David B. Reath, MD
Knoxville, TN (865) 450-9253
HKB Knoxville Staff

Botox & Dysport

Botox. Once you get it, you really get it.

With an ultra-fine needle, Botox is injected into certain muscles responsible for making facial expressions. By relaxing these specific muscles, the wrinkle and lines they cause disappear. You’ll still be able to smile, laugh, and be expressive but your skin will be smoother and your wrinkles drastically reduced. So when you think of Botox, think crow’s feet, forehead lines, and angry-looking creases between your eyebrows. Honestly, we love it.

The Injector You Choose Matters

Melissa Wyrick ChambersThere are many physicians’ offices that are injecting Botox and Dysport in Knoxville and nearby Tennessee communities. Why come to us?

Experience combined with artistry- You will benefit from an injectable plan designed personally for you. The injectable consultation is free and patients find it very helpful.

Experience you can trust- Working under the direct supervision of Dr. Reath and Dr. Walker, our nurse injector, Melissa Wyrick Chambers, RN, has 21 years of experience with cosmetic injectables. It requires a unique blend of artistry and science, as well as the need to stay current. Patients routinely comment on her gentle touch with a needle and her fabulous results.

Pricing that makes sense- Botox and Dysport are all distributed in a powder form intended to be mixed by the person doing the injections. Because these products are expensive, variations in price can be attributed to different dilutions or the actual amounts injected. Many patients have told us they were disappointed in wrinkle-relaxing injections that were not done in our office.

Our office has been awarded the Top 250 Status by Allergan. Allergan not only distributes Botox, they also supply SkinMedica and the popular eyelash-growing drug Latisse.

What does this mean to you? It means that we have lots and lots of practice helping patients achieve the results they want. It means that our practice is in the top 1% of all providers by volume in the whole United States. Pretty good for Knoxville, Tennessee, right?

We are grateful to all our patients for their loyalty to our practice and kind referrals, which helped us achieve this milestone. Thanks, y’all.

Manufacturers’ rebates are frequently available for Botox. Our Rebates page is dedicated entirely to keeping you updated on what’s out there to save you money.

What Is a Botox Lip Flip?

This non-surgical lip enhancement procedure gives the upper lip a fuller look without actually increasing its volume. Botox injections are made at specific points above the upper lip into the orbicularis oris muscle. In about 2 to 3 days, the muscle relaxes, allowing the upper lip to roll upward (that’s where “flip” comes from), exposing more of the lip vermillion. Final results are reached in about 10 to 14 days. While it may seem like a simple treatment, it takes an experienced injector to ensure the desired results. The lip flip can be combined with Juvederm fillers to add fullness and definition to both the upper and lower lip if desired.

Can Botox Be Combined With Other Treatments?

Absolutely. A great way to attain a more complete facial rejuvenation than possible with Botox (or Dysport) on its own is to combine it with other treatments. Popular options include:

Video: You Will Still Be Able to Make Facial Expressions After Botox.

On this throwback Truth-O-Meter Tuesday video, Dr. Reath and one of our nurse injectors have some fun with the common misconception that if you have Botox or Dysport treatments you will have a frozen face. Finally here is scientific proof that if you have injections, you can still make facial expressions. Thanks for settling this once and for all!

 Before & After Photos

Case: 1 of 9
Case: 1 of 9
Before Botox, Fillers and Skin Care
After Botox, Fillers and Skin Care
Case: 1 of 8

Before and After Botox, Fillers and Skin Care

Here is a 59-year-old woman before and after her non-surgical treatments. She had Botox, fillers and skin care procedures.
Botox Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 2 of 8

Botox to Crow's Feet Area

Before and After Botox for Crow’s Feet- Here is a 50-year-old woman smiling before and two weeks after her Botox treatment. It really makes a difference in the crow’s feet area. 
Before Botox, Juvederm and Skin Care
After Botox, Juvederm and Skin Care
Case: 3 of 8

Before and After Botox, Juvederm and Skin Care

Here is a 61-year-old woman before and three weeks after a combination of non-surgical treatments. She had Botox, Juvederm hyaluronic acid fillers and a RealPeel Chemical Peel to treat her melasma and hyperpigmentaton. What a difference!
Botox Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 4 of 8

Botox to Crow's Feet

Before and After Botox to the Crow’s Feet Area- Here is a 51-year-old woman smiling before and three weeks after Jill Maze, RN performed her Botox treatment. 
Botox Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 5 of 8

Botox and Fillers

Here is a perfect example of dramatic improvements that can be made without surgery, recovery time and at a relatively low cost. She is 48 and was concerned with aging around the eyes. Nurse Injector Jill Maze used Botox in her crow's feet and a tiny bit of Prevelle filler under the eyes. What a difference. Read More
Before Botox to Treat Brow Asymmetry
After Botox to Treat Brow Asymmetry
Case: 6 of 8

