BOTOX is a proven, safe injectable that achieves outstanding results. The word "BOTOX" is a household name for a reason–this time-tested treatment truly works. While we all know that wrinkles and fine lines are a natural part of the aging process, with BOTOX, we can reverse and even prevent these effects.

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What is BOTOX?

BOTOX is an FDA-approved injectable treatment used to target the muscles under the skin that cause wrinkles to form. BOTOX is used to smooth wrinkles and fine lines for patients who want to turn back the clock on facial aging in various areas of the face. For younger patients, BOTOX is used to help stop wrinkles from appearing by relaxing the muscles and thus stopping the repetitive contractions they make that cause wrinkles to form. 

Please schedule a consultation if you're interested in BOTOX in Bellevue.


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How does it work?

Facial expressions, whether a smile or a squint, or a frown, furrowed brow, or eyebrows raised in surprise, are all caused by the contraction of underlying facial muscles. Every day, these underlying muscles contract over and over again as you yawn, eat, laugh, and generally express yourself. As we get older, our skin starts to become thinner, and the contractions of the muscles begin to cause wrinkles to form. 

BOTOX is injected into these wrinkle-causing muscles to reverse this effect. BOTOX is made from a safe, low dose of the purified protein botulinum toxin. In this form, botulinum toxin forces the key muscles to relax temporarily. This smoothes away wrinkles and fine lines, achieving a more youthful-looking, refreshed appearance.

When used as a preventative treatment to ward off the signs of age before they begin to appear, BOTOX works in the same way. The muscles do not continually contract, over and over again, through the years, and this ensures that fewer wrinkles form and you remain looking younger for longer.

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2950 Northup Way Bellevue, WA 98004

Plastic Surgery Center, Suite 100 | (425) 827-7878

Non-Invasive Center, Suite 105 | (425) 827-8285

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BOTOX treatment areas

BOTOX is a versatile treatment that can treat a range of facial areas in order to smooth fine lines and wrinkles. This injectable is used to achieve a more youthful, fresh appearance almost anywhere on the face, and it can address more than wrinkles and fine lines. For example, BOTOX corrects a “gummy smile,” when the upper lip folds in on itself and shows too much of the gums when you smile. It is also used to achieve a Lip Flip, which is a treatment that makes the upper lip fuller and more youthful looking. 

BOTOX treatment areas include the following:

  • Eye area–crows feet and other wrinkles around the eyes
  • Between the eyebrows–glabellar/ frown lines
  • Forehead–horizontal lines on the brow
  • Around the nose–bunny lines
  • Mouth area–the upper lip and skin around the mouth
  • Neck–platysmal bands and wrinkles in the neck
  • Chin–dimples and other wrinkles 

What kind of wrinkles can BOTOX treat?

BOTOX is designed to smooth fine lines and wrinkles on the face, including the following types of wrinkles:

  • The “11s,” the wrinkles between the eyebrows
  • Frown lines
  • Crow’s feet
  • Wrinkles above the eyebrows
  • Marionette lines (from the chin to the mouth)
  • Bunny lines
  • Lip lines (also called “smoker’s lines)
  • Nasolabial (from the chin to nose)
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Who is a candidate for BOTOX?

Almost anyone who would like to achieve anti-aging effects, achieving smoother, more youthful-looking skin is a candidate for BOTOX injections. Ideal candidates for BOTOX in Seattle should meet the following general criteria:

  • Are in good health
  • Do not have a rash, skin infection, or outbreak in the treatment area
  • Are not pregnant or breastfeeding
  • Are not allergic to the BOTOX ingredients 
  • Have no history of neuromuscular diseases

What are BOTOX injections like?

BOTOX is a simple, easily-experienced “lunchtime” treatment that takes about twenty minutes or less. Anesthetic is not required because the treatment is not typically considered painful, but if preferred, we can begin with a numbing cream to maximize comfort.

Typically, a BOTOX treatment begins by cleansing your face to ensure no toxins or residue is on your skin. From there, we will use a very fine needle to inject BOTOX precisely into specific wrinkle-causing muscles. Once this is done, your treatment is complete, and you can carry on with your usual activities or work day.

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What is the cost of BOTOX?

The cost of BOTOX depends on your needs and aesthetic goals–for example, some patients may want only one area treated, while others might want to have several areas treated. Every patient has a unique facial structure and may have different needs. BOTOX is priced based on unit, with one unit costing between $10-$18. The number of units needed during your treatment will dictate the total cost. On average, a treatment may cost between $300 to $500. 

