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

Botox & Dysport For Wrinkles

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.

Shopping for Wrinkle-Relaxers

There are many physicians’ offices that are injecting Botox and Dysport. Why come to us?

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

Working under the direct supervision of Dr. Reath, our nurse injector, Jill Maze, RN, trains with the most renowned experts in cosmetic injectables. It requires a unique blend of artistry and science, as well as the need to stay current. Consequently, she periodically travels the U.S. to observe the leaders in her field. Patients routinely comment on her caring manner and her fabulous results. They even nominated her for the Real Self’s Most Loved Injector.

Pricing that makes sense- Botox and Dysport are both distributed in a powder form intended to be mixed by the person doing the injections. Because it is 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. That’s why we price by the area treated, not by the unit. And why we have a courtesy touch-up policy. (Botox and Dysport are the same price.)

Good to Know

Our office has been awarded the Top 250 Status by Allergan. Allergan not only distributes Botox , they also supply Natrelle implants, Juvederm, CoolSculpting, 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.

Botox and Dysport Pricing Cost
One Area Botox $350
Two Areas Botox $500
Three Areas Botox $750
Four Areas Botox (includes neck) $1,000
Botox for Underarm Sweating $900

Add on to any injectable procedure:

Botox DAO to correct a “Mouth Turned South” $100
Botox to correct an “Orange Peel Chin” $100

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

On this Truth-O-Meter Tuesday video, Dr. Reath and Jill Maze, RN 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 Botox and Dysport, you can still make facial expressions. Thanks Jill for settling this once and for all!

Botox vs. Dysport: Which is Knoxville’s Favorite?

Both Botox and Dysport are used to help eliminate frown lines on the forehead, crow’s feet and brow area. They are used to prevent the muscle activity which causes wrinkles. Aside from younger looking skin, patients are also pleased that there is no recovery time and the side effects are minimal. And it only takes 10 minutes!

Everyone always asks which is better. In our unscientific poll of our patients, most of them prefer Botox, a few like Dysport, and others don’t see much of a difference other than onset of action.

Before and After Photos of Botox and Dysport

Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • 6738_Before_(1) 6738_After_(1)
    Before After

    Before & After Botox- Here you can see the incredible improvement by using Botox on Mandi's crow's feet.

  • before Dysport forehead Knoxville woman after Dysport forehead Knoxville woman
    Before After
    before Dysport crow's feet after Dysport crow's feet
    Before After

    Before & After Dysport to the Crow’s Feet Area- Here is a 51-year-old woman smiling before and three weeks after her Jill Maze, RN performed her Dysport treatment.

  • Before Dysport to Crow's Feet After-Dysport-Crow's-Feet
    Before After

    Before & After Dysport- Here is a 47-year-old woman who never had injectables before. She was concerned about the wrinkles on her forehead and also in her crow's foot area. Jill Maze, RN used Dysport to smooth these wrinkles and take years off her face. She is thrilled and feels she looks much more relaxed.

  • 12286_before 12286_after
    Before After

    Before & After Prevelle Silk and Dysport- 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 Dysport in her crow's feet and a tiny bit of Prevelle filler under the eyes. What a difference!

  • Botox before photo of Knoxville patient - forehead Botox photo of Knoxville patient forehead- after
    C1232-V1569-T1-I2132-S4 C1232-V1569-T2-I2133-S4
    Before After

    Before & After Botox Forehead- Above are two patients in their early 40's who are pictured lifting their eyebrows before and after their Botox procedures. Both said they look at least five years younger now.

  • before botox chin after Botox to the chin
    Before After

    Before & After Botox- Here is a 41-year-old woman who was concerned about the "orange peel" aging around her mouth and chin. She also wanted more definition to her lips. Nurse Injector Jill Maze used Botox in her chin area to relax her mentalis muscle and Juvederm in her lips. You can see the very natural-looking, youthful result.

Helpful Resources for Your Research

Bruising after Botox is not as common as bruising after fillers but little pin point 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 afterwards.

Manufacturer’s rebates are frequently available for Botox. We have a page on our website dedicated entirely to keep you updating on what’s out there to save you money.