Before and After Botox for Brow Asymmetry

Botox not only helps reduce wrinkles, it can correct asymmetry in the height of the eyebrows. Here is an example of this on a 58-year-old woman.
Before Botox Forehead
After Botox Forehead
Case: 7 of 8

Before and After Botox Forehead

Here is a 62-year-old woman before and three weeks after a Botox treatment. She had her forehead and glabellar region treated at the same time. You can see here how much smoother and more relaxed the area looks.
Botox Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 8 of 8

Botox for Men

Here is a 43-year-old man before and after Botox. He is lifting his eyebrows in both pictures so the improvement is remarkable. He said he looks at least five years younger and so much more relaxed.


Keep in mind that each patient is unique and your results may vary.

How Long Does It Take To Recover?

Bruising after Botox is not as common as bruising after fillers but little pinpoint bruising can happen especially if you tend to bruise easily. But, there are things you can do the week BEFORE your facial filler appointment to minimize your bruising afterward.

Reath Rewards Earn points towards special discounts when you spend on products and nonsurgical procedures including Botox, Juvederm, and CoolSculpting. Learn More

Be the first to know when new rebates are available! Subscribe to our new rebate alerts.

Rebate Alerts Be the first to know about rebates! Subscribe Now

A Little Insider Secret

A tiny bit of Botox can also be used to correct what we fondly refer to as “a mouth turned south.” If the corners of your mouth turn down when you are relaxed and not making any other facial expressions, this is something you might want to consider.

Botox and Dysport Safety

Botox safety information

Injectable pharmaceutical therapies are readily available but there are many unqualified providers offering treatment. Often, these unqualified providers entice consumers with deep discounts, and in some cases, treatment is provided with an unknown or imported substance that is not FDA approved. It’s so important that you visit the office of an appropriately trained, board-certified or board-eligible practitioner, namely a plastic surgeon or a dermatologist. Accept treatment only with a brand-name substance that is cleared for use in the United States by the FDA. Approval may be specific to your planned treatment or the substance is openly accepted for off-label use.

When products are as expensive as Botox, Dysport, and Juvederm, unscrupulous characters crawl out of the woodwork selling discounted products acquired by questionable means.

Anatomies differ and determining the best injectable or combination of injectables and exactly where to place them should not be left to chance—a bad shot and you could be looking weird rather than wonderful. And even though fillers and Botox are not permanent, you’ll need to learn to live with your results until the injectable wears off.

Don’t get injected without consulting with the doctor first. All patients considering injectable treatments in our office meet with Dr. Reath or Dr. Walker first to prescribe a treatment plan and go over safety information before they proceed with our nurse injector.

Dwonload How to Spot a Botox BanditBe mindful of the setting in which the procedure is performed. Spas that are not part of a physician’s office (medi-spas), or friends’ house parties are not the place for treatments of this kind. Injectables should only be administered in a medically appropriate environment.

Bottom Line: Establish a working relationship with a great injector at the office of a board-certified or board-eligible plastic surgeon and then stay there. You’ll have a chart with a record of exactly what was injected and how much. This gives your injector an ongoing medical history enabling you to get the correction done in the past. Much like your favorite hairdresser, your injector will know your facial anatomy and be familiar with the look you want.

Our Reath Rewards program is designed as a thank-you card to our loyal patients. This way you know you are getting the best price while being confident in your result.

Want to know more ways to protect yourself? Start by reading “How to Spot a Botox Bandit” before your injectable appointment and feel pass it along to your friends!

Meet Melissa Chambers, R. N.


Aesthetic Nurse Injector

We are thrilled to have Melissa join our practice. For many of you, she needs no introduction.  Her reputation for technical excellence and elegance is forged by 21 years of injecting experience right here in Knoxville.

Compassionate, nurturing, and calming, Melissa takes the time to listen to patients while kindly and expertly guiding them towards the results they’re wanting to achieve.

All of her patients from “Nervous Nellies” to injectable veterans are impressed by her personalized approach to their care and her gentle touch with a needle.

Melissa started her career as an Aesthetic Nurse Injector back in 1998. Those were the days of bovine collagen before anyone had ever heard of hyaluronic acid fillers like Restylane and Juvederm.

In an area where new products are often coming to market, Melissa is uniquely qualified to choose the right product for each patient’s budget and goals, rather than wasting money on trendy, short-lived injectables.

In addition to her vast experience with injectables, Melissa’s background in dermatology and proficiency with lasers make her a great asset to our patients. Together, Melissa, Christy, Dr. Reath, and Dr. Walker will evaluate the newest technologies and ingredients to give the best results to our patients.

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