Over time, the repeated facial expressions we make, like squinting, smiling, and frowning, cause the skin to crease. As skin loses its elasticity, these creases turn into permanent fine lines.

By calming the specific facial muscles behind these repetitive movements, Botox®, an FDA-approved neuromodulator, helps smooth their appearance. By gently easing this muscle activity, the skin above is allowed to smooth out, resulting in a naturally youthful and well-rested look.

At Lewis Plastic Surgery, we pride ourselves on achieving results that look completely natural. Injectables are primarily administered by Page Huffman, our highly skilled Nurse Practitioner who brings over 10 years of experience.

Our goal is never to leave you looking “frozen” or overdone. We evaluate your facial anatomy to administer the exact amount of Botox® needed to smooth away wrinkles while allowing you to maintain your natural facial expressions.

Experienced & Expert Care

A Richmond native and one of Central Virginia’s leading plastic surgeons, Dr. Gordon Lewis is known for delivering personalized care, including Botox® treatments, that consistently exceed patient expectations. A board-certified surgeon, he founded his suburban Richmond private practice in 2010 and has been recognized multiple times as a Richmond Magazine Top Doc.

Who Is a Candidate for Botox®?

You may be a perfect candidate for Botox® if you are in good overall health, looking for a non-surgical anti-aging solution, and want to address areas of localized facial wrinkling. Botox® is highly effective for treating:

• Frown Lines (Glabellar Lines): The “11s” or vertical lines that appear between your eyebrows.
• Crow’s Feet: The fine lines that fan out from the outer corners of your eyes.
• Forehead Creases: Horizontal lines that stretch across the forehead.

Botox VS Dysport

They work very similarly. The best choice often comes down to injector preference, treatment area, and how your body responds.

• Time to see results: Dysport: May work slightly faster (2–3 days) Botox: Typically 3–5 days
• Spread: Dysport: Spreads a bit more — good for larger areas (e.g., forehead). Botox: More localized — good for precise areas (e.g., crow’s feet)
• Dosing: Units are not interchangeable (you usually need more Dysport units to equal Botox)
• Duration: Both last about 3–4 months (varies by person)

Patient Testimonials

What to Expect From Your Botox Treatment (Step by Step)

1. A Personalized Consultation

Your journey begins with a one-on-one consultation at our Midlothian office. We will listen to your specific aesthetic goals, evaluate your skin, and determine if Botox® is the right option for you. We provide clear pricing upfront, ensuring there are no surprises.

2. A Quick, Comfortable Procedure

The Botox® treatment itself is incredibly quick, often taking just 10 to 15 minutes. Using an ultra-fine needle, Page will make a series of small, precise injections into the targeted muscles. Most patients report only mild, brief discomfort, similar to a tiny pinch.

3. Zero Recovery Downtime

One of the greatest benefits of Botox® is that it requires absolutely no downtime. You can return to work or your normal daily activities immediately after your appointment. You may experience some mild pinpoint redness or slight tenderness at the injection sites, but this typically resolves within a few hours to a day.

4. After your treatment

Do not have a facial, nor rub or massage the treated area for 24 hours after your treatment. Do not lie down or do strenuous exercise for three hours after treatment or wear a tight fitting hat. This can move the Botox into muscles that we do not want it in. Also, avoid any exposure to a sauna, hot tub or tanning for four hours. This will prevent your blood pressure from rising and thus minimize the risk of bruising after treatment

5. Enjoying Your Results

You will begin to see a noticeable smoothing of your fine lines within the first few days, with the full, beautiful results settling in after about one to two weeks.

Where We Are & Where We Serve

Initial consultations & follow up appointments are located at our Richmond area office located south of the River in Midlothian, VA
Dr. Lewis has privileges to operate at most of the Richmond and Midlothian area hospitals. He performs most of his cosmetic procedures at Stony Point Surgery Center (Medarva)

Staying Safe & Reducing Complications

To minimize the risks, ensure your surgery is conducted in a safe and secure environment using the latest surgical techniques by checking the certifications and accreditation of your plastic surgeon. Accreditation boards and bodies are there to protect you. Dr. Gordon Lewis has extensive surgical experience and is affiliated with several important professional organizations, including:

• American Society of Plastic Surgeons (ASPS).
• Richmond Academy of Medicine
• Medical Society of Virginia
• American Society for Aesthetic Plastic Surgery

Botox® Costs & Flexible Financing

We believe everyone deserves the confidence that comes with feeling their best. During your consultation, we will provide a detailed price quote based on the number of units you need to achieve your desired outcome.

To make your aesthetic journey as accessible as possible, we offer excellent financing options, including CareCredit, Alphaeon Credit, and Cherry Financing. Cherry acts as a flexible line of credit frequently used by our patients specifically for injectables and non-surgical treatments, allowing you to easily manage the cost of maintaining your results over time.