- Overview
- Surgeon
- Q&A
About the treatment
Neurotoxin (Botox)
Introduction
Neurotoxin, also known as Botox, is a minimally invasive cosmetic procedure that involves injecting a purified neurotoxin protein into specific muscles of the face. This protein temporarily blocks nerve signals that cause muscle contraction, leading to a reduction in wrinkles and fine lines.
Benefits of Botox
- Reduces the appearance of wrinkles and fine lines
- Enhances facial symmetry
- Can improve skin texture
- May reduce sweating in certain areas
Procedure
- The skin is cleansed and numbed with a local anesthetic.
- A very thin needle is used to inject the neurotoxin into the target muscles.
- The procedure typically takes about 30-60 minutes.
Recovery
- Most people experience little to no downtime after the procedure.
- There may be some mild swelling, redness, or bruising at the injection sites.
- Results typically become visible within 3-7 days and can last for several months.
Risks and Side Effects
Botox is generally considered safe and effective, but there are some potential risks and side effects associated with the procedure, including:
- Bruising, swelling, or pain at the injection site
- Headache
- Nausea
- Eyelid drooping
- Allergic reactions (rare)
Conclusion
Neurotoxin (Botox) is a popular cosmetic procedure that can effectively reduce the appearance of wrinkles and fine lines. The procedure is relatively quick, minimally invasive, and has a low risk of side effects. Results typically last for several months and can be maintained with repeat treatments.
Candidate
Neurotoxin, commonly known as Botox, is a purified protein produced by the bacterium Clostridium botulinum. It is used medically to treat a variety of conditions, including wrinkles, muscle spasms, and excessive sweating.
General Health and Wellness Practices
- Avoid excessive sun exposure, as UV rays can break down the neurotoxin and reduce its effectiveness.
- Do not massage or rub the treated area, as this can spread the neurotoxin to other areas of the body.
- Avoid strenuous exercise for 24 hours after treatment, as this can increase blood flow to the treated area and spread the neurotoxin.
- Drink plenty of fluids to help flush the neurotoxin out of your system.
- Follow your doctor's instructions carefully and attend all follow-up appointments.
Side & After Effects
- Bruising and Swelling: Botox injections can cause temporary bruising and swelling at the injection site.
- Pain: Some people may experience mild pain or discomfort during or after the injections.
- Headache: Headache is a common side effect of Botox injections, but it usually resolves within a few days.
- Nausea: Nausea can occur after Botox injections, but it is usually mild and goes away quickly.
- Drooping Eyelid: Botox injections can cause temporary drooping of the eyelid, which usually resolves within a few weeks.
- Eyelid Edema: In rare cases, Botox injections can cause eyelid edema, which is swelling of the eyelid.
- Muscle Weakness: Botox injections can cause temporary muscle weakness in the treated area, which usually resolves within a few months.
- Allergic Reaction: In rare cases, people may experience an allergic reaction to Botox.
Important Note:
If you experience any of these side effects after receiving Botox injections, it is important to contact your doctor right away.Things to Know
Procedure Time
30 Minutes
Overnight Stay
No
Recovery Time
1-2 days
Surgeon

Heather Levites, MD
Board Certified Plastic Surgeon
Dr. Heather Levites is a Board Certified Plastic Surgeon with a special interest in advanced cosmetic surgery. She earned her undergraduate degree at MIT after attending an arts high school in New York City. She earned her MD from the State University of New York at Stony Brook, and completed her plastic surgery training at Duke University. While at Duke, Dr. Levites honed her surgical skills focusing on aesthetic surgery of the face, pediatric plastic surgery, hand surgery, craniofacial trauma reconstruction and oncologic reconstruction. She further bolstered her aesthetic surgery expertise under the guidance of Drs. Hunstad, Kortesis and Bharti in Charlotte, NC. She is the author of multiple peer reviewed publications, has given presentations at many national plastic surgery conferences, and helped launch “The Resident Review”, a podcast aimed at educating plastic surgery trainees around the world. Dr. Levites grew up in New York City studying to be a dancer and fine artist, and still enjoys dance and art in her spare time. Her childhood experiences taught her the value of precision, poise, humility and respect. Like an artist, the human body has become her canvas, and the scalpel the brush. As a mom herself, Dr. Levites understands the value of restoring the body of a mother back to her previous form. She recognizes that each patient’s goals and desires are unique, and tailors her surgical plan to help her patients look and feel their best.
Education & Training
2004 - 2008 MIT BS
2011 - 2015 SUNY Stony Brook School of Medicine MD
2015 - 2021 Duke University Hospital Residency
2021 - 2022 H/K/B Cosmetic Surgery Fellowship
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Location
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LevityLifts by Dr. Levites, 5720 Creedmoor Road Suite 101, Raleigh, NC, USA
Questions and Answers
Dr. Levites does not have any Q&A at this time.
