Skip to content
Ruben Castro MDAesthetic Plastic Surgeon
HomeAboutProceduresBlogContactES
HomeAboutProceduresBlogContactEspañol

NEWPORT BEACH, CA

Accessibility|Terms|Privacy
Ruben Castro MDPlastic Surgeon
180 Newport Center Drive, Suite 170
Newport Beach, CA 92660

949-237-2727949-237-2727
@rubencastromd

Content is for informational purposes only and does not establish a physician-patient relationship or constitute medical advice. Always consult a physician for medical concerns. Individual results vary; images may feature models or actual patients and do not guarantee specific outcomes.

© 2026 Ruben Castro MD. ALL RIGHTS RESERVED.

PrivacyTermsOpen PaymentsAccessibilitySitemap

Botox

Smooth dynamic wrinkles and prevent fine lines.

Botox - Our Approach

Botox softens expression lines in the forehead, between the brows, and at the crow's feet. It works by temporarily relaxing the underlying muscles, resulting in a refreshed and rested appearance.

Inquire

The Ideal Candidate

  • Forehead lines, frown lines, or crow's feet caused by facial movement
  • Desire for a quick non-surgical wrinkle treatment
  • Interest in slowing expression lines before they deepen
  • Comfort with temporary results and maintenance treatments

Procedure Quick Facts

AnesthesiaLocal anesthesia
Estimated Duration15–30 minutes
DowntimeNone
Return to WorkNo downtime required. Patients return to work and normal activities immediately after treatment.

Surgical Technique

Botox and similar wrinkle-relaxing treatments are performed in the office with fine needles. Dr. Castro maps the treatment based on your facial anatomy, muscle strength, and how your face moves when you raise your brows, frown, or smile. Common treatment areas include forehead lines, frown lines between the brows, and crow's feet. Small doses are placed into specific facial muscles to soften movement while preserving natural expression. The goal is visible relaxation without a frozen look or unwanted brow heaviness.

Who Is a Good Candidate for Botox?

Botox works best for adults whose lines are caused by repeated facial movement, such as forehead lines, frown lines between the brows, or crow's feet. It can also be used early, before expression lines become deeper at rest. Candidates should not be pregnant or breastfeeding and should not have certain neuromuscular conditions.

Recovery

Botox and similar wrinkle-relaxing treatments do not require formal downtime. Patients should avoid rubbing the treated areas, lying flat, and vigorous exercise for about four hours after injection. Mild redness, swelling, or small bruises at injection sites usually improve within twenty-four to forty-eight hours. Results begin to appear within three to five days and reach full effect at about two weeks.

Immediate Post-Treatment

Avoid rubbing injection sites, lying flat, or exercising for 4 hours. Minor redness may be present.

Onset of Effect

Initial muscle relaxation begins within 3–5 days. Lines soften. Full effect reached at 2 weeks.

Maintenance Window

Effect gradually diminishes. Retreat recommended every 3–4 months to maintain results.

Botox Risks & Considerations

Botox and similar wrinkle-relaxing treatments are generally well tolerated when placed carefully. Common minor side effects include small bruises, temporary redness, and headache. Eyelid or brow drooping is uncommon but can happen if the product affects a nearby lifting muscle; it is usually temporary and often improves over several weeks. Asymmetry, too much relaxation, or not enough relaxation can occur and may be adjusted at a follow-up visit.

  • Bruising at the injection site
  • Headache
  • Temporary eyelid or brow drooping (uncommon)
  • Asymmetry
  • Temporary overcorrection or undercorrection
  • Flu-like symptoms (rare)

Alternatives to Botox

Laser resurfacing, chemical peels, and prescription skin care can improve skin texture and fine surface lines, but they do not relax the muscles that cause expression wrinkles. Dermal fillers can soften deeper creases or replace volume, but they do not work the same way as Botox. For some brow-position concerns, a brow lift may be a longer-lasting surgical option.

Related Procedures

  • Dermal Fillers
  • Chemical Peels
  • Facelift

Related Articles

  • Hooded Eyes, Heavy Brows, or Under-Eye Bags: What Is Really Making You Look Tired?

    Learn whether hooded lids, heavy brows, under-eye bags, or volume loss are making your eyes look tired in Newport Beach.

    May 5, 2026
  • Upper Blepharoplasty: Refresh Your Eyes and Rejuvenate Your Look

    Discover how upper blepharoplasty (eyelid surgery) can remove excess skin, reduce heaviness, and restore a rested, youthful appearance to your eyes.

    Apr 9, 2026

Medical Sources

  • OnabotulinumtoxinA: a meta-analysis of duration of effect in the treatment of glabellar linesDermatologic Surgery
  • Efficacy and Safety of OnabotulinumtoxinA Treatment of Forehead Lines: A Multicenter, Randomized, Dose-Ranging Controlled TrialDermatologic Surgery

Botox - Frequently Asked Questions

How long does Botox last?
Results typically last between three and four months, at which point treatment can be repeated.
Will I look 'frozen'?
When administered by an expert, Botox provides a natural, refreshed look that preserves expression.
How long until I see results?
Initial smoothing often begins within three to five days, with full effect at two weeks.
Does the injection hurt?
Most describe the sensation as a quick, minor pinch. The treatment requires no downtime.
Dr. Ruben Castro
Before you decide

Choosing your surgeon

The surgeon you choose matters as much as the procedure itself. Dr. Ruben Castro trained at UCLA and completed the Bruce Connell Aesthetic Surgery Fellowship, but his foundation was shaped just as much by his service in the U.S. Navy. It is a background built on discipline, judgment, and responsibility, the kind of qualities that matter when choosing whose hands you trust.

Meet Dr. Castro

Performed by Dr. Ruben Castro in Newport Beach, California

All Procedures