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Facial Esthetics & Wellness: Botox and Dermal Fillers
Boost Confidence and Reduce Pain

We’re excited to offer Botox treatments designed to soften fine lines, enhance natural features, and help you look refreshed and confident. Botox can also be used to treat TMJ pain.

Facial Esthetics & Wellness: Botox and Dermal Fillers | Dentist
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Botox® Therapeutic & Cosmetic

Botox is a purified protein (we use Xeomin® / incobotulinumtoxinA) formulated to gently relax targeted facial muscles, helping to soften fine lines and preserve a naturally youthful appearance. This minimally invasive treatment is both safe and efficient, delivering refined results with minimal to no downtime. It is ideal for patients who value clinical excellence and aesthetic precision.

Beyond Esthetics: TMJ Relief

In addition to cosmetic use, we utilize Botox to treat TMJ pain. By reducing the pressure in specific jaw muscles, we can help you find relief from the tension and soreness caused by teeth grinding.

Common Treatment Areas

  • Horizontal Forehead Lines: Lines that run across the forehead, formed from raising the eyebrows or expressive facial movements.
  • Frown Lines: Vertical "11 lines" that appear between the eyebrows.
  • Crow's Feet: Fine lines at the outer corners of the eyes that form when you smile or squint.
  • Bunny Lines: Wrinkles on the sides of the nose that appear when you smile, laugh, or scrunch your nose.
  • Lip Lines: Fine wrinkles appearing above or below the lips.

Results & Longevity

  • Timeline: Initial results appear within 24–48 hours, with full effects visible after 10–14 days.
  • Duration: Results typically last 3–4 months, depending on your metabolism and muscle activity.

Dermal Fillers

We use Revanesse Lips+, an FDA-approved injectable gel made with hyaluronic acid, a substance naturally found in your skin that attracts moisture and adds fullness.

What Dermal Fillers Can Do

  • Lip Enhancement: Add volume, improve shape, and increase hydration.
  • Smile Lines: Soften nasolabial folds (lines from the nose to the mouth).
  • Marionette Lines: Reduce lines extending from the mouth down to the chin.

What to Expect

  • The Procedure: Treatment takes approximately 30–45 minutes.
  • Comfort: "We use a topical numbing agent, though full dental anesthetic is available if you prefer." You may still feel some pressure or pinching during injections.
  • Immediate Results: Results are visible immediately, though full effects settle within 1–2 weeks once swelling subsides and the product fully settles.
  • Longevity: Dermal fillers can remain effective for 6 to 12 months. Results can be adjusted or dissolved if needed.

Meet Our Doctors:

 Josh Prather DDS, FAGD

Josh Prather DDS, FAGD

Raised in the heart of Central Missouri, Dr. Josh Prather grew up as one of seven kids in rural Boone County near Rocheport. A proud Mizzou graduate, he earned a …

 Teddy KK Rogers DDS

Teddy KK Rogers DDS

I grew up in Minnesota, then came down to Missouri for college. I went to Truman State in Kirksville, where I met my husband, and so I ended up staying. …

 Alexis Fritz, DMD

Alexis Fritz, DMD

While attending the University of Missouri, Dr. Alexis Fritz fell in love with Mid-Missouri. She went on to earn her dental degree from the Missouri School of Dentistry and Oral …

Patient Care & Aftercare Guidelines

To ensure the best possible results and a smooth recovery, please follow these clinical guidelines for your Botox and Dermal Filler appointments.

Before Your Appointment

  • Medication List: Please bring a complete list of your current medications to your appointment.
  • Clean Skin: We recommend arriving with a clean, makeup-free face on the day of your injection.
  • Pre-Treatment Precautions: Avoid blood thinners, including aspirin, ibuprofen, and alcohol, for two days prior to your visit.

What to Expect During & After Treatment

While both treatments are minimally invasive, you may experience some temporary side effects as the product settles:

  • Sensation: With topical numbing, you may still feel light pressure or pinching during the process.
  • Botox Adjustments: Be patient, as full effects take up to two weeks. If you feel any adjustments are needed, please follow up with us at the 14-day mark.
  • Filler Healing: Swelling and a "firm" feeling in the lips are normal and typically subside within a few days.
  • Common Side Effects: Mild bruising, redness, or tenderness may occur at the injection sites but will resolve within a few days.

Frequently Asked Questions

Dermal fillers are FDA-approved injectable gels aimed at restoring volume, enhancing facial
contours, and smoothing stubborn lines. Dermal fillers are made with hyaluronic acid, a naturally
occurring substance in the skin that attracts moisture and adds fullness to the skin.

Botox treatment typically takes 30-45 minutes. A topical numbing agent is used for comfort (a full dental anesthetic is available if preferred). You will feel pressure/pinching with the topical numbing agent. 

Important After-Care Tips:

  • Avoid touching, pressing, or massaging lips unless instructed to do so after treatment
  • Avoid lying flat for 4-6 hours after treatment
  • Avoid strenuous exercise, alcohol, excessive heat (saunas, hot yoga, tanning beds), and heavy
  • make up around the lips for 24 hours after treatment
  • Ice can be used to compress lips gently in short 10-minute on and off intervals
  • Be patient! Lips will settle, and results will come to their full effect in 10-14 days
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