Botox® Cosmetic

Botox® Cosmetic by Peter J. Damico, M.D.

Patients from Dallas-Fort Worth and even around the country have trusted Dr. Damico for their skin care needs for over 15 years. After providing tens of thousands of Botox® treatments, Dr. Damico has three things to say about it:

1. Botox® is truly a renaissance treatment.
2. Botox® is a muscle mass game.
3. Botox® - that stuff works!

1. Botox® is truly a renaissance treatment.
2. Botox® is a muscle mass game.
3. Botox® - that stuff works!

Botox® Fast Facts

Treatment Areas

Botox® is FDA-approved to treat forehead lines, frown lines, and crow's feet around the eyes.


Botox® is $13 per unit at Skin Care Fort Worth. Average treatment cost is $650.


Typically, you will see results within 3-7 days and have results that last 3 to 6 months.

Make Your Appointment

We would love to answer your questions & create your personalized treatment plan

Learn more about Botox®

Treatment Areas

Dr. Damico loves that Botox® boasts a wide range of benefits.

beautiful woman with green eyes looks intensely to demonstrate Botox® treatment areas

16+/- units
est. $208+/-

frown lines
20-25 units
est. $260-$325+

crow's feet
24 units
est. $312+

brow lift
8-10 units
est. $104-$130+

gummy smile
9 units
est. $117+

smoker's lines
4-9 units
est. $52-$117+

8 units
est. $104+

TMJ/jaw slimming
40-60 units
est. $520-$780+

chin dimples
6-8 units
est. $78-$104+

bunny lines
6-12 units
est. $78-$156+

The primary uses of Botox® are to smooth forehead lines, frown lines between eyebrows, and crow’s feet next to the eyes. Mentioned before as his “renaissance treatment,” he also uses Botox® in these popular treatment areas:
  • “bunny lines” on the nose
  • non-surgical brow lift
  • lines around the lips (“smoker’s” or “straw lines”)
  • gummy smile
  • non-surgical “lip flip”
  • downturned corners of the mouth (DAO)
  • chin dimpling (“orange peel” or “pebble chin”)
  • non-surgical jaw slimming
  • vertical neck bands
  • necklace lines
Furthermore, Botox® can help patients who suffer from migraines, headaches caused by TMJ disorder, or even hyperhidrosis (aka “excessive sweating”)††.

APPROVED USES: BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults. For more information refer to the Medication Guide or talk with your doctor.

††Please note that there are no services covered by health insurance at Skin Care Fort Worth. HSA cards may be accepted at the discretion of the card holder. 


Botox® by Dr. Damico is $13 per unit. The number of units you will need is determined by which areas you decide to treat. It is also determined by your individual facial characteristics- this is why Dr. Damico loves to say, “Botox® is a muscle mass game.” If you have bigger muscles in your face, you’ll need bigger doses of Botox® in order to get the best results. During a complimentary consultation, Dr. Damico or an experienced member of our staff can discuss your estimated treatment cost and other specifics with you. On average, treatment for all three FDA approved areas is about $650. Again, this may vary depending on your needs.

BOTOX® Cosmetic 100 unit Vial


Typically, you will see the results of your Botox® treatment within 3 to 7 days. At the two-week mark, the results are pretty much set. You can expect the effects of Botox® to last about three to four months. Facial movements will gradually return as the effects of your treatment begin to fade. Most patients like to get treated every three to six months.

Botox® may not be a permanent solution to wrinkles, but it can provide longer-lasting results with maintenance treatments. Scheduling regular Botox® treatments can give you smooth skin and help you keep it that way! (Botox® works by limiting your muscles’ ability to contract, thereby reducing or completely eliminating the fine lines and wrinkles on your face.)

Dr. Damico only targets the specific areas you want to treat and preserves your ability to move the surrounding areas. That way, you can continue to display natural expressions- without the wrinkles! In any case, we encourage people to seek out a dedicated, skin-focused medical professional for truly natural-looking results.  

Dr. Damico's Real Patients

What to expect during your Botox® appointment

When you come to your appointment, Dr. Damico will meet with you to talk about your goals and help determine the best treatment(s) for achieving them. He will examine your face and skin to develop a treatment plan tailored specifically to you.

Dr. Damico personally administers each Botox® injection, so you know that you’re getting direct care from an experienced and certified injector. Botox® treatment takes 15 minutes or less and is even commonly called a “lunch break procedure” because of the ease of treatment! We always offer a topical numbing cream to provide you with the most comfortable experience possible.

Frequently Asked Questions

Many people only explore their options after wrinkles begin to appear, but that doesn’t have to be the case! You don’t have to wait for wrinkles to appear before you start to take action against them.

Repetitive movements are the cause of many of our wrinkles, especially the ones that Botox® can treat. So, when a neuromodulator like Botox® relaxes your muscles, it makes existing wrinkles go away. This also means that Botox® is very effective at preventing wrinkles from showing up in the first place! Many of Dr. Damico’s patients enjoy using Botox® as a preventative measure.