Schedule a consultation
Neurotoxin (Botox)

Heather Levites, MD
Board Certified Plastic Surgeon
Minimally Invasive
Quick Recovery
High Patient Satisfaction
Dr. Heather Levites is a Board Certified Plastic Surgeon with a special interest...
Neurotoxin (Botox) by Heather Levites, MD.
About the Procedure
Introduction
Introduction
Neurotoxin (Botox) Procedure Overview Neurotoxin (Botox) Procedure Overview
Introduction
Neurotoxin, also known as Botox, is a minimally invasive cosmetic procedure that involves injecting a purified neurotoxin protein into specific muscles of the face. This protein temporarily blocks nerve signals that cause muscle contraction, leading to a reduction in wrinkles and fine lines.
Benefits of Botox
- Reduces the appearance of wrinkles and fine lines
- Enhances facial symmetry
- Can improve skin texture
- May reduce sweating in certain areas
Procedure
- The skin is cleansed and numbed with a local anesthetic.
- A very thin needle is used to inject the neurotoxin into the target muscles.
- The procedure typically takes about 30-60 minutes.
Recovery
- Most people experience little to no downtime after the procedure.
- There may be some mild swelling, redness, or bruising at the injection sites.
- Results typically become visible within 3-7 days and can last for several months.
Risks and Side Effects
Botox is generally considered safe and effective, but there are some potential risks and side effects associated with the procedure, including:
- Bruising, swelling, or pain at the injection site
- Headache
- Nausea
- Eyelid drooping
- Allergic reactions (rare)
Conclusion
Neurotoxin (Botox) is a popular cosmetic procedure that can effectively reduce the appearance of wrinkles and fine lines. The procedure is relatively quick, minimally invasive, and has a low risk of side effects. Results typically last for several months and can be maintained with repeat treatments.
Duration
30 Minutes
Overnight Stay
No
Recovery Time
1-2 Days
Effective Period
3-4 months
Neurotoxin, commonly known as Botox, is a purified protein produced by the bacterium Clostridium botulinum. It is used medically to treat a variety of conditions, including wrinkles, muscle spasms, and excessive sweating.
General Health and Wellness Practices
- Avoid excessive sun exposure, as UV rays can break down the neurotoxin and reduce its effectiveness.
- Do not massage or rub the treated area, as this can spread the neurotoxin to other areas of the body.
- Avoid strenuous exercise for 24 hours after treatment, as this can increase blood flow to the treated area and spread the neurotoxin.
- Drink plenty of fluids to help flush the neurotoxin out of your system.
- Follow your doctor's instructions carefully and attend all follow-up appointments.
Benefits of Neurotoxin (Botox):
- Wrinkle reduction: Inhibits muscle contractions, smoothing away wrinkles and fine lines.
- Improved facial contours: Helps lift eyebrows, reduce jowls, and sharpen facial features.
- Migraine prevention: Blocks pain signals in the trigeminal nerve, reducing migraine frequency and severity.
- Hyperhidrosis treatment: Injects into sweat glands, reducing excessive sweating in areas like the underarms and palms.
- Muscle relaxation: Relaxes overactive muscles, providing relief from conditions like TMJ and muscle spasms.
- Eyelid twitch reduction: Injects into eyelid muscles to stop involuntary twitching (blepharospasm).
- Temporomandibular joint (TMJ) pain relief: Injects into jaw muscles, reducing pain and improving function.
- Recessed chin enhancement: Injects into chin muscles to create a more defined chin line.
- Non-invasive procedure: Done with injections without the need for surgery.
- Convenience: Relatively quick and painless treatment with minimal downtime.
- Long-lasting effects: Results can last several months before re-injection is necessary.
Risks of Neurotoxins (Botox)
- Local injection site reactions: Pain, redness, swelling, bruising, itching
- Facial asymmetry: Uneven treatment can lead to one side of the face looking different from the other
- Eyelid ptosis: Drooping of the eyelid
- Brow ptosis: Drooping of the eyebrows
- Dry eye: Reduced tear production
- Allergic reactions: Rare, but can include swelling, itching, and difficulty breathing
- Infection: At the injection site
- Muscle weakness: Temporary weakness in the treated muscles
- Headache: Mild to moderate headaches may occur
Safety of Neurotoxins (Botox)
- FDA-approved: Neurotoxins are approved by the Food and Drug Administration (FDA) for use in treating a variety of conditions, including wrinkles, muscle spasms, and migraines.
