What is Botox and how does it work?

Botox is a neuromodulator that works by temporarily relaxing specific muscles in the face. This relaxation smooths out dynamic wrinkles, which are caused by repeated facial movements like frowning, squinting, or raising eyebrows. It does not add volume like a filler.

What should I expect during my initial Botox consultation?

During your first Botox consultation, you can expect a discussion about your concerns and aesthetic goals, an assessment of your facial expressions and anatomy, questions about any past experiences with injectables, and a review of your health history and current medications. This consultation helps the provider create a personalized treatment plan.

What happens during the Botox injection appointment?

During the Botox appointment, your skin will be cleansed, and the injection points will be mapped out. The Botox will then be injected using an ultra-fine needle into the targeted muscles. The entire process typically takes less than 15 minutes.

Is getting Botox injections painful?

Most people describe the sensation of Botox injections as a quick pinch or bug bite. While it's not entirely painless, it is generally tolerable. Topical numbing cream or ice can be used to minimize discomfort for those who are more sensitive.

What is the typical aftercare following a Botox treatment?

After Botox, it's recommended to stay upright for 4 hours, use your facial muscles normally, and gently apply a cold compress if needed. You should avoid rubbing or massaging the treated areas, lying down or engaging in strenuous exercise immediately after, and taking blood thinners unless medically necessary.

How soon will I see the results of my first Botox treatment?

Botox results are not immediate. Most clients start to see the effects within 3 to 5 days, with the full results becoming apparent around 10 to 14 days after the treatment. It's important to be patient during this time.

How long do the effects of Botox typically last?

On average, the effects of Botox last for about 3 to 4 months. The duration can vary depending on individual factors such as metabolism. For first-time clients, the results might not last as long initially but can improve with subsequent consistent treatments.

Your First Botox Appointment: Consultation, Procedure & Aftercare in San Diego — Beauty Energy Exchange Aesthetics and Wellness

Your First Botox Appointment in San Diego.

Hi, I’m Nyree Van Maarseveen, WHNP, CNM, and the founder of Beauty Energy Exchange Aesthetics and Wellness, offering botox in San Diego, here in beautiful Point Loma, San Diego. If you’ve been thinking about Botox but feel overwhelmed, nervous, or afraid of looking “overdone,” you’re not alone.

I’ve walked this path with countless clients who simply wanted to feel like themselves again—refreshed, not frozen.

This guide is for you: whether you're considering Botox for the first time, or you've been staring at your frown lines in Zoom meetings wondering if it’s time.

I’ll walk you through every part of the journey, so you know exactly what to expect—from the first hello to post-treatment care.

What Is Botox, Really?

Let’s bust a myth: Botox isn’t a filler. It doesn’t plump your face—it relaxes specific muscles to smooth dynamic wrinkles, the kind that come from movement, like frowning, squinting, or raising your brows.

It’s FDA-approved, safe, and when done correctly, it looks natural.

Why People Choose Botox—And Why You Might

Most of my clients come in not because they want to look “done,” but because they’re tired of looking tired. Maybe you’ve heard, “Are you okay?” one too many times.

Or maybe your face doesn’t reflect how energized and confident you actually feel. Botox helps bridge that gap, restoring harmony between how you feel and how you show up in the world.

Common Concerns About Getting Botox

Trust me, I’ve heard it all:

“I don’t want to look frozen.”
“I’m scared it’ll change my face.”
“Is it going to hurt?”
“What if I regret it?”

These are valid fears. At Beauty Energy Exchange, I approach every treatment conservatively. The goal? You, just smoother.

Before You Book: Choosing the Right Provider

Not all injectors are created equal. Please, don’t base your decision on price alone. Look for someone credentialed, with experience, and who listens to your concerns. A good provider won’t rush you—they’ll educate and empower you. That’s exactly what we do at our medspa in Point Loma.

Step One: The Initial Consultation

Your journey starts with a heartfelt conversation. We’ll talk about:

Your concerns and goals
Your facial expressions and anatomy
Any past experiences with injectables
Health history and medication use

This isn’t just a check-the-box chat—it’s a personalized blueprint for your results.

What to Expect During Your Botox Appointment

Here’s what typically happens:

I’ll cleanse your skin.
We’ll map out your injection points.
A few tiny pokes using an ultra-fine needle.
You’re done in under 15 minutes.

Most people say it feels like a quick pinch or bug bite—not pleasant, but not unbearable.

Let’s Talk Dosage and Placement

There’s no one-size-fits-all with Botox. You might need:

10-20 units for frown lines
6-10 units for crow’s feet (each side)
10-15 units for forehead lines

We’ll always start conservatively. It’s easier to add more than to take it back.

How Long Does a Botox Appointment Take?

The actual injections take about 10–15 minutes, but plan for 30–45 minutes so we have time to answer questions, prep your skin, and go over aftercare instructions.

Will It Hurt? (Let’s Be Honest)

Not gonna lie—there’s a pinch. But it’s super quick. Some clients like to ice the area beforehand, and we also offer topical numbing if you’re extra sensitive. You’re tougher than you think!

Aftercare: What You Should (and Shouldn’t) Do

Here’s your Botox aftercare cheat sheet:

Do:

Stay upright for 4 hours.
Use your facial muscles normally.
Gently apply a cold compress if needed.

Don’t:

Rub or massage the area.
Lie down or work out right away.
Take blood thinners unless medically necessary.

How Soon Will You See Results?

Botox isn’t instant. Most clients start seeing results within 3–5 days, with full results at around 10–14 days. Trust the process.

How Long Will Your Botox Last?

On average, Botox lasts 3–4 months. Some clients metabolize it faster, others slower. If it’s your first time, results might not last as long—but they often improve with consistency.

When Should You Book Your Next Appointment?

To maintain your results, I recommend rebooking every 12–16 weeks. We’ll set up a reminder system so you don’t have to keep track.

Final Thoughts from Me, Nyree

I know the idea of Botox can feel intimidating, especially if you’re worried about looking unnatural. But here’s the thing: when it’s done right, nobody will know—you’ll just look well-rested, less tense, and more like yourself. At Beauty Energy Exchange, we’re here to help you feel confident, not masked.

If you’re ready to begin your journey—or if you just want to talk it through—we’re here to guide you.

Schedule a consultation at Beauty Energy Exchange Aesthetics and Wellness today!

Your First Botox Appointment: What to Expect from Consultation to Aftercare