Skin Concerns
Treats dynamic wrinkles (lines caused by muscle movement) — forehead lines, frown lines (“11s”), crow’s feet, bunny lines, chin dimpling, and lip-flip definition. Also addresses jawline slimming and TMJ via the masseter, neck bands via the platysma, underarm hyperhidrosis, and shoulder tension via TrapTox. For static wrinkles (visible at rest) or volume loss, dermal filler or laser resurfacing is the better fit — your provider will tell you directly which approach suits your concern.
Ideal Candidate
Most healthy adults are good candidates. Common patients include adults in their late 20s/30s starting preventative low-dose treatment, anyone with established dynamic lines, TMJ / jaw-clenching sufferers, patients with axillary hyperhidrosis, and those preparing for a wedding or event. Not recommended during pregnancy or breastfeeding, with a neuromuscular disorder (e.g. myasthenia gravis), active skin infection at the injection site, or a prior allergic reaction to botulinum toxin. If you take blood thinners, mention it at booking so your provider can plan accordingly.
Treatable Areas
Cosmetic: forehead lines (~20u), frown lines (~20u), crow’s feet (~15u), bunny lines (~8u), chin dimpling (~8u), lip flip (~6u), jawline contouring (~60u), neck bands (~40u). Therapeutic: masseter/TMJ (~50u), bruxism relief (~50u), axillary hyperhidrosis (~50u/underarms), TrapTox (~80u shoulders). Unit counts are averages — your provider sets exact dosing during the consultation.
What Botox Is & How It Works
Botox (onabotulinumtoxinA) is an FDA-approved injectable neuromodulator. It works by temporarily blocking the nerve signals that tell specific facial muscles to contract. When those muscles relax, the overlying skin smooths out — reducing the appearance of dynamic wrinkles caused by years of repeated expressions like squinting, frowning, and raising your brows.
Dynamic wrinkles are caused by muscle movement — forehead lines, crow’s feet, frown lines. Static wrinkles, visible even at rest, are caused by volume loss and skin laxity. Botox addresses the first category. For static concerns, dermal fillers or resurfacing treatments are typically more appropriate, and we’ll tell you that directly.
Beyond cosmetics, Botox has well-documented therapeutic applications: TMJ and jaw clenching (masseter relaxation), hyperhidrosis (underarm sweating), and neck bands caused by platysmal banding. Every injection at our Sandy Springs clinic follows board-supervised protocols — your provider maps your facial anatomy before placing a single unit.
The Benefits
Wrinkle Reduction
Softens forehead lines, crow’s feet, and frown lines. Preserves natural facial movement for a rested appearance — not a frozen one.
TMJ & Jawline
Relaxes overactive masseter muscles to relieve jaw tension, reduce teeth grinding, and slim the lower face over time.
Precise Dosing
Strategic unit placement maintains your full expression range while addressing the specific muscles that are driving lines.
Is Botox Right for You
Most healthy adults are good candidates. Here’s what we typically look for — and what we’d discuss with you before recommending treatment.
Dynamic Wrinkles
Forehead creases, frown lines between the brows, and crow’s feet at the corners of the eyes — whether they appear during expression or have started to linger at rest. There’s no single “right age” to start. Some patients begin in their late twenties to slow line formation; others address deeper established lines in their forties and fifties. Your provider will assess whether the lines are dynamic (muscle-driven) or static (volume/laxity) and recommend accordingly.
Jaw Tension & TMJ
If you grind your teeth, wake with jaw soreness, experience chronic tension headaches from clenching, or have noticed your jawline widening from an enlarged masseter muscle, Botox into the masseter is an effective and well-studied treatment. It relaxes the overactive muscle, reducing functional discomfort and — as a secondary benefit — softening the lower face. Results typically last 4–6 months in this area, often longer than cosmetic treatment sites.
Preventative Treatment
Many patients in their late twenties and thirties use low-dose Botox to slow the formation of deeper lines before they set in permanently. The logic is straightforward: preventing a crease from forming is easier than softening one that’s already there. Preventative dosing is typically conservative — your provider will recommend only the units needed to reduce habitual muscle movement without eliminating natural expression. This is not a one-size-fits-all approach.
