BOTOX® Cosmetic Treatment in St. Augustine, FL

Precise, natural-looking wrinkle reduction for a refreshed, more youthful appearance

Take the first step toward a more refreshed, youthful appearance. Contact us today to schedule your personal BOTOX® consultation with Dr. Johnson.

Are you concerned about deepening facial lines that make you look older than you feel? Do frown lines, crow’s feet, or forehead wrinkles persist even when your face is at rest? At St. Augustine Oral & Facial Surgical Center, Dr. Douglas L. Johnson provides expert BOTOX® Cosmetic treatments that temporarily reduce dynamic facial wrinkles, creating a more refreshed, youthful appearance while maintaining natural facial expressions.

What Is BOTOX® Cosmetic Treatment?

BOTOX® Cosmetic is an FDA-approved injectable treatment that temporarily reduces the appearance of moderate to severe facial lines and wrinkles. This purified protein works by blocking nerve signals to specific facial muscles, reducing their contraction activity that causes dynamic wrinkles to form. The result is smoother skin and a more youthful appearance without affecting your ability to form natural expressions.

Unlike fillers that add volume beneath the skin, BOTOX® targets the underlying muscle activity that creates wrinkles through repeated facial movements over time. It’s particularly effective for expression lines like the vertical frown lines between eyebrows (glabellar lines), horizontal forehead wrinkles, and crow’s feet around the eyes. These dynamic wrinkles—which initially appear only during facial expressions but eventually become permanent fixtures—respond exceptionally well to BOTOX® treatment.

As a board-certified oral and maxillofacial surgeon, Dr. Johnson possesses advanced knowledge of facial anatomy and musculature that ensures precise injection placement for optimal results. His specialized expertise allows for customized treatment that addresses your specific concerns while maintaining natural movement and expressions—avoiding the “frozen” look that can result from less experienced providers.

Dr. Douglas L. Johnson, DMD

With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.

At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.

What are the Benefits of BOTOX® Cosmetic Treatment?

BOTOX® Cosmetic offers remarkable advantages that extend beyond simply reducing wrinkles. The primary benefit is effective reduction of dynamic facial lines that can make you appear older, tired, or upset even when you’re feeling refreshed and happy. By temporarily relaxing specific facial muscles, BOTOX® softens these expression lines, creating a more youthful appearance that better reflects your inner vitality and emotional state.

The treatment provides significant benefits with minimal disruption to your schedule—the procedure itself typically takes just 10-15 minutes, with no downtime required afterward. This “lunchtime procedure” allows you to return immediately to normal activities, making it an ideal option for busy professionals seeking effective rejuvenation without recovery time. Results develop gradually over 3-7 days, creating a natural transition to your refreshed appearance rather than an obvious, sudden change.

From a preventative perspective, regular BOTOX® treatments can actually help prevent deepening of expression lines over time. By reducing the repeated muscle contractions that eventually etch lines into the skin, consistent treatment may slow the formation of permanent wrinkles. Many patients who begin treatment earlier find they require less product and less frequent treatments as they age compared to those who start later with more established wrinkles.

Perhaps most importantly, skilled BOTOX® administration by a facial specialist like Dr. Johnson creates results that look natural rather than “frozen” or artificial. Patients consistently report receiving compliments about looking refreshed, well-rested, or younger without friends or colleagues specifically identifying that they’ve had a cosmetic procedure. This natural enhancement allows you to maintain your authentic appearance while addressing specific concerns that affect your confidence.

Our Reviews

Why Patients Choose Us

Care and Commitment

From the front office to the exam room, our practice is made up of professionals who take your oral health very seriously. Using state-of-the-art equipment designed with safety and efficiency in mind, we are able to offer top-notch care. As you walk through our office, you will notice that everything is clean, comfortable and thoroughly sterilized. Your safety and comfort are our priority.

Honesty and Affordability

We know that the cost of care can be confusing. In addition to offering a number of in-office payment options to fit your budget, we also give you up-front cost information on your treatment ahead of time. We are in network with a variety of insurance plans, and we offer dental financing with credit available in time frames that fit your needs. We are happy to help you navigate your dental insurance and alternative payment options.

Comprehensive Oral Surgery Care in One Location

At our practice, we are qualified to handle all aspects of your oral and maxillofacial care, so you are always surrounded by people that you trust. If we must refer out, we promise to send you to carefully vetted colleagues who apply the same professional principles in their office that we do in ours.

Frequently Asked Questions

Is BOTOX® Treatment Painful?

Most patients report minimal discomfort during BOTOX® treatment. The injections are performed using an extremely fine needle, creating sensations often described as brief pinches or tiny stings that last only seconds per injection. No anesthesia is required, though topical numbing cream is available for patients with heightened sensitivity. The entire procedure takes just 10-15 minutes, with any mild discomfort resolving immediately after completion. Many patients are surprised by how comfortable the experience is, particularly when performed by an experienced provider like Dr. Johnson who uses refined injection techniques that minimize discomfort and bruising.

How Long Do BOTOX® Results Last?

BOTOX® Cosmetic typically provides wrinkle reduction for 3-4 months before gradually wearing off as muscle activity returns. Several factors influence longevity, including: the specific areas treated (results sometimes last longer in areas with smaller muscles); your individual metabolism (which affects how quickly your body processes the product); dosage used (higher doses generally provide longer-lasting results); and whether you’re a first-time or repeat patient (regular treatment sometimes creates more durable results over time). To maintain consistent results, most patients establish a regular treatment schedule approximately 3-4 times yearly. Dr. Johnson can provide personalized guidance about expected duration based on your specific treatment areas and individual factors.

Will I Look "Frozen" or Unnatural After BOTOX®?

Not when your treatment is performed by a facial specialist with Dr. Johnson’s expertise. The “frozen” appearance sometimes associated with BOTOX® results from over-treatment or imprecise injection placement by less experienced providers. Dr. Johnson’s advanced understanding of facial anatomy and muscle function allows him to create a balanced approach that reduces wrinkles while preserving natural movement and expressions. His technique carefully targets specific portions of muscles rather than completely immobilizing them, creating a refreshed, natural appearance rather than an obviously treated look. During your consultation, he’ll discuss your specific goals to ensure your treatment creates the natural-looking results you desire.

Visit Us in St. Augustine

St. Augustine Oral & Facial Surgical Center is ideally situated at 1301 Plantation Island Dr. Suite #101, St. Augustine, FL 32080, making us easily accessible for patients throughout St. Augustine and surrounding communities.