Reath Rewards is a loyalty program that everyone loves. For every dollar you spend on Botox and Dysport you earn points towards special discounts designed exclusively for Reath Rewards members. These discounts are over and above any advertised specials and rebates.

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

Video: Why we price Botox and Dysport by the area and not by the unit.

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 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, Juvederm and Radiesse, 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 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 an working relationship with a great injector at the office of a board-certified 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 a 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!

A Little Insider Secret

A tiny bit of Botox can also be used to correct what Dr. Reath fondly refers to as “a mouth turned south”. If the corners of your mouth turn downward when you are relaxed and not making any other facial expressions, this is something you might want to consider. Dr. Reath and Jill explain more on the video.

Here is an Interesting Wrinkle: Dysport

Botox finally has competition. The “new” injectable Dysport, a form of botulinum type A, is available after being cleared by the FDA. Dysport is the first product to challenge Botox in the United States. You should know that it has been competing with Botox in Europe for over 20 years; yet, Botox dominates with an 83% market share throughout the continent.

There is a learning curve with any new product, but particularly so with Dysport. Because Dysport is diluted more than Botox, clinicians not adept at determining how many units to inject may be confused with the new product. It is important to understand that they are not interchangeable as it takes more units of Dysport than Botox to treat an area. Unlike other offices, we will use whatever is needed of either product to guarantee you get the results you want.

Clinical studies of Dysport report that it “spreads more” during injection. This can be both a good and a bad thing. It is good in large areas like the forehead or the armpits to treat excessive sweating. It is bad for an inexperienced injector without a good understanding of the more complex musculature (around the eyes, between the eyebrows).

Based on the European experience and a recent study in the Journal of the American Academy of Dermatology, we originally thought that Botox would have the advantage. On the other hand, Dysport does take effect quicker. If you are short on time before a big event, we do have Dysport available.

Our patients know and love Botox. We are very pleased that they have designed Brilliant Distinctions, an aggressive new loyalty program designed to keep Botox patients happy. Meanwhile, Dysport is getting very agressive with rebates in an unprecedented attempt to tempt Botox users to give it a try. Click Here for the Latest Botox and Dysport Rebates.

After two years, it seems to be a matter of personal preference as to which is the better product. Some of our patients prefer Botox, some have preferred Dysport, and others don’t see much of a difference.  And, other than the onset of action, we aren’t seeing major differences in our patients. For your best results, find a good injector who knows you, and knows both these products well.  This is the key to getting the best results.

Meet Jill Maze, RN, BSN

Jill Maze RN, BSNJill is an extraordinarily gifted Nurse Injector. Working under the direct supervision of Dr. Reath since 2008, her extensive training and gentle touch is a winning combination. Her patients attest to her caring bedside manner, her skilled professionalism and her aesthetic expertise. Many drive all the way from Nashville and Atlanta because she is that good.

Every year Jill travels across the country to train with the most renowned experts in cosmetic injectables to refine her skills and bring back new techniques to our patients. This area requires a unique blend of artistry and science as well as the need to stay current, so Jill will continue her travels in the U.S. and Canada to observe the leaders in her field.

This advanced training is why she has been using flexible cannulas for the past four years to inject fillers. Flexible cannulas are not only safer than needles, they cause far less bruising and discomfort for her patients. She is the first injector in Knoxville to use them.

She is an active member of the American Society of Plastic Surgical Nurses. She was in the first class in the country to attend the Advanced Injector Competence Training Course designed by the American Society of Aesthetic Plastic Surgeons in Las Vegas. In addition, she received specialized instruction on techniques for using Botox for areas other than the upper face. She is also trained and experienced with the recently FDA-approved filler Juvederm Voluma.

Besides she is so accomplished, many patients are surprised that Jill is completely down to earth and has a wicked sense of humor. It’s pretty common for us to hear them giggling down the hall into their ice packs as they leave her room.

If you have questions about Botox, Dysport, Restylane or Juvederm, email Nurse Injector Jill Maze at Jill@plasticsurgeryknoxville.com

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