Back to top


Botox is one of the most popular cosmetic procedures offered by Dr. Lapuerta in Houston, Texas, offering patients a way to address signs of age without the need for surgery. Dr. Lapuerta has years of experience dealing with the complex anatomy of the face, which allows him to safely and effectively target problem areas with outstanding results. Many of his patients return time and time again and look forward to their Botox injections in Houston, TX.

  • Review from PS
  • Source: Google
  • Aug 16, 2019
Dr. Lapuerta and staff are high flyers. Professional, knowledgeable and pleasant. What a wonderful environment. Everyone is top notch. You can trust your life with this practice. If you do not need a procedure, they will let you know. I appreciate someone looking for me and my finances. Bravo Dr. Lapuerta and team!👍


Botox is an FDA-approved agent effective in the cosmetic treatment of frown lines and crow’s feet. It is a skin rejuvenation procedure that allows people to have younger-looking skin without surgery. Botox works by temporarily relaxing the muscles surrounding the injection site, resulting in smoother-looking skin.


Botox is an excellent cosmetic treatment for a variety of different skin imperfections and issues, making it a great option for men and women 18 years of age or older. For older individuals, Botox can address signs of aging, including wrinkles, crow’s feet, and frown lines. Botox is also an effective treatment for younger individuals looking to keep their appearance looking fresh and youthful.

A good candidate for BOTOX should be in healthy physical condition, not pregnant or nursing, and have no history of neuromuscular diseases. Finally, it is essential to alert Dr. Lapuerta of all current medications and past medical history at his Botox clinics in Houston, TX. Dr. Lapuerta administers Botox to patients at his Houston, Katy, and Pearland plastic surgery centers.


Botox is incredibly versatile, reducing the appearance of wrinkles, fine lines, and other signs of age in a variety of areas on the face. Botox injections in Houston, TX, administered with expertise and precision by Dr. Lapuerta can treat the following areas:

Frown Lines

Frown lines are very common with age, as over time the facial contortions required to frown results in vertical lines appearing both between and above the eyebrows. Botox administered by an experienced specialist can reduce the appearance of frown lines.

Marionette Lines

Marionette lines are wrinkles that travel from the side of the mouth to the jawline. They can make an individual look significantly older, but luckily Botox injections can treat these unsightly wrinkles.

Crow’s Feet

Laughing, smiling, and being out in the sun are all pleasant activities. Over time, however, these joyful acts result in wrinkles extending from the eyes toward the side of the head. Botox is the best treatment for crow’s feet, reducing the appearance of the wrinkles.

Under-Eye Wrinkles

Wrinkles under the eyes can make individuals look constantly tired and worn out. Botox injections by an expert like Dr. Lapuerta can safely soften under-eye wrinkles, resulting in a refreshed and revitalized appearance.

The “Scowl” Brow

Applied to various areas of the forehead, Botox works wonders to reduce and often eliminate the resting appearance of a furrowed, unwelcoming brow. Not only do you appear more youthful, but it projects a more welcoming and pleasant demeanor.

Tired, Aging Eyes (aka “Chemical Brow Lift”)

Under the guidance of a skilled, experienced injector like Dr. Lapuerta in Houston, Texas, Botox can do more than just eliminate wrinkles. Botox can be strategically applied to provide what is considered a chemical brow lift. When applied correctly, Botox works to activate and deactivate certain muscles in the forehead to produce a subtle to moderate brow lift. By doing this, the eyebrows are elevated slightly and the sagging skin is lifted to reveal an eye that is brighter and more open. The overall effect is a refreshed, youthful appearance that is subtle to the observer. You will look rested, younger and more vibrant without appearing “fixed” or “frozen”.

Facial Contouring (aka “Chipmunk Cheeks”)

Patients with cheek muscle hypertrophy (cheek muscles that are larger) often have a round face shape. The full, round face shape can cause patients to appear heavier than they may be in reality. Often they have been told. or think of themselves, as having “chipmunk cheeks”. Botox when skillfully applied by an experienced injector like Dr. Lapuerta can be successfully used to contour the cheeks. Patients enjoy a more sculpted appearance with a more defined jawline. The face will appear to be more oval in shape than round and often appear to be thinner in general due to the reduction of the cheek muscles. Botox for facial contouring is a safe and highly effective same day procedure.


Botox is a safe, easy, and effective treatment if administered by an expert. Dr. Lapuerta has over 20 years of experience with Botox in Houston, TX, providing patients with safety, security, and the results they desire. Unlike many other practices in the Houston area, Dr. Lapuerta personally performs all of his injections. Patients benefit from his surgical knowledge of facial anatomy that other non-plastic surgeon injectors lack. Before administering Botox, Dr. Lapuerta will schedule a consultation with the patient. During this consultation, he will discuss the patient’s goals, describe the treatment plan, and answer any and all questions. It is this partnership with patients that sets Dr. Lapuerta apart from other Botox clinics in Houston, TX.

