Be Your Best Looking You

BOTOX® works by weakening muscle contraction, leaving you with a more relaxed and youthful look. Patients can benefit from softening any facial movement, including frowning, squinting, raising eyebrows, and even smiling. By utilizing botulinum injections, patients can address these with minimal invasiveness and vastly improve their appearance.

About BOTOX   


Made for Anyone

BOTOX® is the perfect for solution for anyone looking to reduce wrinkles or enhance their look through muscle relaxation (no fillers or skin tightening!)

Zero Downtime

You can return to work and resume your daily activities right away. BOTOX® treatment results are normally visible in less than a week.

Visible Results Fast

In general, BOTOX® lasts 3-4 months. There will certainly be patients in which in lasts longer, in that 4-6 month range, or shorter, in that 2-month range.

Common Injection Sites & Dosages

botox injections.png

Before & After of Actual Patients

Moderate to Severe Crow's Line Feet

After (Day 30)

Results may vary. By prescription only.

Photos taken at full smile before and 30 days after treatment with BOTOX® Cosmetic. In 2 clinical studies, 26.1% and 20.3% of adults had a > 2-grade improvement at Day 30. In one of these studies, 67.9% had mild or no crow’s feet lines at Day 30 after treatment. Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising.

Meet Our Expert Injector

Becky L. Milam
MSN, NP-C Otology Nurse Practioner

Becky Milam, RN, MSN, FNP-C is a North Carolina Registered Nurse Practitioner. After working primarily in the intensive care units at Virginia Commonwealth University, Duke and UNC, she shifted her focus to otology. She has been apart of the Carolina Ear & Hearing Clinic for over a year and has a passion for helping patients feel their best. Whether it is in the field of otology or cosmetics, Mrs. Milam, aims to make the process as comfortable as possible for all patients. During your consultation, she will work with you to figure out the best treatment plan.

Frequently asked questions

Who is a good candidate for BOTOX®?

  • Patients who wish to reduce wrinkles and enhance their look.
  • This type of injection only relaxes muscles and does not fill wrinkles or tighten skin. For patients who have excessive skin laxity, facelift, eyelid surgery or other procedures may be a better suited treatment.
  • If you are pregnant, breastfeeding, have a neuromuscular disorder or take medication that may interact with the neuromodulator, you may not be a good candidate for BOTOX®.

What is a BOTOX® session like?

  • Using a very thin needle, your doctor will inject a small amount of botulinum into the appropriate sites.
  • Anesthesia is rarely required.
  • The number of injections needed will vary from person to person and also depend on the extent of wrinkles being treated.
  • Most procedures do not take more than several minutes.

What is BOTOX® healing and recovery like?

  • There is no downtime or recovery stage following botulinum injections.
  • Patients can return to work and resume their daily activities following botulinum injections immediately.
  • Some patients experience mild redness and swelling at the injection site.
  • Bruising at the injection site may occur.
  • Results of the treatment are visible within one week.

Where can BOTOX® be used?

During your initial consultation, you will be asked to make facial expressions like frowning or squinting so the right BOTOX injection sites can be located for the best results. Working with a qualified injector ensures that the right underlying muscles are targeted to allow the BOTOX treatment to be most effective.