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America’s most popular cosmetic treatment! BOTOX® Cosmetic in Minneapolis–St. Paul, MN, is one of several botulinum toxin products widely used for aesthetic and medical purposes. While commonly known for treating facial wrinkles, botulinum toxin has also been studied in clinical trials for a range of therapeutic uses. BOTOX® Cosmetic is FDA-approved and is derived from a botulinum toxin produced by the bacterium clostridium botulinum, refined and purified for safe medical use.

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Trusted & Experienced

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“I am three months post-op from my abdominoplasty and I couldn’t be happier with my results. Best decision I ever made! I got my confidence back after having two kids back to back. Everything about the process from consultation through post-operation was very well thought out and organized. Dr. Rocheford is approachable, kind, answered all my questions, and made me comfortable right away during my consultation. Day of my surgery her and her team again made me feel calm and it almost felt like a spa day! Everyone is so friendly, warm, and welcoming. I can’t emphasize enough how highly I recommend Dr. Rocheford and her team. I know I will definitely be going back for anything I may want/need in the future!”

“The results exceeded my expectations. They coached me through the entire process and I’m extremely happy I decided to do the surgery. They are perfectionist. The best. Thank you for the beautiful results.”

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Heather Rocheford, MD

BOARD CERTIFIED PLASTIC SURGEON

There are so many fads and false promises out there. It’s almost impossible to make a confident decision without trusted advice, and that’s what I’m here for. My goal is to help you understand what is right for you – based on your unique situation.

Meet Dr. Rocheford

Botox Treatment

The Minneapolis–St. Paul BOTOX treatment is a quick outpatient visit, typically completed in under 15 minutes. A botulinum toxin injection is delivered using a fine needle into targeted facial muscles, and patients often describe the sensation as a mild pinch. A topical numbing cream may be applied for comfort if requested.

Botulinum neurotoxins work by interrupting nerve signals to specific muscles, limiting their ability to contract. This controlled relaxation is what softens lines caused by repetitive motion. Although cosmetic use focuses on facial aesthetics, botulinum toxin has also been researched for muscle spasms, cervical dystonia, excessive sweating, overactive bladder, and urinary incontinence medical conditions.

Botox Injection Results

Results typically begin to appear within 2 to 7 days, with full improvement seen within about one week. Effects usually last 3 to 5 months, after which repeat treatment may be considered. Patients are advised to avoid strenuous activity and remain upright for four hours after treatment to prevent product migration.

Botox is commonly used for forehead lines, crow’s feet, and severe frown lines, helping reduce visible creasing while preserving natural expression. In non-cosmetic care, Botox has been used in botox therapy protocols for neurologic conditions such as chronic migraine, episodic migraine, and other disorders associated with migraine symptoms, though dosing and indications differ from cosmetic use.

Who Is a Good Candidate for Botox Cosmetic Treatment?

Repeated facial movement over time contributes to wrinkle formation, making Botox an effective prescription medicine option for individuals seeking subtle facial rejuvenation. Many patients treated cosmetically are healthy adults looking to soften dynamic lines without surgery.

Outside aesthetics, adult patients treated with Botox for medical purposes may include individuals with neurologic or muscular disorders. In rare situations where complications arise, symptoms may require prompt medical therapy, which is why careful screening and proper technique are essential.

What to Expect During a Botulinum Toxin Consultation

During your botulinum toxin type A consultation, you will discuss goals, health history, medications, and lifestyle factors. Your provider will evaluate facial anatomy and determine whether Botox is appropriate for your concerns. This evaluation is especially important for individuals with underlying medical conditions or prior neuromuscular disorders.

Questions about both cosmetic and therapeutic uses, including whether certain concerns are treated with Botox, can be addressed during this visit.

Safety, Risks, and Recovery

No anesthesia is required, and there is no downtime following Botox injections, allowing you to return to normal activities the same day. Possible side effects are typically mild and temporary and may include bruising, redness, headache, or tenderness at the injection site. In rare cases, temporary facial weakness or drooping may occur. Serious complications are uncommon when injections are performed by an experienced provider.

Schedule a Consultation

If you are interested in the anti-aging benefits of BOTOX injections and would like to learn more about the treatment and whether or not you are a candidate, schedule a consultation with Dr. Rocheford. To get in touch, fill out our online contact form today.

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Botox FAQS

Why does Botox take 2 weeks to work?

It takes time for the neuromodulating ingredients in Botox to bind to chemical receptors in the treated muscles. Once the body adjusts, the muscles become inactive.

How much does Botox cost?

This can vary greatly depending on your unique Botox needs - Botox is typically priced per unit and your injector can give you the best estimate of how many units are needed to achieve your ideal look.

How long does Botox take to settle?

It can take up to 2 weeks for your final Botox results to emerge. At this point, its recommended to return for a follow-up appointment to adjust your results if needed.

When do you see results after Botox?

Youll begin to see Botox results after 2-3 days of treatment but it can take a full 2 weeks for your results to emerge.

What should you not do before Botox?

Avoid taking NSAIDs like ibuprofen for at least 2 weeks ahead of your appointment to avoid bruising and bleeding. Additionally, make sure to arrive at your appointment without makeup or active skincare ingredients.

What happens if you bend over after Botox?

Bending over after Botox can cause the product to spread to unwanted areas. This is because bending over increases blood flow to the head. Make sure to keep yourself elevated and upright for at least 4 hours after treatment.

What should you not do after Botox?

Make sure to keep your head elevated for at least 4 hours after treatment, and avoid exercise or heat exposure for 24 hours after treatment. Also, avoid taking NSAIDs since these can cause bruising and bleeding.

How do you make Botox last longer?

You can extend your Botox results by following aftercare instructions and avoiding sun exposure.

Does Botox make you look older after it wears off?

No - you may notice an increase in wrinkles and folds as Botox wears off, but this is simply because youve become used to your excellent Botox results. Your appearance simply reverts back to the way it was before treatment.

IS THERE A SUBSTITUTE FOR BOTOX® COSMETIC?

There are Botox alternatives available like Dysport, Xeomin, and Jeuveau. Your injector can help you select the right for you during your consultation.

Board Certified Plastic Surgeon at  |  + posts

Dr. Heather Rocheford, a board-certified plastic surgeon and diplomate of The American Board of Plastic Surgery, offers expert cosmetic care in the Minneapolis-St. Paul area. A St. Paul native, she completed her medical training at the University of Minnesota and specialized fellowships before establishing her private practice in Stillwater. Dr. Rocheford emphasizes a holistic approach to beauty, supporting a healthy lifestyle as the foundation of aesthetic care. Request a consultation or call 651-739-1100 to schedule an appointment.

Patient Resources

Whether a new or returning patient, we have plenty of resources to either help you get started or learn more about the procedure process. From patient forms to blogs, we have all the resources you’ll need to prepare yourself for your appointment.

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