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BOTOX Cosmetic

BOTOX Cosmetic smooths facial lines by relaxing the targeted muscles, unveiling a refreshed look that still feels like you.

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Refresh Your Expression With BOTOX Cosmetic

Frowning, smiling, and everyday expressions can eventually leave their mark, creating lines and wrinkles that may not reflect your inner vitality. BOTOX® Cosmetic offers a gentle approach to minimizing these visible signs of aging—allowing you to enjoy smoother skin without committing to surgery or extended downtime. At pēkomd®, our board-certified providers focus on enhancing your natural features rather than altering them, using precise injections that help you look better, feel better, and ultimately do better in your daily life.  Curious about how BOTOX can rejuvenate your appearance without lengthy recovery or drastic changes? Contact pēkomd® today to schedule a personalized consultation and explore the possibilities for a more confident, refreshed expression.

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What Is BOTOX Cosmetic?

BOTOX Cosmetic is a non-surgical injectable treatment derived from a purified form of botulinum toxin. By temporarily blocking nerve signals to specific facial muscles, it helps smooth out the fine lines, wrinkles, and creases that form from repeated expressions—like furrowing your brow or squinting. While BOTOX is commonly known for addressing forehead lines, crow's feet, and frown lines between the eyebrows, it can also be used strategically in other areas for a more comprehensive rejuvenation.

At pēkomd®, our approach to BOTOX is always personalized. Before any treatment, we'll discuss your aesthetic goals, analyze your unique facial structure, and craft an injection plan tailored to your needs. The result? A natural, rested appearance that still lets your personality shine through—minus the persistent lines that may be stealing the spotlight.

Benefits of BOTOX Treatment

Injectable BOTOX Cosmetic can deliver a range of advantages, including:

  • Smoother facial lines
  • Minimized crow's feet and forehead creases
  • Subtler frown lines between the eyebrows
  • Quick, convenient treatment sessions
  • Little to no downtime
  • Natural-looking rejuvenation
  • Enhanced self-confidence
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What to Expect During Your BOTOX Cosmetic Procedure At pēkomd®

Your experience begins with a consultation at one of our Ohio locations, where a board-certified provider will learn about your concerns, review your medical background, and outline a treatment strategy aligned with your facial structure. If we determine that BOTOX is a good fit, we'll map out precise injection sites based on the muscles that contribute to your wrinkles—often focusing on areas such as the forehead, glabella (frown lines), and lateral canthus (crow's feet).

On the day of your appointment, you'll settle into a comfortable treatment room while we cleanse and prep the targeted areas. A fine needle is used to administer the BOTOX in short, quick injections. The process typically lasts only 10 to 20 minutes, making it easy to fit into a busy schedule. Many patients describe the sensation as a slight pinch or pressure, and while anesthesia isn't usually required, we can provide a topical numbing agent if you're concerned about discomfort. Afterward, you're free to continue with your day—no lengthy recovery time is needed.

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Recovering After Your BOTOX Cosmetic Procedure

One of the main appeals of BOTOX Cosmetic is how little downtime it entails. Mild redness or swelling at the injection sites may occur, but these effects usually subside within an hour or two. To maximize your results, our providers may advise you to avoid strenuous exercise, lying flat, or massaging the treated areas for the first 24 hours. Such precautions help ensure the product stays precisely where it's intended. Most patients start seeing improvements within three to five days, though full effects typically become visible by around two weeks. Results can last anywhere from three to four months (sometimes longer), depending on factors like your metabolism and muscle strength. Regular maintenance treatments can help preserve your refreshed appearance over the long term.

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Recovering After Your BOTOX Cosmetic Procedure

One of the main appeals of BOTOX Cosmetic is how little downtime it entails. Mild redness or swelling at the injection sites may occur, but these effects usually subside within an hour or two. To maximize your results, our providers may advise you to avoid strenuous exercise, lying flat, or massaging the treated areas for the first 24 hours. Such precautions help ensure the product stays precisely where it's intended. 

Most patients start seeing improvements within three to five days, though full effects typically become visible by around two weeks. Results can last anywhere from three to four months (sometimes longer), depending on factors like your metabolism and muscle strength. Regular maintenance treatments can help preserve your refreshed appearance over the long term.

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Are You an Ideal Candidate for BOTOX Cosmetic?

BOTOX may be a great choice if you're looking to smooth dynamic wrinkles—those that form due to repeated muscle movement—without surgery. Ideal candidates are generally in good health, have realistic expectations, and want a subtle enhancement that doesn't dramatically alter their features. Whether you've just started noticing faint lines or have more pronounced wrinkles around the eyes and forehead, BOTOX can be adjusted to match your level of concern. It's also essential to share your full medical history and any current medications with us, as certain conditions or allergies might influence whether BOTOX is suitable for you. During your consultation at pēkomd®, our board-certified providers will evaluate your facial anatomy, discuss your goals, and guide you toward the most effective treatment plan—whether that's BOTOX alone or a combination of non-surgical approaches.

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Why Choose pēkomd® for Your BOTOX Cosmetic Treatment?

At pēkomd®, we blend advanced techniques with a patient-first philosophy, ensuring each BOTOX Cosmetic treatment is tailored to your unique profile. Our board-certified providers stay updated on the latest research and protocols, so you receive care rooted in safety and effectiveness. Because we offer a wide spectrum of non-surgical and surgical treatments, our recommendations always align with what's truly best for you—never a one-size-fits-all approach. From consultation to follow-up, you'll find a supportive environment dedicated to helping you look better, feel better, and thrive in your everyday life.

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Testimonials

Dr Koltz and his team are fantastic. I was always made to feel so comfortable and welcomed.

