Botox Injection Specialists


Botox is a proven cosmetic procedure that helps your skin look younger and smoother with zero downtime. PuraVida MedSpa has performed hundreds of these Botox injections, making us your go-to anti-aging professionals in the Fulton, MD and greater Baltimore area. 

To find out how Botox injections can enhance your appearance, book your in-person or virtual consultation online with our team or call 301-604-8432.

Botox at PuraVida MedSpa

A Botox injection is a noninvasive procedure that relaxes your facial muscles to reduce the look of fine lines and wrinkles. As the first FDA-approved injectable treatment for this cosmetic concern, Botox has safely improved the self-confidence of millions of people for two decades.

The active ingredient in Botox is a toxin derived from the bacterium Clostridium botulinum. It’s a neuromodulator, meaning it blocks signals between nerves and muscles to prevent the muscles from contracting. This results in reduced muscle movement, thereby softening existing wrinkles and preventing new ones from forming.

This treatment is quick, usually taking about 10 minutes, and requires no downtime. When performed by an experienced, qualified professional, it’s one of the easiest and most painless ways to improve your look. 

Why Choose Us for Botox?

The team at PuraVida specializes in cutting-edge skin care and the latest anti-aging technologies. Dr. Leslie Apgar is a board-certified physician who has worked for more than 20 years in the medical field. 

Dr. Apgar and our teams considerable knowledge of the anatomical, geometrical and clinical principles behind successful injections enable them to determine exactly where to administer your Botox and how much product to use for optimal results.

Before and After Photos

Please note that the patients featured in these images may have undergone other treatments in conjunction with Botox. This photo gallery does not guarantee that everyone who undergoes Botox will obtain these or similar results.

Expect to see a visible reduction of fine lines and wrinkles 24 to 48 hours after your Botox appointment with the effects lasting 3–4 months. Over time, your muscles will regain their full range of motion, which will result in wrinkles reappearing. You’ll therefore need to keep receiving injections to continue enjoying smoother skin. 

Many people report that subsequent Botox injections last longer than the first one as the targeted muscles become progressively smaller due to inactivity. An injection schedule of once every 6–8 months may then be sufficient to maintain your look.

Who is the Ideal Candidate for Botox?

Ideal candidates for Botox injections are adults whose skin is healthy but starting to show lines. Although most of our patients are treating the signs of aging, many in their mid-20s choose to receive Botox as a preventative treatment: Early adoption can prevent the creasing and wrinkling that causes lines and folds.

Anyone who is pregnant or breastfeeding or has a neurological disorder should not use Botox.

What Can You Treat with Botox?

We offer Botox to treat the following skin concerns:

  • Frown lines
  • Forehead lines
  • Glabella (11-shaped lines between the eyebrows)
  • Bunny lines (on top of the nose)
  • Crow’s feet/smile lines
  • Marionette lines

Additionally, we utilize Botox injections to manage excessive sweating (hyperhidrosis) and teeth grinding (bruxism).                   

What to Expect at Your Botox Appointment

A Botox appointment is quick, usually lasting 10 minutes or less. The injections are delivered with a short, thin needle. Most people report a moderate pinching sensation; if you’re worried about any discomfort, you can request a numbing cream beforehand.

After the session, avoid rubbing the injection site, lying down and exercising or performing any strenuous activity for several hours, all of which can cause the product to migrate under your skin. You’ll see the full results of your Botox treatment after 7–14 days. 

How to prepare for your treatment

For the 2 weeks leading up to your appointment, avoid taking aspirin and anti-inflammatory medication, as both can cause bruising. One week before your Botox session, avoid alcohol as well.

While Botox softens fine lines and wrinkles, it doesn’t address other common signs of aging, most notably volume loss, sunspots and sagging skin. You may consider pairing your Botox injections with one or more of our other aesthetic services: 

  • Laser treatments soften fine lines and fight hyperpigmentation
  • Microneedling improves skin’s overall texture
  • Chemical peels lessen fine lines, lighten dark spots and smooth out your skin
  • PRP injections use your own blood to address wrinkles, acne and skin irregularities
  • Dermal fillers restore lost volume to the face, minimizing wrinkles and creases 

To determine which of our services can meet your needs, book your consultation with our team today.

How Much Does Botox Cost?

The cost of your Botox treatment depends on the number of units injected and where on your face the treatment is administered. On average, each treatment area requires around 20 units, although we may begin with fewer. At your consultation, we’ll discuss your goals and establish an estimate for your procedure.

Book Your Botox Consultation

Want to learn if you’re a good candidate for Botox injections? Book your virtual or in-person appointment with us to find out how the PuraVida team can help you gain a more relaxed, carefree look.

Botox FAQs

Is Botox safe?

There’s a reason that Botox is the most reputable name in the field of fighting wrinkles — it’s considered extremely safe. However, adverse side effects are more likely to occur if you don’t select a board-certified dermatologist or plastic surgeon. Choosing a qualified professional with years of experience is your best guarantee for a positive Botox outcome.

When should I start getting Botox?

The best time to start receiving Botox injections is when you notice fine lines between the eyebrows, on the forehead or at the outer corners of your eyes. Botox is less effective on very deep lines and wrinkles that have had decades to develop.

Does Botox have side effects?

The precise injection techniques of Drs. Sangmuah minimize the risk of adverse results from your Botox appointment. The most common side effect is bruising, which usually resolves after 1 or 2 days. For injections in the forehead, if the product migrates underneath the skin, the eyelid may temporarily droop. This complication can be avoided if your treatment is performed by an expert and you fully follow postappointment instructions. Other possible side effects include headache and flu-like symptoms, issues that typically resolve quickly on their own.

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