Botox / Xeomin (Pricing at Bottom of Page)

Q: How is receiving Botox different at Honolulu Dermatology?
A: Our board certified dermatologist performs an in-depth consultation prior to your Botox injections to determine how to best meet your goals. This consultation is included in the price of the Botox injections and during this consultation the dermatologist can address any other medical or cosmetic dermatology issues. All Botox injections at Honolulu Dermatology are performed by Amber Gill MD, a board certified dermatologist who has several years of formal training and extensive experience with Botox injections.

Q: What is BOTOX / Dysport / Xeomin?
A: BOTOX, Dysport and Xeomin are brand names of neurotoxins and can be collectively referred to as botulinum toxin therapy. They are made by different companies, but have the same active ingredient, botulinum toxin A. They are all effective and relatively comparable in onset, duration and price. Xeomin, unlike BOTOX and Dysport, has no added proteins and has a theoretical benefit of less antibody formation.

Q: What is botulinum toxin therapy used for?
A: Dermatologists use botulinum toxin therapy to diminish signs of aging. Botulinum toxin therapy helps relax the muscles on the forehead, between the eyebrows and around the eyes to smooth frown lines and crow's feet. Botulinum toxin therapy can also be used to treat a medical condition called hyperhidrosis (excessive sweating).

Q: How does botulinum toxin therapy work?
A: Botulinum toxin binds to and blocks the signals from the nerves to prevent muscles from contracting. This allows wrinkles to relax and soften.

Q: What is the "down-time" with botulinum toxin therapy?
A: Most people can return to their normal activities immediately after treatment.

Q: How long does it take to see full results?
A: Full results are often seen in three to seven days.

Q: Is botulinum toxin therapy permanent?
A: No. Results last an average of 3 months. Muscle action gradually returns and the lines begin to reappear.

Q: Is getting botulinum toxin therapy safe?
A: Botulinum toxin therapy is approved by the U.S. Food and Drug Administration (FDA), however, like all procedures, there are risks and possible complications. The most common side effect is temporary bruising. Rarely, patients may experience headaches or eyelid drooping. It is important to ask about the amount and type of formal training the injector has in administering botulinum toxin therapy and in dealing with adverse outcomes.

Q: Is botulinum toxin therapy covered by insurance?
A: Botulinum toxin therapy is not covered by insurance when used for cosmetic purposes, but may be covered for sweating and other medical conditions.

Source: Amber Gill, MD and American Academy of Dermatology (AAD)

Botox/Xeomin appointments will have flat fee of $320/$280 for up to 20 units.*

Thereafter each additional unit is:
Botox (Allergan) $16/unit
Xeomin (Merz) $14/unit

*Botox appointments include a full consultation from our board certified dermatologist which can cover other medical and cosmetic issues and the total appointment time is a minimum of 30 minutes. If the patient elects to not have Botox injected on the same day there will be a $150 consultation fee assessed.