Botox and Fillers

Interested in Botox or Fillers?

Botox Basics

Botox is a brand name of a neurotoxin.  Neurotoxin brand names include Botox, Dysport, and Xeomin.

What is Botox® Cosmetic?

Botox® Cosmetic is prescribed medicine that is a simple, nonsurgical treatment administered by professionals into the forehead, in between the eyebrows and into the crow’s feet around the eyes to relax the underlying muscles and smooth wrinkles with no downtime.

How does it work?

When injected, Botox® Cosmetic, a neurotoxin, blocks the chemical signs from the nerve to the muscle and temporarily prohibits the muscle’s capacity to contract and create wrinkles. This relaxes and smooths the underlying muscles and wrinkles with no downtime, beginning within four to seven days of the injection. Repeat injections are necessary every three to five months to maintain the wrinkle-free appearance. Botox® Cosmetic has one of the highest patient satisfaction rates.

Where can Botox® Cosmetic be used?

Most common areas include:

  • The forehead
  • Between the eyebrows
  • In the crow’s feet

Other areas include:

  • The marionette lines which cause one’s lips to have a downturned appearance
  • The chin to help with excessive dimpling
  • The upper lip to create a "lip flip"
  • Under the nose to fix the “gummy smile”
  • In the neck to soften the bands or ridges we often see as we age
  • Underarms, scalp and/or feet to aid in sweating and malodorous feet
  • In the masseter muscle to narrow the lower face and help alleviate TMJ pain
  • Botox® Cosmetic has even been linked to reducing migraine headaches and easing depression.


Natural-looking. Fast-acting. Long-lasting.

Don’t let your frown lines between your eyebrows define you. For adults who want a natural look, Dysport is a natural-looking, fast-acting, long-lasting prescription injection proven to help smooth moderate to severe frown lines between the eyebrows—without changing the look or movement of the rest of your face.

How does Dysport work?

Dysport temporarily treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity.

Wrinkles are caused by repeated movements and muscle contractions. One injection into each of the 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines.

In other words: natural-looking results that look and feel like you.

You will typically start to see results in 2-3 days.  Results will last up to 3-6 months. 



XEOMIN® is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary).

What is the difference between Botox and Xeomin and Dysport?The main difference between Xeomin and Botox or Dysport, is that Xeomin contains just one ingredient: botulinum toxin A. Botox and Dysport contain additives, but Xeomin is a “naked injectable,” meaning that it does not contain any additives. A benefit of a pure-form injectable is that theoretically the human body is less likely to become resistant to it. Because of its lack of additives, it also does not need to be refrigerated whereas neuromodulators with additives require refrigeration. The manufacturing process is slightly different with all 3, which leads to some potential, subtle differences in clinical practice.”


How Many Units of Botox, Dysport or Xeomin Are Needed?

It is difficult to give Botox pricing over the phone.  When someone says they want a price for their forehead – do they mean the frown lines (11's) AND the forehead creases?   The best way to give an exact price is for the provider to see you in person and determine what you need. But the second best way to get a price is to show you the most common Botox treatment scenarios and the prices for each.

Forehead - 12 to 20 units

Frown lines (11's) - 12 to 20 units

Crow's Feet - 12 to 20 units

Lip Flip - $100 plus $13-14 per unit.  Generally 4-6 units.

How much does Botox, Xeomin and Dysport cost?

Xeomin is $13 per unit

Dysport is $14.50 per unit

Botox is $14.50 per unit

We do offer 10-20% discounts for Spa Members!

Botox / Xeomin / Dysport:

Botox, Xeomin.., What are the main differences between Xeomin and Botox?

The main difference between Xeomin and Botox is that Xeomin contains a “naked” form of botulinum toxin. Unlike Botox, which contains accessory proteins, Xeomin is designed to deliver the toxin without any protein additives. This purified structure may help prevent antibody resistance, a growing problem that has been seen with injections administered over time.


If you’ve been thinking about receiving a dermal filler treatment, here are six things to know about the Belotero filler and if it’s right for you.

Dermal fillers are one of the most popular forms of cosmetic surgery in the U.S. The American Society of Plastic Surgeons states that 2.7 million people received soft tissue fillers in 2017, a 3% increase compared to 2016.

These soft tissue or dermal fillers are most commonly used to fill in lines from wrinkles, make lips fuller, and add volume to the face to counteract sagging and other signs of aging. There are several types of branded dermal fillers available, including Belotero, which was approved by the FDA in 2011.

Belotero is Made From a Natural Substance

Belotero is comprised of hyaluronic acid, a natural substance found in the body. This means patients’ bodies are least likely to reject it and it also conforms very easily to the facial structure to help soften wrinkles. Once it’s injected under the dermis, it binds with your skin’s water content.