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Recovery after BOTOX injections

After a BOTOX treatment, there is very little recovery period, if any. You will be able to return to your usual work or activities as soon as your appointment is complete. Minor side effects may include some redness at the injection sites or small red bumps in the area. These generally fade within about one hour. 

Keep in mind that you will need to wait for one or two days before you massage the treatment area or areas. During these two days, do not drink alcohol or have a heavy workout.

When will I see results?

The positive effects of BOTOX injections will take three to four days to appear. The maximum benefits are usually seen after one or two weeks have passed. Once the results have appeared, they will last for three or four months. The length of time the results last will depend on how much BOTOX is injected and the strength of your facial muscles.

As the effects begin to fade over time, you will notice the muscle activity in the treated areas returning. You can continue to enjoy your results with a follow-up treatment for BOTOX in Bellevue.

Can you combine BOTOX with other treatments?

In general, BOTOX is quite safe to combine with a number of non-surgical treatments. Dr. Egrari will talk with you about your options for a combination treatment during your consultation. BOTOX is commonly combined with other treatments, such as dermal fillers, injectables, and others. 

BOTOX and dermal fillers work together to smooth lines and wrinkles and sculpt the facial features, lifting the cheekbones and defining the jawline. 

BOTOX is also often combined with a lighter-level chemical peel or with Kybella® injections that target a double chin. 

Can BOTOX be used to enhance surgical procedures?

Yes, BOTOX can be performed to enhance aesthetic surgeries, such as a facelift, a brow lift, an eyelid lift, and others. BOTOX achieves greater results by smoothing wrinkles in or near the area that these surgeries do not specifically address. This magnifies the outcome even further than the surgery alone. BOTOX injections can also be used to help prevent scarring by helping keep the muscles still during the healing process after aesthetic procedures. 

Other uses for BOTOX

In addition to cosmetic results BOTOX can achieve, BOTOX can be used for non-cosmetic purposes to help address unwanted medical conditions.

Excessive sweating (hyperhidrosis)

Excessive sweating, also known as hyperhidrosis, can be resolved with BOTOX injections. This condition is caused by overactive sweat glands that cause embarrassing sweating beyond what is usual. BOTOX stops the nerve signals that tell the sweat glands to overproduce sweat. 

Jaw muscle clenching

Involuntary jaw muscle clenching causes a range of negative effects. It can damage the teeth, increase the size of the jaws, and result in TMJ sufferers. BOTOX can be injected into areas around the jaw and neck to relax these clenching muscles. This treatment effectively decreases TMJ pain for 90% of patients. Over time, it will also help to slim the jaw by reducing the larger size of the muscles in the area. 


Migraines are notoriously difficult to treat. BOTOX is an innovative treatment that can ease migraines and even lower the frequency of their occurrence. To achieve these results, BOTOX is injected into areas around the head and neck. This helps to reduce pain and to relax the muscles that are causing the migraines to appear. 

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Why choose Dr. Egrari?

Dr. Sepehr Egrari is a double board-certified plastic surgeon who is known as an authority in the field of aesthetic medicine. With twenty years of experience, he combines the skills of a practiced surgeon with his precision techniques in the non-surgical arena. He brings a dedicated, focused approach to his patients, whether they are having a surgical procedure or injectable treatment.  

In addition to his double board certification, Dr. Egrari stays on the cutting edge of aesthetic medicine in a rigorous program of Continual Medical Education (CME). Dr. Egrari’s passion to provide the very best he possibly can for his patients keeps him looking for the best non-surgical techniques and treatments. His personalized, caring approach ensures each patient receives a fully customized treatment plan that results in a natural-looking, authentic appearance.

When it comes to BOTOX, Dr. Egrari takes a precision approach, only treating the key muscles that are causing wrinkles and thus allowing you the freedom to express yourself. The beautiful results he achieves with BOTOX injections for his many satisfied patients are one of the many reasons why he is considered a trusted doctor who is truly one of the very best. 

Please call today for a consultation about BOTOX in Seattle & Bellevue with Dr. Egrari.

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Can BOTOX be used in a non-surgical brow lift?

Will it look natural?

Can men also receive BOTOX?

Are there any side effects?

When should you start getting BOTOX?

Can you have BOTOX while pregnant?

How often do I need BOTOX injections?

Are there any risks?

Do BOTOX injections hurt?

BOTOX vs. Dysport

Fillers vs. BOTOX

What happens when you stop BOTOX?

