Botox in Calgary

Movement, refined.Expression, preserved.

Botox at Rejuvenation Dermatology Calgary South, planned and injected by Dr. Paul Kuzel, a board-certified dermatologist. Real Botox Cosmetic. Conservative dosing. Specialist hands.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
Why lines set

Your face moves a thousand times a day.

Every smile, every frown, every squint against the sun leaves a trace. What changes with age is not how much you move. It is how long the trace lasts.

In your twentiesThe line appears with the expression and vanishes the moment it stops. The skin still has the elasticity to spring back.
In your thirtiesThe line lingers after the expression ends. Collagen turnover has slowed, and the fold has been made the same way thousands of times.
In your fortiesThe line stays. What was a dynamic line is now a static one, etched into the skin whether you are expressing or not.
The mechanism

Why a dynamic line becomes a static one.

A crease forms in skin the way it forms in paper. Fold it once and it flattens out. Fold it in the same place ten thousand times and the fold stops flattening, because the structure underneath has been remodelled around the fold.

Botox interrupts that at the source, which is the signal between nerve and muscle. Less signal means less contraction, and less contraction means the skin above is folded less often. It does not erase expression. It reduces the number of times the same crease is made.

That is why the treatment is at its most useful before a line has fully set, and why a line already etched at rest usually needs something alongside it rather than Botox on its own. Which of those two you are looking at is the first thing assessed at a consultation.

Why a dermatologist

Anatomy is the whole job.

Botox is the same product everywhere. What differs is who decides where it goes, how much of it, and in which plane.

Dermatologist ledYour plan is made and injected by Dr. Kuzel, a board-certified dermatologist with fourteen years of post-secondary training in facial anatomy, skin biology and medical aesthetics. Not a technician, not an esthetician.
Refined, never frozenConservative dosing placed precisely. The aim is a forehead that still lifts, a smile that still reaches the eyes, and a line that is softer than it was.
Medicine and aesthetics togetherThe same physician who treats your migraine or your hyperhidrosis treats your expression lines. Nothing is handed off, and nothing gets assessed twice by two people who do not speak to each other.
Assessed before treatedEvery plan starts with a consultation, and part of that consultation is being told when Botox is not the right answer for what is bothering you.
What it treats

One product. Four zones. Treated to your anatomy.

Botox is approved for a great deal more than forehead lines. The full range runs from the classic upper face triad through to conditions treated as medicine.

Zone one

Upper face

Where dynamic lines appear first, and where treating early pays the highest dividend.

  • Forehead lines, the frontalis
  • Frown lines between the brows, the elevens
  • Crow's feet at the outer eye
  • Bunny lines along the bridge of the nose
  • Brow lift, by relaxing the depressors
Zone two

Lower face and jawline

Shaping the lower third, where the effect is as much contour as it is line softening.

  • Masseter slimming and jawline contouring
  • Lip flip for upper lip definition
  • Gummy smile correction
  • Chin dimpling, the orange peel texture
  • Downturned mouth corners
Zone three

Neck and body

Beyond the face, where the same mechanism treats posture, contour and sweating.

  • Platysmal bands, the Nefertiti neck lift
  • Trapezius, often called trap tox
  • Calf slimming
  • Underarm, palm and sole hyperhidrosis
Zone four

Medical Botox

Health Canada approved for chronic conditions, and often eligible for extended health coverage when a physician administers it.

  • Chronic migraine prevention
  • TMJ disorder, bruxism and jaw clenching
  • Hyperhidrosis, excessive sweating
  • Cervical dystonia
Your visit

Five steps to a softer face.

Twenty to thirty minutes at Rejuvenation Dermatology Calgary South, of which the injections themselves are about ten.

ConsultationGoals, anatomy at rest and in movement, and what is realistic.
CustomizationUnits, areas and product chosen for your muscle strength.
TreatmentA fine needle, a series of small injections, about ten minutes.
AftercareA short list of what to do and avoid for the rest of the day.
ReviewA two week check on a first treatment, once the result is complete.
The science

The science behind the softening.

Botox is a purified form of botulinum toxin type A. It temporarily blocks the release of acetylcholine at the junction between a motor nerve and the muscle it controls. Less signal, less contraction, less line.

The effect is local to where the product is placed and proportional to how much is used, which is why the same product in different hands produces very different faces. It wears off as the nerve terminals recover. Nothing is permanent and nothing accumulates in a way that waiting will not undo.