There are many hyaluronic acid fillers available today, but many clients prefer Belotero over other brand names because it tends to create a very smooth and even texture. It is also the thinnest filler currently available.

Belotero Can Treat Many Areas of the Face

From the lines that form on your forehead to those on your chin, Belotero can be used to address all of these and pretty much every part of your face in between. It can be injected into your “smile lines” around your mouth, used to help erase vertical lip lines for smoother, fuller lips, under eyes and crow’s feet around the eyes.

How much is Belotero?

One syringe of Belotero at Estetica is $499 for Med Spa Members and $549 for non-members 

Ready to Schedule Your Belotero Consultation?

Here at Estetica we offer a variety of dermal filler solutions that include Belotero. We also specialize in Versa, Restylane and other brand name fillers that can smooth lines, reduce facial sagging and make you look fresh and rejuvenated.

Perhaps after learning more about the Belotero procedure in this post, you’d like to learn more about receiving the treatment at our office. Contact us at 360-577-6956 for a no obligation consultation to learn more about how we can use Belotero to give you a more youthful appearance.



Dermal fillers can give you a more youthful appearance for a fraction of what a traditional facelift costs and they are a great compliment to Botox Cosmetic Treatments.  Dermal fillers can fill hollows, lines, and wrinkles in less than 30 minutes and volumize your cheeks, lips, temples, and more.

HA dermal fillers tend to be the more temporary option, and will typically last from 6 to 18 months. You might notice that lip injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA dermal fillers, such as VOLUMA, are formulated to last longer but are usually limited to certain areas, such as the cheeks.

While dermal fillers are casually known as “wrinkle fillers or volumizers” they can do much more than just that! Here are a few of the common issues dermal fillers can help address:

• Reduce marionette lines, smile lines, and parentheses

• Enhance & restore volume to sunken cheeks or temples for an instant, more youthful look

• Diminish vertical lip lines

• Plump & enhance the lips

• Smooth out a chin crease

• Improve symmetry among facial features

So How Much Filler Will it Take?

Slight Enhancement

A slight enhancement would be something like filling in a few fine lines, smoothing or a slight plump in the lips, or having a small amount of hollowness filled in. Usually, a slight enhancement would be focusing on one area to improve upon, without a drastic result or significant change to your appearance, and these treatments only require a small to moderate amount of dermal filler. However, depending on things like the area being treated and your age, the amount of filler needed for this type of enhancement can still vary from approximately 0.5cc – 3cc. For example, a patient in their 30s wanting a slight enhancement in the cheeks to look more like the did in their 20s may only need 1cc to see those results, where someone in their 50s or 60s looking for similar results would need at least 3cc.

Moderate-Major Enhancement

Upper Face
The areas considered to be the “upper face” include the forehead and glabella. The glabella is the area between the brows that many people refer to as their scowl lines or “11s.” Once wrinkles have become etched deeper into the skin over time, becoming what we call “static wrinkles,” treatment with neuromodulators like Botox is not enough to completely eradicate them. First, the area would still need to be treated with neuromodulators, and once the toxin is in full effect small amounts of dermal filler are used to pop out the fine lines that remain. The total amount of filler usually needed to treat the upper face is 1-2cc.

When we reach middle age, (gasp!!!), areas in our mid face begin to lose the volume they once had and become flattened. The areas included in the mid-face are the temples, the under eye area (tear trough), the cheeks and nose. Depending on your age and natural deficits, treating these can require a considerable amount of dermal filler. The tear trough typically requires 0.5-1cc per side, more if you have very large bags. Some people may just need 0.5cc per side in the temples, while others can need 2cc per side. The same goes for the cheeks, usually ranging from 1-3cc per side (yes this means you could need up to a total of 6cc just to lift your flattened cheeks). If you are looking for a total Mid Face Liquid Lift with full correction, you can expect to need a minimum of 4cc of filler.

Lower Face
The area referred to as the “lower face” includes the marionette lines from the sides of the mouth to the chin, the nasolabial folds from the sides of the nose to the corners of the mouth, the oral commissures at the corners of the mouth, the lip region (which includes lip lines, the lip border and any plumping of the lips), and lastly the jawline. The nasolabial folds are an area that tends to really bother patients as they continue to get deeper over time with the cheeks dropping and flattening from loss of volume. Replacing this volume in the cheeks helps to lessen the depth of the nasolabial folds, but these lines may still need to be filled in after with 0.5cc to 2cc of filler per side for a nice correction. Marionette lines typically require 0.5cc – 1cc per side. In order to reverse the turning down of the oral commissures in the corners of the mouth that begins to happen over time you could easily use 0.25cc – 0.5cc in just this area alone.

