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What Is BOTOX?

Since it first gained FDA approval for cosmetic uses 25 years ago, BOTOX has become the most popular cosmetic treatment in the world. During that time, it has been safely used to temporarily relax the muscles that cause dynamic wrinkles. By minimizing muscle contractions, BOTOX softens the appearance of lines without changing the way you naturally express yourself. The result is a refreshed, more youthful appearance that still looks like you.

Some of the most common areas treated with BOTOX include:

  • Vertical frown lines between the brows (“11s”)
  • Horizontal forehead furrows
  • Crow’s feet around the eyes
  • Bunny lines on the nose
  • Fine lines around the lips
  • Chin dimpling

Dr. Lopes participated as a clinical investigator in the original FDA studies of BOTOX Cosmetic. Her experience ensures every treatment is both safe and tailored to your goals.

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BOTOX® Before & After Photos

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Procedures Performed
Description

This patient is a woman in the 40–50 age range who requested a refreshed look and wanted to reduce the appearance of lines that appeared intense or angry. She received 60 units of Botox as a single-session, in-office treatment with no anesthesi... Read More

Before & After BOTOX® Case 16 Frown Lines View in Virginia Beach, VA
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Before & After BOTOX® Case 28272 View 1 View in Virginia Beach, VA
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Before & After BOTOX® Case 15 Forehead View in Virginia Beach, VA
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Description

This patient, a woman in her mid-30s and a devoted mom, sought a subtle enhancement to refresh her appearance. Her primary concern was mild crow’s feet around her eyes and forehead lines. She wanted to maintain a natural look while softening th... Read More

Before & After BOTOX® Case 60624 Frown Lines View in Virginia Beach, VA
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This patient, a 33-year-old woman, received BOTOX® at the Cosmetic Surgery Center in Virginia Beach to treat dynamic lines between her eyebrows. Her goal was to improve the appearance of frown lines and achieve a smoother look in this area.... Read More

Before & After BOTOX® Case 60660 Front View in Virginia Beach, VA
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This patient is a woman in her 50s who sought treatment for visible forehead lines. Her main goal was to achieve a smoother forehead while maintaining natural movement. She elected to have BOTOX® in Virginia Beach to address moderate wrinkling... Read More

Before & After BOTOX® Case 60661 Front View in Virginia Beach, VA
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The above patient is a woman in her 40s who visited for a consultation about forehead lines that had become more noticeable over time. She wanted a smoother appearance while maintaining natural facial movement. After a detailed assessment, she... Read More

Before & After BOTOX® Case 60663 Front View in Virginia Beach, VA
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Description

This patient, a woman in her early 40s, sought BOTOX® in Virginia Beach to address visible crow’s feet around her eyes. She was looking to smooth these fine lines and achieve a refreshed appearance. Treatment targeted the delicate area on eithe... Read More

Before & After BOTOX® Case 60665 Left Side View in Virginia Beach, VA
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Keep in mind that each patient is unique and your results may vary.

Your Guide to BOTOX® Cosmetic

Your Guide to BOTOX® Cosmetic video thumbnail

What Happens During a BOTOX Treatment?

Your BOTOX appointment begins with a personalized consultation. Dr. Lopes or one of our expert injectors will review your concerns, discuss your desired outcome, and create a custom injection plan. The treatment typically lasts about 15 minutes and involves a series of small injections administered with a fine needle.

Most patients describe the sensation as a brief pinch. We can apply a topical numbing cream or ice if needed. There’s no downtime, and many people return to work or social activities immediately afterward. Minor redness or swelling may occur but typically resolve within a few hours.

Results typically appear within 7 to 10 days, with full effects visible in approximately 2 weeks. Results last about 3 to 4 months. With regular maintenance treatments, many patients notice their lines appear softer over time.

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Timeless Beauty, Flexible Payments

You can pursue your cosmetic goals today and pay later. Our practice proudly partners with Allē, CareCredit®, Alphaeon® Credit, and Cherry, which offer flexible payment options that fit your budget. Some plans include interest rates starting as low as 0%. Let us help you look your best today while managing payments at your own pace.

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BOTOX® Cosmetic Patient Journey

Patient's face before Botox Cosmetic treatment
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Patient's face after Botox Cosmetic treatment
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Patient's face before Botox Cosmetic treatment
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Patient's face after Botox Cosmetic treatment
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Patient's face before Botox Cosmetic treatment
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Patient's face after Botox Cosmetic treatment
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BOTOX vs. Dysport®: What’s the Difference?

Both BOTOX and Dysport are FDA-approved neuromodulators derived from botulinum toxin type A and work in similar ways.

  • BOTOX is the original and most recognized brand. Many patients trust its long track record and appreciate its precise, targeted effects.
  • Dysport has a slightly different formulation that allows it to diffuse more broadly once injected. Some patients find this beneficial for treating larger areas, such as the forehead. Dysport can sometimes show results a little faster, often within 2 to 3 days.

In the hands of an experienced injector, both products deliver excellent results. During your consultation, either Dr. Lopes or another member of her team will recommend the option that best matches your anatomy, treatment area, and personal goals.

Woman wearing a straw hat and smiling brightly.

Dynamic vs. Static Wrinkles

Not all wrinkles are the same. Dynamic wrinkles are caused by repeated facial expressions, such as smiling, frowning, or squinting, and they typically appear around the forehead, brows, and eyes. These are the lines that BOTOX and Dysport are especially effective at treating because they work by relaxing the muscles that create those movements.

Static wrinkles, on the other hand, are the lines and folds that form as skin loses collagen, elastin, and volume over time. Nasolabial folds, marionette lines, and hollowed cheeks are common examples of these signs of aging.

To address both types of wrinkles, many patients consider a liquid facelift. This approach combines neuromodulators like BOTOX or Dysport with dermal fillers. Together, these treatments can smooth expression lines, restore youthful contours, and create balanced, natural-looking rejuvenation.

Why Choose Cosmetic Surgery Center?

With decades of experience in aesthetic medicine, Dr. Lopes brings a plastic surgeon’s eye for balance and proportion to every treatment. As one of the first plastic surgeons in Virginia Beach to offer BOTOX and a contributor to early research on its FDA approval, Dr. Lopes has been at the forefront of injectable treatments for years. Her trusted expertise and refined technique help patients achieve results that look refreshed, not frozen.

Our team includes registered nurse injectors, Denise Kail and Kara Holt, and nurse practitioner Krystina Loprete. They have more than 40 years of combined experience and are passionate about improving their patients’ appearance. Together, Dr. Lopes, Denise, Kara, and Krystina provide a higher standard of care rooted in medical expertise, personalized attention, and a warm, compassionate environment.

Women and men interested in getting cosmetic injections travel from Chesapeake, Suffolk, Norfolk, and throughout Virginia to Cosmetic Surgery Center for nonsurgical facial rejuvenation.

A Reputation Built on Results

Great place! Staff is wonderful and make you feel right at home!
Kara did very very good job I’m so so happy 😄😄😄 I working with customer every day and they ask me...
Very personable, very kind staff and concerned about your thought concerning your issues.
Fantastic staff and facilities

Ready for a Refreshed Appearance?

BOTOX may be your perfect match if you’re considering a nonsurgical approach to facial rejuvenation. Use the online form to request a consultation at our Virginia Beach office to discuss your goals and create a customized plan with Dr. Lopes and her expert team.

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