So many options with Botox®

While Botox® is most often used for cosmetic purposes, researchers are always finding new ways to use it for treating a wide range of afflictions (other than wrinkles). As mentioned above, Botox® can also be helpful for treating migraines, TMJ or tension headaches, and excessive sweating under the arms. Researchers have even documented a correlation between Botox® injections and an overall happier demeanor. 50 units of happiness, please! 

One of many patients’ greatest fears is that this treatment will limit their ability to make facial expressions; fortunately, it’s also one of the greatest misconceptions.

When applied properly and strategically, the injections will limit motions in some facial muscles, but will not affect your ability to naturally express yourself. Botox® should take away only the repetitive movements that lead to the formation of wrinkles, not limit your ability to display emotions like surprise or happiness. 

The active ingredient in Botox® is a purified form of the neurotoxin “Onabotulinumtoxin A.” Botox® inhibits the signals that are trying to make your facial muscles move. The treatment should only affect the intended areas, and the surrounding muscles should continue to operate normally.

Depending on where and how it is administered, Botox® has a wide variety of uses. The FDA first approved it for cosmetic use in 2002, and it has grown in popularity ever since. 

In the last decade or so, other companies besides Allergan® (the manufacturer of Botox®) have introduced their own versions of injectable neuromodulators. Dr. Damico most often offers Botox® to his cosmetic patients at Skin Care Fort Worth.

Various Neurotoxins available in the USA

At their core, Botox®, Xeomin®, Jueveau® and Dysport® are similar products. They all make use of a neurotoxin as their active ingredient, which means they all work based on the same principle – they block nerve signals to prevent or treat wrinkles.

Botox® has been used in the United States for a longer period of time than most other neurotoxins. The FDA must approve and regulate all of these treatments in the USA, and as such, all of them are considered safe to use. All have similar side effects, which tend to be mild, injection-related, and temporary.

When it comes to effectiveness, treatment using any of these neuromodulators will need to be repeated every three to six months to maintain its remedial effects. Some products have a quicker onset, but that may be the only difference noticeable to the patient. There are also claims of longer-lasting results using the various products.

Botox® vs. Dysport®

In double-blind clinical trials, both patients and doctors were unable to markedly distinguish between the results of Dysport® and Botox®. Due to its smaller molecules, Dysport® has a slightly quicker onset than Botox® (two to five days vs. four to seven days respectively), and covers a wider area. Spreading over a bigger area could be a benefit or a disadvantage, depending on the size of the area being treated. For example, it may be beneficial for frown lines across the forehead, but not necessarily for crow’s feet at the outer corners of the eyes.

Botox® has a higher potency (i.e. lower dilution) than Dysport®, which means that Dysport® and Botox® cannot be compared based on the number of “units” used per area. While the price per unit of Botox® may be about twice as expensive in some clinics, it’s likely that a fewer number of Botox® units are required as compared to Dysport®– it’s about 1 unit of Botox to 2 units of Dysport®. Botox® and Xeomin® have about a 1:1 unit ratio.

In simple terms, this means that the cost for true Botox® versus the other neurotoxins could pretty much even out, depending on which product and dosage an injector uses.

In summary

Ultimately, the skill and experience of your injector are far more crucial to your results than the formulation of any product! A talented injector will be able to carefully target the best injection sites, know how much product should be used, and administer the product correctly. The final decision on which brand of neurotoxin to use depends on the concerns of the patient and the preference of the injector.

Side effects that have been reported for Botox® Cosmetic include eyelid drooping, eyelid swelling, dry mouth, headache, blurred vision, and others.

While these and other side effects are possible, Botox® has a long track record (30+ years) of safety. The formula has been approved for cosmetic use in about 80 countries around the world. In the United States, Botox® has been administered over 100 million times since its successful clinical trials and subsequent FDA approval. Botox® or Botox Cosmetic® have been featured in over 3900 peer-reviewed journal articles (Botox Cosmetic® featured 400+ times) focusing on safety and efficacy.

Dr. Damico offers Botox® for cosmetic use only. For a complete description of product safety, please visit the official Botox Cosmetic® site. 

Reading the information on this website is not a substitute for seeking professional advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any concerns you may have regarding a medical condition or treatment. This information is intended for educational and entertainment purposes only. All trademarks are the property of their respective owners.

Complimentary Consultations Available

Let us create an individualized treatment plan during a complimentary Botox® consultation.


Call us at (817)738-9268
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M/Tu/Th/F: 9am - 5pm
W: 9am - 1pm
Sat/Sun: Closed


6010 Curzon Ave
Fort Worth, TX 76116

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Appointments Available 9:30AM - 12:15PM and 1:30PM - 5:00PM Monday, Tuesday, Thursday and Friday. Wednesdays Vary, Ask for Details.