The team that he has assembled are just phenomenal women who truly brighten your day. They have offered me endless support and I will forever be grateful for them. I have received excellent care from everyone at pēkomd and would very highly recommend them. 10 out of 10!

Jennifer N.

Dr. Markov is one of the best microsurgeons in Southwest Ohio

I have had surgery is some of the top hospitals in Ohio and beyond. Dr. Markov is one of the best microsurgeons in Southwest Ohio, and the surrounding areas.His education, military background, and work experience speaks for itself. I have found him to be professional, highly-skilled, and he has excellent bedside manner. Dr. Markov treated me with respect, educated me about my options, and empowered me to decide what breast reconstruction option best for me. He approached my reconstruction surgery like Michelangelo to a painting. He was detailed oriented and cared about my final outcomes. I couldn't be happier with his performance. I highly recommend Dr. Markov for any cancer related or cosmetics surgery.

Candy

Mr. Dr. Fourman has been the best doctor hands down

Mr. Dr. Fourman has been the best doctor hands down so far that I have ever experienced in my life so far and I only have had my first office visit. He is so polite, listens and exsplained in full detail. He made me feel heard and he actually listened to me as his patient and did not belittle or make me feel like i was uneducated or wrong for my reasons to be vivisting his office. Thank you to Dr. Fourman and his wonderful staff members!

Heather

Dr. Straka is very personable, professional, and earned my trust right away!

My daughter first had some work done a few years ago with Dr. Straka. Of course she was/is a beautiful girl in every way, but this definitely enhanced things for her. I inherited the worst bags you could ever imagine. Getting older I thought let me do something for me! I scheduled a consult and I am truly sad that I had not gone sooner.

Dr. Straka is very personable, professional, and earned my trust right away! I am only 10 days post op and I love my new look already! Cristina has been very attentive from day one. I am still being checked on today. Dr. Straka is doing great things at pekomd! I highly recommend him to anyone!!!!!!! He gets a 100 stars

Youlanda J.

Thank You for saving my life!!

Dr. Fourman and his whole team have always made me feel not judged and welcomed. They are helpful, knowledgeable, informative and take time to discuss my health. There are few physicians that don’t make patients feel comfortable and Dr. Fourman is not one. So thankful I chose him as my bariatric doctor!! Thank You for saving my life!!

Amanda L

Make you feel like your best self.

Every experience I’ve had at pēkomd® has been amazing. The staff and providers truly take the time to make you feel like your best self. Dr. Koltz takes the time to get to know his patients and listens to their needs, concerns and dreams. I would absolutely recommend giving them a call and taking the steps to feeling the best version of yourself!

Megan M.

I would say Dr. Markov is a bit of a perfectionist.

After learning I had breast cancer a second time in 2023 I opted to have a bilateral mastectomy with a DIEP flap reconstruction. I looked into 3 different doctors and while I am sure they are all very capable, I chose Dr. Markov. He was straight forward and to the point and he was local. I really liked his approach and he made me feel very comfortable. Today I had my 4 week post op appointment from the final phase of the reconstruction and I am thrilled with the results. I feel and look like myself again. Honestly they look better than they did before my mastectomy. I would say Dr. Markov is a bit of a perfectionist. The only thing left, if I opt to do this, is the tattooing. I am not sure if I am going to do that just yet, because they already look so good. Anyhow, I would 100 % recommend Dr. Markov.

Susan T.

Wish I had done this 10 years sooner.

Don't put it off any longer!
If you have thought about weight-loss surgery, Dr. Fourman is the Dr. you need to see! He's very personable, understands and is caring.I followed all the pre op instructions, did out patient, in the morning, and was up and moving around very well by that evening. He's staff is wonderful too. There are no scary front desk reception. Everyone there knows what your going through. Wish I had done this 10 years sooner. Like I said...Don't put it off for another year!

Patricia M

I couldn't be more pleased with my experience with Dr. Straka

I couldn't be more pleased with my experience with Dr. Straka and Kaleigh! Dr. Straka took the time to thoroughly explain my condition, answer all my questions, and walk me through the entire procedure. The follow-up care has been excellent as well, and I am so happy with my results. I highly recommend!!

Hannah

It’s like meeting with a friend at every consult.

Dr Koltz is one in a million. He sits down and listens to every concern. It’s like meeting with a friend at every consult. He has worked miracles for me on correcting another local surgeon mistake. He is very skilled and knowledgeable in profession. Dr Koltz and his staff treat you like family. I love them and you will too! For me there is no other choice!

Jen. H.

Feel beautiful from the inside out

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Botox Frequently Asked Questions

Ready to explore how BOTOX Cosmetic can revitalize your appearance with minimal downtime? Contact pēkomd® now to schedule your one-on-one consultation and take the first step toward a smoother, more confident you.

How quickly will I see results from BOTOX?

You may notice subtle changes within three to five days post-treatment, with the full effect typically appearing within two weeks. These results can last three to four months or more.

Does BOTOX hurt or require numbing?

While most individuals tolerate the injections with minimal discomfort, you may feel a small pinch. If needed, a topical numbing agent can be applied to enhance comfort.

Can BOTOX address static wrinkles too?

BOTOX primarily targets dynamic wrinkles caused by muscle movement. For deeper or static lines, we might recommend complementary treatments such as fillers or skin resurfacing to achieve more comprehensive rejuvenation.

Will my face look “frozen” after BOTOX?

When administered by an experienced provider, BOTOX produces natural-looking results. You'll still be able to express emotions—just with fewer visible creases.

Is there any downtime following a BOTOX treatment?

No extensive downtime is required. Mild swelling or redness may occur but should subside quickly, allowing you to resume normal activities almost immediately.

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Schedule a Consultation Contact any of our Ohio locations today to begin your journey toward a rejuvenated, more confident you.

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