Hyperhidrosis
Botox is FDA-approved for primary axillary hyperhidrosis — excessive underarm sweating that doesn’t respond adequately to clinical-strength antiperspirants. Injected into the sweat glands of the underarm, it can significantly reduce sweating for 4–6 months per treatment. Results are typically noticeable within 2 weeks. Most patients find the treatment well worth it for the daily relief it provides, particularly in warmer months or for professionally demanding situations.
Lip Flip
A lip flip uses a small amount of Botox (typically 4–6 units) injected into the orbicularis oris muscle along the upper lip. It relaxes the muscle just enough to allow the lip to gently roll outward, creating the appearance of more fullness without adding volume. It’s a subtle technique — the right choice for patients who want definition and a slightly elevated upper lip, not significant size increase. For patients wanting more volume, a lip filler consultation is the more appropriate route.
Neck Bands & TrapTox
Neck bands (platysmal banding) become more visible as the platysma muscle tightens with age, creating vertical cords down the front of the neck. Botox relaxes these bands, smoothing the neck and softening the transition to the jawline. TrapTox targets the upper trapezius muscle for patients with chronic shoulder tension or those seeking a more elongated neck-to-shoulder appearance. Both are effective off-label applications with well-established safety profiles.
Botox vs. Dysport at ELLEMES
We carry both because they behave differently in practice. Both are FDA-approved and priced identically at our clinic. The difference is in onset speed and how the product spreads — which matters depending on the treatment area and your anatomy. Your provider recommends based on which will perform best, not cost.
Some patients use both in a single visit: Botox for precise work around the eyes, Dysport for broader forehead coverage. Your provider will recommend the right approach during your consultation.
What to Expect: Before, During & After
A Botox appointment at ELLEMES typically takes 15–20 minutes. Here’s the process from preparation through to maintenance.
Preparation
Avoid alcohol for 24 hours and blood-thinning supplements (ibuprofen, aspirin, fish oil, vitamin E) for 3–5 days before your visit. Arrive with clean skin. First appointments allow 30 minutes for consultation and treatment; return visits are typically 15 minutes.
Consultation & Mapping
Your provider assesses your facial anatomy, discusses your goals, and marks the injection sites. The treatment plan is determined based on your muscle activity and desired outcome — not a standard area template.
The Treatment
The needles used are extremely fine — most patients describe a brief pinch, not pain. The entire injection process takes 5–10 minutes. Ice is available if you’d like it, but most patients don’t need it.
Results Develop
You’ll notice muscles beginning to soften within 3–5 days. Full results settle at 14 days — that’s when we assess outcomes. We schedule a two-week follow-up for first-time patients to evaluate and address any touch-up needs.
Maintenance
Results typically last 3–4 months. Factors like metabolism, muscle strength, and activity level influence duration. With consistent treatment over time, many patients find results last longer as the targeted muscles gradually weaken from reduced use.
Immediately After
Return to your schedule immediately — no downtime. Avoid lying flat for 4 hours, skip intense exercise for 24 hours, and don’t massage the treated areas. Minor redness or small bumps at injection sites are normal and typically resolve within an hour. Bruising is uncommon but possible. Full aftercare guidance on our post-care instructions page.
Botox Cost in Atlanta
Pricing is based on the exact number of units used — not by area. The estimates below are clinical averages. Your provider will determine precise dosing during your consultation.
Per-Unit Pricing
Both Botox and Dysport are priced identically — we recommend based on anatomy, not cost. A typical first treatment of forehead + frown lines + crow’s feet runs $520–$780 total (40–60 units).
Book ConsultationExact unit count varies based on muscle size, strength, and desired outcome. First-time patients treating forehead, frown lines, and crow’s feet together typically use 40–60 units total. We never recommend unnecessary units.
Who Performs This Treatment
How Often & Why
A single treatment shows you how your muscles respond, how much softening you prefer, and whether the dosing feels right. A solid baseline for establishing your ongoing protocol.
Results last 3–4 months. Rebooking when movement starts to return — not waiting until lines are fully visible again — keeps results more consistent and may gradually extend the interval between treatments.
With consistent treatment, targeted muscles gradually weaken from reduced use. Many long-term patients find they need fewer units over time, or that their results last noticeably longer than when they started.
