Curious about Botox? Jacksonville’s Dr. A.H. Nezami Explains All You Need to Know.

Jacksonville Botox Blog Provided by A.H. Nezami, MD.  of Jacksonville Cosmetic Surgery Center, PA.

Botox is a product called Botulinum toxin, when injected into the muscle reduces the muscle’s activities that cause crease lines. The product is shipped refrigerated to the physician’s office in form of powder. The vial of Botox contain 100 units, the powder is dissolved in saline solution. In our Jacksonville Cosmetic Surgery Center practice, we dissolve 1 vial of Botox in 1 cc of saline. This concentrated solution makes 100 units of Botox. If more saline is added to the vial of powder Botox for reconstitution, the Botox is more diluted and the effect on the muscle is less for the same amount of cc. injected, or if more cc injected then the effect could be more spread out to the adjacent muscle that we do not want to affect. After the injection patient will see relaxation of the muscles and a reduction of wrinkles in 4 to 5 days.  The effect of Botox injection will typically last 3 to 4 months. Repeated injections of Botox, over time weaken the injected muscles. After Botox injection normal activity can be resumed immediately, no recovery time is needed.

Although any medical doctors specialized or not, dentists, physician assistants and nurse practitioners are authorized to administer Botox, to get better and more consistent result it is wise to have the injection done by a plastic surgeon who has experience in the technique and knowledge of the anatomy and function of the musculature and has also a sense of aesthetic result that you want to obtain. Remember Jacksonville, Botox injection is not like any other injection. The injection has to be in a correct location, appropriate depth, and adequate amount of concentrated Botox to achieve the best aesthetic and lasting result and prevent the appearance of frozen face. The physician should be able to assess the strength of the muscle in each patient in order to administer the correct amount of Botox. Otherwise the result may not last or if it is diluted it may spread and cause other muscle weakness like eyebrow or upper eyelid droopiness.

In our Jacksonville Cosmetic Surgery Center, Dr. A.H. Nezami administers the Botox injection himself. Dr. Nezami is a board certified plastic surgeon, administrating Botox in Jacksonville since its approval by FDA in 2002. Dr. Nezami first reviews the patient’s medical history to ascertain that there are no contraindications for Botox injection, and then he examines the facial musculature, their movement, strength and their effect especially on the facial wrinkles of the forehead, glabella (between eyebrows) and crow’s feet. The size and strength of the muscles that create wrinkles vary in each patient. Dr. Nezami carefully draws all the areas where the muscle contracts and needs to be injected. Each patient has a chart that is meticulously documented on the amount of units used for each area and the exact location of the injection. This chart is an essential guide for future injections to obtain consistent result. Our Jacksonville Botox patients experience very little bruising, because Dr. Nezami takes extreme care and time to put enough pressure at the injection site. We also advise our patient to not take aspirin or Ibuprofen prior to their Botox injection.

According to Allergan, manufacturer of Botox, Dr. Nezami has the highest percentage of retention rate in the State of Florida. Retention rate is the number of patients that are coming back to the same practice for their treatment.

Botox injection is also used to treat excessive sweating (hyperhidrosis). Typically 100 units of Botox are required to be injected under armpits.

You can read about Botox safety and side effects by visiting the official site of Allergan, producer of Botox at

Cost of Botox injection can become quite confusing for patients. Some places quote their charges by area, some by units. In some practices nurse practitioners, physician assistants or medical doctors, administer the Botox injection. In few practices the injection is done by a Plastic surgeon. In our Jacksonville Cosmetic Surgery Center, for the three areas, frown lines, crow’s feet, and forehead; we usually use 33 to 34 units of concentrated Botox and the charge is $475.00. For regular user of Botox there is a special discount program through Allergan. For our established patients who use regularly Botox in Jacksonville, Jacksonville Beach and Ponte Vedra we also have a discount program, please call our office at 904-399 5061 for details. In our Jacksonville Cosmetic Surgery Center, we also provide financing through Care Credit.

To see before and after photos visit our website at And bookmark our Jacksonville blog for Botox and other face, body and skincare procedure and product information offered by Dr. Nezami and the Jacksonville Cosmetic Surgery Center.

Before & After:

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