What is Botox?


Botox temporarily disrupts wrinkle-causing muscle contractions in the face and smooths existing wrinkles between the eyebrows, on the forehead, and around the eyes.

Botox is the brand name of the injectable protein Botulinum Toxin A, which is a muscle-relaxing agent that has been used safely for many years to treat muscle spasms. Not only can Botox improve lines and wrinkles that already exist, but it can prevent wrinkles from forming. For this reason, many younger patients are turning to Botox as a way to prevent some of the visible signs of aging.

Botox is not a permanent treatment. It must be repeated every 3-4 months to maintain your results. Many patients consider Botox to be a part of their regular regimen for looking good.


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Individualized Approach

Botox is not as simple a procedure as it may seem. While non-surgical, it still requires a skilled injector if you want a natural-looking result. Dr. Lewis will examine your face and determine which muscle contractions are causing the wrinkles that bother you. This allows him to decide the best locations and dosages for your injections.

Will anesthesia and pain relief be used during/after botox?

Botox does not require anesthesia, and the needle is tiny and well-tolerated. Some patients prefer a topical numbing cream before their injections, however. You must wait a period of time for the cream to take effect before your injections can proceed, but if you are sensitive, it can help you handle the sting of the needle.

What happens immediately after botox?

You may go home or back to work immediately after your Botox injections. No down time is required.

How long will complete recovery take with botox?

Botox requires no recovery period. You might experience some slight bruising where the needle was inserted, but this usually goes away within a couple of days.

While you will be able to see some results from Botox injections within a day, it will take a week for the results to show fully.

Am I a good candidate for Botox?

Most healthy individuals are potential candidates for Botox injections. Pregnant women or patients with certain muscle or nerve conditions should not have Botox.

What are the risks of Botox?

Check Accreditation

With any cosmetic procedure, there are risks that you must be aware of. To minimize the risks, ensure that your procedure is conducted in a safe and secure environment using the latest techniques by checking the certifications and accreditation of your surgeon. Accreditation boards and bodies are there to protect you.

Dr. Gordon Lewis has many years of experience and is affiliated with several internationally recognized professional organizations. He is:

• Board certified by the American Society of Plastic Surgeons
• Affiliated with the Richmond Academy of Medicine and the Medical Society of Virginia
• An Associate member of the American Society for Aesthetic Plastic Surgery and the American College of Surgeons
• A candidate member of the American Society for Surgery of the Hand

In general, Botox injections are very safe and well-tolerated. It is rare that serious complications occur. We will speak with you at length about these risks and answer all of your questions.

Risks include, but are not limited to:

• Itching and rash
• Wheezing
• Asthma
• Dizziness
• Dry mouth
• Tiredness
• Headache
• Neck pain
• Double or blurred vision
• Drooping eyelids
• Swollen eyelids
• Dry eyes

During your comprehensive one-on-one consultation, we will cover several areas of discussion:

  • Your medical history and current medications
  • Your goals from Botox
  • Your concerns about Botox
  • Options for correcting the issues you want to change
  • Risks associated with each option
  • A price quote that includes any additional costs. This will also include financing options, if you wish.

Expect to spend close to an hour in our office for your consultation.

Botox injections are provided at Lewis Plastic Surgery practice, which is located at the corner of Robious Rd. and Huguenot Rd.

During your initial consultation, we will be able to give you a breakdown of all costs related to your Botox procedure. We make absolutely sure that there are no hidden costs and no surprises.

Every patient is required to attend an initial consultation before a procedure can be booked. Once you decide to proceed with Botox, we will assist you in finalizing a date and getting everything ready for your procedure. We try to be as flexible as possible and will make arrangements to see you at Lewis Plastic Surgery on the grounds of Johnston-Willis Hospital within a few days after you contact us.

Depending on your requirements, we can normally perform your procedure within 2 weeks. You can book a consultation online or by calling 804 267 6009.

Botox targets wrinkles caused by muscle contractions, but some lines, wrinkles, and folds are a result of lost volume. For those, Dr. Lewis recommends:

  • Dermal fillers such as Juvederm and Juvederm Voluma
  • Facial fat grafting (using your own fat to restore lost volume around the eyes and to the cheeks)
  • Medical Spa treatments to rejuvenate the skin and smooth fine lines not targeted by Botox

Botox injections are also often recommended after these facial surgery procedures to smooth remaining wrinkles:

  • Brow lift to decrease lines in the brow and to lift the brow to a more youthful position
  • Facelift to tighten the lower portion of the face
  • Eyelid lift to improve hooding of the upper eyelid and/or bags under the eyes
  • Facial liposuction to remove excess fat from the face, usually from under the chin