Your provider will recommend the right schedule based on your muscle activity, metabolism, and goals. For patients also addressing skin texture or volume, combining Botox with dermal fillers or MOXI laser targets complementary concerns in the same visit.
Botox Questions
What to know before booking Botox at ELLEMES Medical Spa in Atlanta.
What is Botox and how does it work?
Will Botox give me a frozen look?
Which areas can be treated?
How long do results last?
When will I see results?
Does it hurt?
What’s the difference between Botox and dermal fillers?
How much does Botox cost in Atlanta?
How often should I get treatments?
Can I exercise after Botox?
What are the possible side effects?
What age should I start Botox?
Real Patients, Real Results
Verified Google reviews from ELLEMES patients who chose us for Botox or Dysport.
“Thao is amazing!! I was nervous getting Dysport for the first time and she alleviated all my concerns. I had deep forehead lines and was nervous about my brows drooping post treatment so we went relatively light. She made it super easy, painless, and I now look amazing. If you're on the fence about getting Dysport, I highly recommend taking the plunge and making an appt with Thao!”
“I cannot recommend Thao enough for masseter botox! Not only is she incredibly skilled and knowledgeable, but she also has such a calm and reassuring presence that makes the entire experience smooth and stress-free. She took the time to explain everything, made sure I was comfortable throughout, and the results speak for themselves. If you're considering jawline enhancement, she's definitely the person to go to!”
“My experience at Ellemes Med Spa was nothing short of AMAZING! From the moment I walked in, I was welcomed with warmth and professionalism. Thao was absolutely fantastic! She took the time to listen to my concerns, explained everything thoroughly, and made me feel completely at ease. Her expertise and care made all the difference, and I couldn't be happier with the results of my botox as it looks completely natural.”
“I couldn't be happier with my experience getting lip filler and Botox with Thao! She is truly the best — professional, knowledgeable, and incredibly skilled. From the moment I walked in, she made me feel comfortable and listened to exactly what I wanted. My lips look naturally plump and symmetrical, and the Botox smoothed out my fine lines perfectly without looking overdone.”
“Thao is amazing! I've been getting Dysport injections in my trapezius muscles to help with chronic tension headaches, often time they lead to migraines. The results have been amazing! The pre & post appointment instructions are super detailed. Also comes with videos to help with step by step navigation to their office. I work in the Events industry and it's a much appreciated touch for my planner brain!”
“I had such a great experience at Ellemes Med Spa. This was my second time seeing Thao, and both times were very good. She helped me feel comfortable and was able to answer all of my questions. Such a smooth and painless experience. Definitely recommend booking your Botox or filler with Thao! I'll be bringing my mom in next!”
“Always a great experience with Thao at Ellemes (and the whole staff, really). I've been seeing Thao for dysport for more than a year and highly recommend her for any injectables. She's so knowledgeable, kind and thorough and always keeps me looking my best.”
“Thao did my masseter botox and she did amazing. She was very informative. She is very gentle and she knows what she's doing. This place is very clean and friendly so I recommend this place for everyone who is wanting to look / feel better!”
“I went and saw Thao for some Botox. I can't recommend her enough! She was knowledgeable and so gentle. She listens to what you want! The atmosphere was relaxing and also the entire staff is super friendly.”
“First time seeing Thao at Ellemes Spa and I'm OBSESSED. She did cheek filler + Botox (facial rebalancing) and honestly… she's a magician. It didn't hurt at all, she made me feel so comfortable, and the results are insane — I feel SO snatched but still extremely natural. Like I've contoured my face with no makeup on. My new forever person. If you're thinking about filler or Botox, RUN to her. She's the real deal.”
“I had a great experience with Thao and the team at ELLEMES. I went in for forehead Botox, masseter Botox, and a microneedling treatment. Thao was very knowledgeable and took the time to explain everything clearly, which made me feel very comfortable. The whole team was friendly and professional, and the environment was very welcoming. Highly recommend!”
“I got Botox done by my girl Thao and I'm OBSESSED. She was so gentle, explained everything, and made me feel super comfortable. The results look so natural but smoothhh. If you're thinking about it, book with her!”
When You’re Ready
Schedule a consultation at our Sandy Springs clinic. Your provider will recommend the right treatment based on your anatomy, your concerns, and your timeline.
Book a Consultation →Or call (470) 222-6581