To begin, patients are first marked with ink prior to the injection so that the practitioner can accurately inject the targeted areas. Depending on the needs of the patient, a numbing cream may be applied to help with possible discomfort. Then, small doses of Botox are injected into the skin in the desired areas. Treatment is usually administered in the doctor’s office and can last anywhere from 15 to 30 minutes. The number of injections and dose amounts administered depends on the location and the severity of the case. This procedure does not create any discomfort other than a normal prick that comes with a small needle, and patients will be able to go home right after treatment with no downtime from their normal routine.


Before considering Botox, patients should discontinue use of aspirin, Ibuprofen (Advil, Motrin), Naproxen (Alleve), fish oil, supplements that contain garlic, ginseng or ginkgo for a period of 2 weeks prior to treatment. All of these products tend to “thin” the blood and increase the risk of bruising from the treatment. After treatment, mild swelling and bruising may appear on the injection spots. Patients will be provided a small cool pack to use to reduce any puffiness, redness or bruising at the injection sites. The redness and swelling will only last for a few hours, but some patients may experience bruising for several days. There are bruising medications, such as Arnica, that patients can take a week prior to treatment to help minimize bruising. Patients are advised to limit physical exercise for 24 hours.

The results from a Botox treatment can be enhanced by performing frequent facial excercises for the 24 hour period following treatment. Dr. Lapuerta will instruct patients on how to perform the facial exercises. The effects of Botox can be seen as early as 5 days following a treatment, with maximum effect realized in 2 weeks. At 2 weeks post injection, patients will enjoy the natural, refreshed, youthful appearance they can expect from their Botox injections.


Botox is sold per unit with a typical patient requiring 35 units. However, patient’s needs can vary between 20 and 50 units. Men will typically require a greater number of units than women. During the initial consultation, Dr. Lapuerta will be able to assess how many units are needed to attain the patient’s desired results. Dr. Lapuerta is very upfront about the anticipated Botox cost in Houston, communicating with the patient so they know exactly what to expect.

Plan Your Procedure

  • Average Procedure Time
  • 30 Minutes
  • Post-op Follow-up
  • 2 Weeks
  • Procedure Recovery Location
  • Outpatient


When administered properly, BOTOX rarely causes any complications. With that said, it is still very important to find someone who has experience in handling this medication. Too much of the product can cause an undesirable outcome. A skilled practitioner will use just enough of the medication to effectively freeze the facial muscles that cause wrinkles while leaving nearby muscles unaffected. BOTOX is one of the most popular cosmetic treatments on the market today. It is safe and effective, and approved by the FDA. BOTOX is also used to treat other medical conditions such as squints, excessive sweating, uncontrollable blinking and migraines.
There is an ongoing trend where people who wish to have BOTOX treatments will gather together and administer the BOTOX doses themselves called ‘BOTOX cocktail parties’. This is very risky. BOTOX, when administered incorrectly, may paralyze unintended muscles that can result in an abnormal facial appearance. BOTOX treatments should be done in a medical setting with an experienced, skilled injector.
In recent years, BOTOX has seen some competition as other drugs have been approved by the FDA and introduced to the aesthetic market. Dysport and Xeomin are muscle relaxers similar to BOTOX. Each has its specific trending function that can be addressed during the initial consultation. Sometimes, a combination of the drugs is used to treat various areas. For example, BOTOX for frown lines, and Dysport for crow’s feet.
BOTOX and fillers are both popular cosmetic treatments with the ability to decrease wrinkles and smoothen facial areas. The difference with each is the way the substances function to create the rejuvenating effect. Injectable fillers add volume under the skin to fill hollow areas and decrease the appearance of wrinkles on the surface. BOTOX, on the other hand, relaxes the muscles underneath the skin so that the muscles cannot contract, allowing a softer effect on the surface. It is very common for patients to undergo treatment using both a muscle relaxer and an injectable filler to attain optimal results.
Today, practitioners are treating patients of all ages with BOTOX. For some individuals, for example those as young as 30, BOTOX is considered a preventative way to prevent facial wrinkles. For others (i.e. 40 years old and older), it is a rejuvenation effort to smooth the appearance of fine lines and wrinkles. Older individuals (55 and up) will still receive great benefit from having BOTOX injections, but for some, a facelift technique might be a better option to consider.
A BOTOX injection will last between 3-4 months. The treatment can be repeated every quarter and for most patients who receive this treatment, they usually come back for more. BOTOX is an effective, easy and safe way to minimize the appearance of facial wrinkles. Patients consider it a part of their normal beauty routine.
Leo Lapuerta Plastic Surgery