Many patients want lip injections for many different reasons, however, it is very common to misunderstand the actual amount of product required to reach their desired results. The lip lines around the mouth, which are often referred to as “smokers lines” can be an issue even if you never smoked due to loss of volume in the lips, and they may take as much as 1cc – 2cc to correct on their own. The deeper the lines, the more you will need to correct them. Enhancing the border of the lips can take 0.5cc to 1cc, and the actual lips themselves can need 1cc – 2cc. This means that for a for a moderate – major enhancement, the entire lip area could begin with needing 3cc of filler to correct fully. Now, that being said not everyone will require that much filler, but this is where things like being a chronic smoker, your age and genetics will come into play. The amount needed for the jawline could be anywhere from 1cc -3cc, depending on your desired outcome.

I Don’t Want to Look Weird – What About Overfilling?

After seeing the amount of filler that you might need for a full or partial liquid facelift, you are probably thinking that you would look very strange or “plastic” with that much product in your face. Unfortunately, there have been many celebrities in popular culture able to afford large amounts of dermal fillers who have gone beyond what is needed for a full correction. This is what we call overfilling, and it results in people looking unlike themselves with possibly bloated or unmovable features. While this “look” has become synonymous with fillers due to the attention that famous people can get for looking this way, it is not a cheap, easy or desirable look when it comes to aesthetic treatment. Dermal fillers were designed to lessen the signs of aging and enhance your appearance, not change it completely.

When it comes to dermal filler injections, more does not always mean better. It is important that your physician match the correct amount of filler to what you need for your desired results. It is always better to place less first and then add more later if needed. This ensures that any changes to your appearance are gradual and natural, and prevents any issues with overfilling.

You should find an injector who has a style that you are comfortable with. If you want to avoid looking overdone or strange, it is best to find one who emphasizes a more natural result, which usually includes the preservation of some lines and imperfections. Because fillers can be almost addictive for some people, it is also best to have a physician who cares more about your end result than lining their pockets, so that they can give you the best advice for when, where and how much to inject for a nice result. You may have also heard horror stories of situations where people have ended up looking strange or “misshapen,” even without a lot of filler being used. This is still possible, and is most often the result of dermal fillers being placed incorrectly, which is why it is also important to find a physician who is experienced with the science and artistry of dermal filler application.

We specialize in delivering a very natural, fresh look that most of our patients desire. We offer a wide variety of dermal filler options and do an in-depth consultation with you to discuss your options when it comes to the specific product and placement for the most advantageous results. Each product has a certain, density, texture, and application, which means that certain fillers work better for certain areas of concern.

The Dermal Fillers used at Estetica

Wonder which dermal filler might be right for you? While your provider will determine what product is best for you, the following diagram illustrates in general where injectors tend to apply certain products.


Below are the top three pros and cons to consider when you are thinking about getting dermal fillers:


  • Treatment with dermal fillers is quick and only requires a topical anesthetic in most cases
  • Results are immediate, and there is little to no downtime
  • Dermal fillers provide a subtle look that can be adjusted to meet your specific aesthetic needs


  • Dermal fillers are temporary and require repeat injections to maintain your goals
  • Some people may be sensitive and experience bruising and swelling
  • Results are dependent on the experience and qualifications of your injector

How much does filler cost? 

A 1.0-1.5 mL syringe of filler is about $699-$899 

If you have questions or would like to set up a consultation to discuss your options for FILLERS or NEUROTOXINS, please give us a call at 360-577-6956.  Text 1-205-723-1209 or set up a consultation online. 


What is SkinviveSkinvive by Juvederm is the first and only FDA approved hyaluronic acid microdroplet injectable. This innovative product enhances the smoothness of the cheeks by improving skin hydration. A clinical study showed that patients who received a Skinvive skin treatment reported glowing, hydrated, and healthy skin with heightened satisfaction of the overall appearance for up to six months.

 What sets this hyaluronic acid gel apart is that it is a skin booster rather than a traditional dermal filler. Unlike traditional fillers that restore volume, Skinvive hydrates the skin, creating a luminous complexion and leaving you looking well-rested, glowing, and rejuvenated.

 How does it work? While similar hyaluronic acid gels have been available in Europe and other regions, Skinvive is the first of its kind in the United States. It works by utilizing multiple tiny injection points (microdroplets) across the cheeks, about 0.5 to 1cm apart. As Skinvive is dispersed beneath the skin, it works wonders to enhance skin smoothness, boost hydration, and bestow an all-encompassing radiance.

When can I expect to see resultsSkinvive offers less downtime than other treatments that offer comparable results. Results can be seen immediately with full results seen within 30 days. Not to mention this treatment only takes about 10-15 minutes, with results lasting up to 6 months.

Now is the season for hydrated and beautiful skin! Belle Vie’s expert providers are among the first in the region to offer this exciting new treatment. As it starts to get colder and drier, make sure your skin stays hydrated with Skinvive!

We are thrilled to announce the launch of Skinvive! Ask your Estetica Spa expert provider about Skinvive today!

$390 per syringe
$699 for a package of 2 syringes