board-certified plastic surgeons, Dr. Malhotra and Dr. Ballard, to help you look your best, including faceliftfat grafting, and eyelid surgery.

Botox FAQ

Botox recovery is minimal – there is no downtime! We recommend that patients refrain from strenuous exercise for 4 hours after injection. The Botox will begin to take effect 5-7 days after treatment.

You can return to work the day of your injection treatments. There is a risk for bruising and swelling, but this can be covered up with makeup as needed. Patients can also ice the area to reduce any swelling.

Prior to your injection treatment, you should avoid alcohol, NSAIDS, and aspirin. Following injection, icing the area, avoiding raising your heart rate, and using Arnica can reduce bruising. For significantly stubborn bruising, an IPL treatment can resolve the discoloration more quickly.

In many ways, Botox and Dysport are like Coke and Pepsi. They are both neurotoxins that act to temporarily freeze muscles of the face that contribute to the development of wrinkles. At the molecular level, Botox and Dysport are slightly different in their composition. Both Botox and Dysport are FDA approved for treating the glabellar area. Dysport may take effect slightly quicker than Botox and may diffuse more in the tissues, but often it is a patient’s personal preference for which they like the best.

Like other injectable solutions, Botox has per-unit pricing. The more medication you need, the more your treatment will cost. Compared to surgical treatments, Botox is significantly less costly because it is a non-surgical intervention. We’ll provide an estimate for your treatment costs during your consultation.

When you’re weighing your options for Botox treatments in Ann Arbor, MI, we know you have many choices. We believe Ann Arbor Plastic Surgery is your best option for Botox injections in the state. Your injections will take place under the supervision of two skilled plastic surgeons. These physicians have extensive training and experience with the best practices in using cosmetic injectables. We have earned a reputation for our impeccable safety record and stunning results using Botox and other cosmetic injectables.

Injectable treatments are medical practices, just like breast augmentation or liposuction. Choose your provider as carefully as you would choose a doctor for any other treatment. Don’t bargain shop or look for the lowest-cost provider; instead, focus on quality and results.

To help our patients save money on their treatments, we offer monthly specials and other discounts. Watch our specials page to find discounts on Botox and other solutions from Ann Arbor Plastic Surgery.

Male Botox in Ann Arbor

Men love Botox, too. Indeed, these quick, painless injections are among our top procedures for male patients. In recent years, this injectable treatment has become increasingly popular with men who want to retain their youthful good looks without looking overdone. Male Botox has become so sought-after that it’s earned the playful nickname “Brotox.”

Botox treatment for men is identical to the approach we use for women. We inject small amounts of the product to help relax facial muscles that cause wrinkles. Men love this treatment for crow’s feet, “11 lines,” and brow furrows.

If you’re planning to get Botox, choose an injector who regularly treats men. The injector’s skill plays a critical role in determining your results. Botox for men ensures paying attention to subtleties to enhance masculinity.

Botox for Men in Ann Arbor FAQs

Botox is a popular treatment for men in Ann Arbor and around the U.S. Over the last two decades, Botox use in men has increased by 403%. Men now account for approximately 6% of all cosmetic Botox injections. Dr. Malhotra and Dr. Ballard treat many men at our practice.

There’s no such thing as an ideal age for Botox. Come in for a consultation to find out if you’re ready to start treatment. Many men start preventive Botox injections as early as 25, with others choosing to begin in their 40s or 50s.

Botox results in men last for about four months. With regularly scheduled injections, men can enjoy a refreshed appearance all year long.

Why Choose Ann Arbor Plastic Surgery for Botox?

While BOTOX is typically considered a safe, straightforward procedure, the best results are achieved by injectors who have specific training in aesthetics and a fundamental knowledge of facial anatomy. The board-certified plastic surgeons and experienced nurse injector at Ann Arbor Plastic Surgery collectively have years of experience and education in facial cosmetic treatments. Therefore, our team is able to approach each patient with a deep understanding of how the various facial features and elements work together, which is crucial to achieve superior results while avoiding unwanted side effects.

All of the providers at Ann Arbor Plastic Surgery place particular emphasis on taking a balanced, measured approach to treatments in order to avoid an “overdone” appearance. The goal is not to radically change your face, but to soften wrinkles and gently smooth out key areas to give you a naturally refreshed and rejuvenated look. In addition, our providers are aware of all potential side effects and how to avoid them by having a comprehensive understanding of the underlying facial anatomy.

The Ann Arbor Plastic Surgery team is prepared to answer any questions you may have about BOTOX® Cosmetic and other treatments available at the practice.

I just wanted to say how happy I am with the results from yesterday! I can’t even see any lines there at all now…I bruised ever so slightly and with makeup you can’t even see it.

Aftercare Instructions

This is a straightforward 15-minute office procedure. After your treatment you should not vigorously massage the treated area, lie down, or exercise for 4 hours. You may gently wash your face and apply make up directly following treatment. Results may take up to 2 weeks for full effect.