First-time Botox patients almost always arrive nervous and leave wondering why they waited so long. Here is a complete, no-surprises walkthrough of what your first Botox appointment at SOM Aesthetics actually looks like - from the minute you walk in to the moment you see results.

1. It Starts With a Consultation, Not a Needle

We never start injecting without understanding your goals. In your consultation, I assess your facial anatomy, discuss your desired outcome (prevention vs. treatment, natural movement vs. fully relaxed), and make sure Botox is the right choice for you.

2. We Will Review Your Medical History

Certain conditions and medications interact with Botox - neuromuscular disorders, blood thinners, and some antibiotics. A thorough history ensures your safety.

3. No Numbing Needed (But It Is Available)

Botox needles are extremely fine. Most patients rate the discomfort a 1–2 out of 10. Ice or topical numbing cream are available for those who prefer them.

4. The Actual Injection Takes 10–15 Minutes

Once the consultation is done, the injection itself is fast. A full forehead and glabella treatment involves roughly 10–20 injection points and is typically completed in under 15 minutes.

5. You Will Feel Small Pinches - Not Pain

Each injection feels like a brief, tiny pinch. Some areas feel less than others. The liquid itself can cause mild pressure for a second.

6. Small Bumps Appear Immediately - Then Disappear

Right after injection, you may see tiny raised dots where each needle entered. These are normal and resolve within 15–20 minutes.

7. Results Take 3–7 Days to Appear

Botox does not work immediately. It gradually inhibits nerve signals to the muscles over the first week. Full effect is visible at day 10–14. Do not judge your results on day 1.

8. What to Avoid After Botox

No lying flat for 4 hours after treatment
No intense exercise for 24 hours
No rubbing or massaging the treated area
No facial massages or laser treatments in the same area for 2 weeks

For best long-term results, pair your Botox with an evidence-based skincare routine — knowing how long each ingredient takes to work sets the right expectations.

9. A Small Touch-Up May Be Needed at 2 Weeks

Most first-time Botox patients benefit from a 2-week check-in. At this appointment, I assess the distribution of effect and make any minor adjustments.

10. Results Last 3–4 Months on Average

Botox longevity varies by area, metabolism, and muscle strength. Forehead and crow's feet typically last 3–4 months. Regular patients often find their results last longer over time as the muscles gradually retrain.

Frequently Asked Questions

Q: How much does Botox cost in San Diego?
A: At SOM Aesthetics, Botox is priced per unit. Forehead and glabella together typically require 20–50 units. Contact us for current pricing.

Q: What is the difference between Botox and Dysport?
A: Both are botulinum toxin type A. Dysport spreads slightly more, which can be advantageous for larger areas. Onset may be slightly faster with Dysport (2–3 days vs. 3–7 days for Botox). For specialized applications such as Botox for melasma, intradermal technique is used rather than standard injection depth.

Q: Will I look frozen after Botox?
A: Only with over-treatment or incorrect placement. My goal is always natural-looking results that preserve your expressions while smoothing unwanted lines.

Q: Can I get Botox if I am breastfeeding?
A: No - Botox is not recommended during pregnancy or breastfeeding.

Book your Botox consultation at SOM Aesthetics in Encinitas →