3 to 5Days to onset 2Weeks to full effect 3 to 4Months typical duration
Safety

What can go wrong, and what to do about it.

Botox has one of the longest safety records in medicine, and it is still a prescription drug injected into the face. A page that only lists benefits is not telling you enough to consent.

Common and temporary

  • Small red bumps at the injection sites, settling within an hour or two
  • Bruising, more likely on blood thinners, fish oil or anti-inflammatories
  • A mild headache in the first day or two

Uncommon, and self-resolving

  • A heavy brow or a drooping eyelid if product spreads beyond the target muscle
  • Asymmetry, usually correctable with a small adjustment at the two week review
  • A smile that pulls unevenly, if the lower face is treated too aggressively

These resolve as the effect wears off. None of them are permanent, which is the reassuring part and also the reason a conservative first treatment is the right one.

For the rest of the day

  • No strenuous exercise for four to six hours
  • Stay upright for four hours
  • Do not rub or massage the treated area for twenty four hours

Tell Dr. Kuzel about any neuromuscular condition, any recent course of antibiotics in the aminoglycoside family, and every medication and supplement you take. Botox is not given during pregnancy or while breastfeeding, and it is not given where there is an active infection at the injection site.

Questions

Botox in Calgary, answered.

How much does Botox cost in Calgary?

Botox in Calgary is priced per unit, and most reputable clinics charge between $10 and $15 per unit. What you pay depends on how many units the area needs, which is a function of the muscle rather than the price list. Forehead lines take fewer units than a masseter. A quote is given at the consultation, before anything is scheduled. Be careful with pricing well below that range, because it usually means the product has been diluted or it is not Botox.

How long does Botox last?

Three to four months for most people on most areas. Larger muscles like the masseter often hold longer. Duration varies with dose, muscle strength and metabolism, and it commonly lengthens once you have been treated consistently for a while, because the muscle gradually does less work.

Does Botox hurt?

Most people describe a brief pinch. The needle is very fine and each injection takes a second or two. Topical numbing is available if you would prefer it, and ice helps if you bruise easily.

How soon will I see results?

Movement begins to soften at three to five days. The result is complete at about two weeks, which is when it should be judged and when any adjustment is made. Judging it at day three is the most common reason people think it has not worked.

Will Botox make me look frozen?

Not when it is dosed conservatively and placed correctly. Frozen is a dosing and placement outcome, not an inherent property of the product. A first treatment is deliberately conservative for exactly this reason, because adding a small amount at the two week review is easy and removing it is not.

What is the difference between Botox and Dysport?

Both are botulinum toxin type A and both work the same way. They differ in the protein that surrounds the molecule, in how the units are measured, and in how far they diffuse from the injection point. Dysport spreads a little more, which suits some broad areas and not others. The choice is made per area and per patient rather than as a house preference.

Is preventative Botox worth it in your twenties or thirties?

It can be, and it depends on what your skin is actually doing rather than on your age. If lines are still fully dynamic, treating reduces how often the crease is folded and slows the point at which it sets. If there are no lines to speak of yet, there is nothing to prevent and you will be told so. This is a question worth asking a dermatologist rather than a price list.

Can Botox treat migraines, TMJ or excessive sweating?

Yes. Chronic migraine prevention, TMJ and jaw clenching, and hyperhidrosis of the underarms, palms or soles are all established medical uses, on established protocols. Because Dr. Kuzel is a physician, these are often eligible for extended health coverage. Bring your plan details to the consultation and it can be checked before you commit.

What is trap tox, and is it safe?

Trap tox is Botox into the upper trapezius, used to soften a bulky shoulder line and to relieve the tension that comes with it. It uses more units than a facial area because the muscle is much larger. It is safe in trained hands, and it is a treatment where knowing the anatomy matters, since the trapezius does real work holding your shoulder girdle and over-treating it causes weakness.

Are there reasons I should not have Botox?

Yes. It is not given during pregnancy or breastfeeding, or where there is an active infection at the injection site. It needs caution with neuromuscular disorders such as myasthenia gravis or ALS, and with certain antibiotics. A previous allergic reaction to botulinum toxin rules it out. Any of these is a reason to have the conversation, not necessarily a reason you cannot be treated.

Who performs the injections?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South. He sees patients in English and Czech.

Begin here

Start with an assessment, not a syringe.

Every plan begins with a consultation. Your anatomy is mapped, your goals are discussed, and a plan is built before any treatment is scheduled.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9

(403) 286-6888

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.