- Well-researched: Neurotoxins have been extensively studied for decades and have a well-established safety profile.
- Temporary results: The effects of neurotoxins typically last for 3-6 months, minimizing the risk of permanent side effects.
- Minimal downtime: Most people can resume their normal activities immediately after treatment.
- Low risk of side effects: When administered by a trained and experienced healthcare professional, the risk of serious side effects is low.
Minimizing the Risks of Neurotoxins
- Choose a qualified provider: Select a healthcare professional who is licensed and experienced in administering neurotoxins.
- Discuss your expectations and concerns: Clearly communicate your desired results and any concerns you have to your provider.
- Follow post-treatment instructions: Avoid rubbing or massaging the injection site, and protect it from heat and sunlight.
- Report any adverse reactions promptly: If you experience any unusual symptoms or discomfort, contact your provider immediately.
Overall, neurotoxins are generally safe and effective when used properly. By choosing a qualified provider, following post-treatment instructions, and reporting any adverse reactions promptly, you can minimize the risks and enhance the safety of your treatment.
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Things to know before start
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Surgeon

Heather Levites, MD
Board Certified Plastic Surgeon
Owner at LevityLifts
Raleigh, NC
50 views today
Speaks: English
Dr. Heather Levites is a Board Certified Plastic Surgeon with a special interest in advanced cosmetic surgery. She earned her undergraduate degree at MIT after attending an arts high school in New York City. She earned her MD from the State University of New York at Stony Brook, and completed her plastic surgery training at Duke University. While at Duke, Dr. Levites honed her surgical skills focusing on aesthetic surgery of the face, pediatric plastic surgery, hand surgery, craniofacial trauma reconstruction and oncologic reconstruction. She further bolstered her aesthetic surgery expertise under the guidance of Drs. Hunstad, Kortesis and Bharti in Charlotte, NC. She is the author of multiple peer reviewed publications, has given presentations at many national plastic surgery conferences, and helped launch “The Resident Review”, a podcast aimed at educating plastic surgery trainees around the world. Dr. Levites grew up in New York City studying to be a dancer and fine artist, and still enjoys dance and art in her spare time. Her childhood experiences taught her the value of precision, poise, humility and respect. Like an artist, the human body has become her canvas, and the scalpel the brush. As a mom herself, Dr. Levites understands the value of restoring the body of a mother back to her previous form. She recognizes that each patient’s goals and desires are unique, and tailors her surgical plan to help her patients look and feel their best.
Education & Training
- 2004 - 2008 MIT BS
- 2011 - 2015 SUNY Stony Brook School of Medicine MD
- 2015 - 2021 Duke University Hospital Residency
- 2021 - 2022 H/K/B Cosmetic Surgery Fellowship
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
LevityLifts by Dr. Levites, 5720 Creedmoor Road Suite 101, Raleigh, NC, USA
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Surgeon

Heather Levites, MD
Board Certified Plastic Surgeon
Owner at LevityLifts
Raleigh, NC
50 views today
Dr. Heather Levites is a Board Certified Plastic Surgeon with a special interest in advanced cosmetic surgery. She earned her undergraduate degree at MIT after attending an arts high school in New York City. She earned her MD from the State University of New York at Stony Brook, and completed her plastic surgery training at Duke University. While at Duke, Dr. Levites honed her surgical skills focusing on aesthetic surgery of the face, pediatric plastic surgery, hand surgery, craniofacial trauma reconstruction and oncologic reconstruction. She further bolstered her aesthetic surgery expertise under the guidance of Drs. Hunstad, Kortesis and Bharti in Charlotte, NC. She is the author of multiple peer reviewed publications, has given presentations at many national plastic surgery conferences, and helped launch “The Resident Review”, a podcast aimed at educating plastic surgery trainees around the world. Dr. Levites grew up in New York City studying to be a dancer and fine artist, and still enjoys dance and art in her spare time. Her childhood experiences taught her the value of precision, poise, humility and respect. Like an artist, the human body has become her canvas, and the scalpel the brush. As a mom herself, Dr. Levites understands the value of restoring the body of a mother back to her previous form. She recognizes that each patient’s goals and desires are unique, and tailors her surgical plan to help her patients look and feel their best.
Education & Training
- 2004 - 2008 MIT BS
- 2011 - 2015 SUNY Stony Brook School of Medicine MD
- 2015 - 2021 Duke University Hospital Residency
- 2021 - 2022 H/K/B Cosmetic Surgery Fellowship
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
LevityLifts by Dr. Levites, 5720 Creedmoor Road Suite 101, Raleigh, NC, USA
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Questions and Answers
Q&A
Dr. Heather Levites does not have any Q&A at this time.
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