Are there alternatives to BOTOX?

Can BOTOX be used in a non-surgical brow lift?

Yes, BOTOX is a key part of achieving a non-surgical brow lift.

Will it look natural?

Skillfully done, BOTOX is injected only into the specific muscles that are holding the wrinkles in place, leaving freedom for expression and a natural appearance.

Can men also receive BOTOX?

BOTOX is commonly used for men who would like to treat wrinkles and achieve a more youthful appearance.

Are there any side effects?

BOTOX side effects are typically very mild and may include headache, flu-like symptoms, redness, bruising, temporary facial drooping, and others.

When should you start getting BOTOX?

There is no “right age” to start getting BOTOX, but if you’re planning to have it as a preventative treatment, it’s best to start in your 20s or early 30s.

Can you have BOTOX while pregnant?

No, it is not known whether BOTOX is or is not safe during pregnancy, so it is best not to have it during this time.

How often do I need BOTOX injections?

Most people should have BOTOX injections once every three to four months, depending on how quickly their body metabolizes the substance.

Are there any risks?

BOTOX is an extremely safe treatment, but it does include some risks, such as swelling or bruising at the injection site, headache, droopy eyelids, and other side effects.

Do BOTOX injections hurt?

When performed by a trained professional, any pain is quite minimal, usually feeling like a mild pinch.

BOTOX vs. Dysport

Dysport achieves the same results as BOTOX, but it is more diluted and works best in larger areas. It requires more product to get the results, but it also spreads more quickly for faster results.

Fillers vs. BOTOX

BOTOX is best used for reducing the appearance of fine lines and wrinkles, while fillers are designed to treat volume loss, facial creases, and lack of definition.

What happens when you stop BOTOX?

When you stop having BOTOX injections, your wrinkles and fine lines will slowly start to return.

Are there alternatives to BOTOX?

There are alternatives to BOTOX, such as Dysport or Xeomin, or non-injectable anti-aging treatments, such as chemical peels or microneedling.



We have been fully operational since May of 2020. With patience and with care, we all are returning to normalcy. Our office continues to use safety protocols, and we are eager to see you.


For patients who desire a virtual consultation, this option is available.
Our virtual web consultations can be done right in the comfort of your own home. All you need is a secure Internet connection and a computer, tablet, or smartphone.
If you would like to have a VIRTUAL CONSULTATION or have any questions, please give us a call at (425) 827-7878 or contact us via our website to set up your virtual consultation today.


Updated May 2022
We have been fully operational since May of 2020. This includes skincare and our non-invasive center (ENIC).
We know that so much of this pandemic caused an inconvenience for you, but we are delighted to see a return to normalcy. 
We will continue to be vigilant in our approach to Covid 19. For over two decades, we have considered safety as our most important prerogative — and there has never been a more important time to put that to use.
Here are some things we’re doing to ensure you are protected and that we maintain this facility as a Non-Covid Care (NCC) zone:

Patient Flow and Clinical Office Space

We now have a well-tested protocol of texting patients for control of flow for consultations.
We are assigning everyone to hourly wipe-downs of high-use areas with approved sanitizing wipes.
We are asking that no one wait in the waiting area.
We are coming up with protocols for room wipe-downs after each patient visit.
Every staff member will always wear a mask while in the office.
Every staff member will sanitize or wash hands after every interaction.
Implementation of virtual pre-ops, nursing visits, and questions.

Operating Room Experience

Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
All staff will always wear a mask. All staff will always wear gloves.
Hand washing will be done for any patient interaction.
Specific wipe-down of our operating room, recovery, and pre-op areas will be performed.
We will minimize accompanying caretakers to only one. Those caretakers will be treated just like the patients.
Anesthesia Experience
Every anesthesia staff will wear goggles and other protective equipment during intubation.
Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
All circuits will be changed between each patient.
Full wipe-down of surfaces and floors will be performed.
We will implement a time-out protocol to confirm the Covid-19 Clear Status of every patient.

As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term, but realize that it is for the best.
Although Covid-19 has been a serious issue, we are seeing a resumption of normalcy. We continue to monitor this situation on a real-time basis, and we will not sit back until we know that we have done everything possible to avoid unnecessary exposure.
When you see us in action, you’ll realize that you have put your trust in the right practice.
Here are some links that might be useful:
State of Washington Department of Health
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
Please do not hesitate to contact us. We are always here to answer your questions!
Call us at (425) 827-7878
Email us at [email protected]

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