FACENON-SURGICAL
Botox in Delafield
Expression intact, the lines eased.
Botox (onabotulinumtoxinA) is an FDA-approved injectable treatment that temporarily relaxes facial muscles to reduce the appearance of dynamic wrinkles. Injections are placed in the specific muscles that create forehead lines, frown lines, and crow's feet, so untreated muscles continue to move normally.
At a Glance
- Botox is the most common minimally invasive cosmetic procedure in the United States
- Results typically last 3-4 months before retreatment is needed
- The procedure takes approximately 10-15 minutes with minimal downtime
Overview
Botox temporarily blocks the nerve signals that tell targeted facial muscles to contract. It treats dynamic lines – the lines that appear with facial movement – rather than static creases that have already settled into the skin. Results typically appear within three to seven days and last three to four months. Muscle activity then returns, lines reappear, and treatment is repeated.
Dose and placement determine whether the result looks natural or frozen. The aim is to relax a muscle enough to soften the line without removing expression. Dr. Lucas Boehm plans treatment around each patient’s muscle anatomy and what the patient wants changed, so two people asking about the same area may receive different injection maps.
Dr. Boehm performs the injections himself. He is a plastic surgeon certified by the American Board of Plastic Surgery, and there is no separate aesthetics team. The non-surgical menu is deliberately short: botulinum toxin, dermal filler, biostimulators, and PRP. These treatments sit alongside the surgical work rather than replacing it. An assessment may end with the conclusion that an injectable will not change the concern that brought you in.
What to expect
- Consultation to discuss goals, review medical history, and develop a treatment plan
- The face is cleansed and injection sites are marked
- Very fine needles are used to inject small amounts of Botox into targeted muscles
- Ice may be applied briefly to minimize discomfort and bruising
- Aftercare instructions are provided, including avoiding rubbing the treated area
How a botox works
- Botox contains purified botulinum toxin type A. It blocks the release of acetylcholine at the neuromuscular junction, temporarily preventing contraction in the treated muscle. The overlying skin can then smooth and the wrinkle can soften.
- The effect remains localized to the injection site and does not affect sensation or other muscle functions. Untreated muscles continue to move normally.
- Dr. Boehm maps and injects the selected muscles during the same visit, rather than having one person perform the assessment and another perform the injections. If a line is static, or if the concern comes from a descended brow rather than a contracting muscle, botulinum toxin is the wrong tool and the assessment says so.
When it's recommended
- Forehead lines (horizontal lines across the forehead)
- Frown lines (glabellar lines between the eyebrows)
- Crow's feet (lines around the outer corners of the eyes)
- Bunny lines (lines on the nose)
- Neck bands (platysmal bands)
- Facial slimming (overactive and large jaw muscles)
- Chin dimpling
- Wrinkles around the mouth ("smoker's lines" – vertical lines above the lip)
- Lip flip (to subtly increase volume of upper lip)
- Brow lift (to subtly provide lift to the brows)
Is a botox right for you?
Reach out to learn more from Dr. Lucas Boehm.
Recovery & aftercare
- Most patients return to normal activities immediately
- Avoid lying down for 4 hours after treatment
- Avoid strenuous exercise for 24 hours
- Results appear within 3-7 days and peak at 2 weeks
Alternatives
- Dermal fillers for volume loss and static wrinkles
- Other neuromodulators (Dysport, Xeomin, Jeuveau)
- Laser skin resurfacing
- Topical retinoids for fine lines
Frequently Asked Questions
- Botox results typically last three months. As muscle activity gradually returns, lines and wrinkles reappear and retreatment is needed. With regular treatment, some patients find that their results last longer over time.
- Most patients report only minor discomfort during the injections. The needles are very fine and the procedure is quick. Ice or topical numbing cream may be used for comfort.
- Botox has been FDA-approved for cosmetic use since 2002 and has an extensive safety record. Side effects are typically mild and temporary. Specific risks and contraindications are listed in the Risks and Who is not a candidate sections on this page.
- Dr. Lucas Boehm performs Botox injections at Consona. He is a plastic surgeon certified by the American Board of Plastic Surgery, and treatment has not been handed to a separate aesthetics team. Care is provided in a surgical practice, not a med spa with a surgeon attached. The physician who maps and injects the muscles is also the physician who would plan a brow lift if that proved to be the more appropriate answer to the concern.
- Cosmetic botulinum toxin is not covered by any health plan, and Consona does not bill insurance. Treatment is priced per session and quoted at the visit because the amount used depends on which muscles are treated and how strong they are. The 0% 12-month financing plan applies to surgical procedures, not injectable treatment. An injectable appointment is settled at the visit.
- The non-surgical list is limited to botulinum toxin, dermal filler, biostimulators including Sculptra and Radiesse, and PRP. There is no laser resurfacing, chemical peel, medical-grade skincare line, medical weight loss program, or skin and wellness menu. Patients who need resurfacing or a device-based treatment are referred elsewhere, and that limitation is stated here rather than left to be discovered at the appointment.
- Botox is commonly recommended for individuals experiencing forehead lines (horizontal lines across the forehead), frown lines (glabellar lines between the eyebrows), crow's feet (lines around the outer corners of the eyes), bunny lines (lines on the nose). Schedule a consultation with Dr. Boehm in Delafield to find out if Botox is right for you.
Botox risks & candidacy
Who should avoid this
- Allergy to botulinum toxin or any ingredients in the formulation
- Infection at the proposed injection sites
- Neuromuscular disorders such as myasthenia gravis or ALS
- Pregnancy or breastfeeding
Possible risks
- Temporary bruising or swelling at injection sites
- Headache (typically mild and temporary)
- Eyelid drooping if product migrates (rare and temporary)
- Asymmetry requiring touch-up treatment
- Heavy brow (depends on injection technique and product migration)
- Allergic reaction (rare)
- Blurry vision (rare)
Your surgeon
Care that respects what makes you, you.
Dr. Lucas Boehm is a Wisconsin native, board-certified, fellowship-trained plastic surgeon and the founder of Consona Plastic Surgery and Aesthetics. His practice is dedicated exclusively to aesthetic surgery of the face, nose, breast, and body, with particular expertise in deep plane facelifts, rhinoplasty, and aesthetic breast surgery. He completed his undergraduate education at the University of Wisconsin–Madison, earned his medical degree from the Medical College of Wisconsin, and completed his plastic surgery residency there as well. He then pursued an Aesthetic Society-endorsed fellowship in aesthetic surgery under the mentorship of Dr. Bradley Calobrace in Louisville, Kentucky. Known for meticulous attention to detail, he approaches each case with precision and intention. His philosophy emphasizes harmony and balance – enhancing what is already beautiful while ensuring every change feels natural, thoughtful, and uniquely you.
- Board-certified
- Am. Board of Plastic Surgery
- Fellowship-trained
- Aesthetic surgery
- 12+ years
- In practice
Sources & references
This article draws on 3 sources, including government health agencies.
Government & research
Medically reviewed by Dr. Lucas Boehm, MD · Last reviewed: 2026-09-12