Ennis Plastic Surgery · Beautiful Medicine™
Botox Cosmetic in Boca Raton
Expression, considered.
Explore a personalized approach to expression lines with Donna Ennis, ARNP, including what Botox can change and what it cannot.
Explore Your OptionsA personal approach
Your goals. Your comfort.
Donna Ennis, “The Gentle Injector,” begins with your goals and facial movement. The discussion covers the degree of change you want, your previous experience and what feels right for your features.
Choose an in-office consultation or ask about GO-Tox in-home concierge care. Suitability, product choice and follow-up are part of either setting.
Watch the filmWhy expression lines form
Understanding Botox Cosmetic
Smiling, frowning, squinting and raising the eyebrows move the skin repeatedly. With changes in skin elasticity, some lines can remain visible at rest as well as during movement.
Botox Cosmetic, or onabotulinumtoxinA, is a prescription treatment that temporarily reduces activity in selected muscles. It can soften certain movement-related lines. It does not add the volume supplied by dermal fillers, replace skin care or remove loose skin.
The assessment considers your brow and eyelid position, facial balance and the movement you wish to retain. There is no universal treatment pattern that suits every person.
Expression lines and volume involve different concerns
Muscle-relaxing treatment addresses selected expression lines. The comparison shows why adding filler volume is a different treatment goal; it is not an injection map or a before-and-after result.
Relaxers reduce selected muscle activity.
Fillers add volume in selected tissues.
Approved cosmetic uses
Treatment Areas to Discuss
Frown lines
The vertical lines between the eyebrows, sometimes called “11s,” can become more noticeable when you frown or concentrate.
Forehead lines
Horizontal creases appear with brow movement. Treatment planning considers how the forehead supports eyebrow position, especially if you already have heavy or low brows.
Crow’s feet
Lines beside the eyes become more noticeable with smiling or squinting. The assessment includes eye symptoms and previous procedures.
Vertical neck bands
Botox Cosmetic also has an adult indication for platysma bands, the vertical bands connecting the jaw and neck. This does not make it a substitute for a neck lift when loose skin is the concern.
Understand the difference
Botox, Dysport, Daxxify—or Filler?
Botox Cosmetic is approved to temporarily improve the appearance of moderate to severe lines in its specified areas in adults. A proposed use elsewhere is a separate, off-label discussion.
Muscle relaxers
Botox, Dysport and Daxxify reduce selected muscle activity. Their units and approved uses differ, so compare a complete treatment plan rather than a price per unit across products.
Dermal fillers
Fillers such as Juvéderm add volume in selected tissues. A crease caused by volume loss may need a different approach from a line driven by movement.
Combined care
A liquid facelift can combine treatments for separate concerns. Adding more treatments is optional; each should have a clear purpose and its own risk discussion.
Watch Donna explainDonna Ennis, ARNP, explains Botox and Dysport.
GO-Tox · Mobile concierge care
Injectables & fillers,
in the comfort of home.
Donna Ennis, ARNP, brings personalized injectable and dermal filler care to your home through GO-Tox, our in-home concierge service.
Explore In-Home CareYour visit, thoughtfully planned
A private appointment with Donna.
Tell us your location and the treatment you’re considering. Our team will confirm availability, suitability and visit details with you.
Prefer to call? 561-405-9020
Your consultation
A Plan Before a Product
Talk about your goals
Describe the areas that concern you and the degree of change you would like. The assessment considers your face at rest and in movement, skin quality, volume and previous treatments.
Review your health
Bring all medications and supplements, details of previous injectable treatments and their dates, and any history of muscle or nerve disorders, swallowing or breathing problems, allergies, eyelid changes, pregnancy or breastfeeding. Do not stop a prescribed medicine unless the clinician who manages it advises you to.
Choose the treatment together
Your provider explains the product, the proposed areas, expected changes, limits, risks and cost. Ask whether a proposed use is FDA-approved for that product or off-label, and what that distinction means for your plan.
Plan comfort and follow-up
Ask what treatment feels like, how soon to assess the result, what activities to avoid afterward and who to contact if you have concerns. You can use the appointment to learn before deciding whether to proceed.
What to expect
Your Botox Appointment
Review & assessment
Donna reviews your goals, health and previous treatments. She observes facial movement and discusses the proposed areas, expected change, limitations, risks and price.
Treatment & comfort
The skin is cleaned and the selected muscles are treated with a fine needle. Brief stinging or pressure is possible. The injections are usually a short part of the visit; allow time for assessment and questions.
Aftercare & follow-up
You receive instructions about skin care, activity and when to review the response. Do not rub or massage the area unless advised, and contact the team about unexpected symptoms.
Recovery & results
After Botox Treatment
The first day
Redness, small bumps, tenderness or bruising can follow injections. Follow Donna’s guidance about activity and skin care. Avoid rubbing or massaging treated areas unless instructed.
Allow the effect to develop
The response develops over several days rather than as immediate filler volume. Arrange the recommended review and allow time before an important event. Deep lines at rest may not disappear completely.
Ongoing treatment
Effects commonly last about three to four months, although response varies. Repeat treatment is a choice made after reassessment; Botox does not permanently prevent aging or guarantee wrinkle-free skin.
Before treatment
Risks & Precautions to Understand
Possible side effects include injection-site pain or bruising, headache, asymmetry, eyelid droop and other unwanted weakness. Tell your clinician about previous reactions to any botulinum toxin, infection at the intended treatment area and all health conditions.
Review the product information
Botox Cosmetic carries a boxed warning about toxin effects spreading beyond the treated muscles. Seek immediate medical help for trouble swallowing, speaking or breathing, or widespread weakness. Effects can occur hours to weeks after injection.
Plan with your medical history
Muscle or nerve conditions, certain medicines and pre-existing swallowing or breathing problems can increase risk. Pregnancy and breastfeeding require discussion. Your clinician should review the Medication Guide and whether treatment is appropriate.
Your care at Ennis Plastic Surgery
Meet Donna Ennis
Donna Ennis is a family nurse practitioner whose work at Ennis Plastic Surgery focuses on nonsurgical aesthetic care, including injectables, fillers and skin treatments.
Known as “The Gentle Injector,” she welcomes questions about your goals, comfort and treatment choices. Your consultation includes a review of the proposed product, its limits and the care you will need afterward.
Explore Donna’s Profile
Planning your treatment
Your Questions, Answered
Will my face look frozen?
Discuss the movement you want to keep and the amount of softening you want. Planning considers your anatomy and goals, but no exact appearance can be guaranteed.
Is Botox painful?
The fine needle can cause brief stinging or pressure. Ask about comfort measures and tell Donna if you have concerns or have felt faint with needles before.
What is the right age to start?
Botox Cosmetic is for adults. There is no single age when everyone needs treatment; the discussion should focus on an actual concern, preferences and medical suitability, not pressure to start early.
Can Botox treat lips or a square jaw?
Those are different concerns and uses outside the cosmetic indications listed above. Ask about off-label status, evidence and risks. Botox does not add lip volume; lip fillers work differently.
How much does Botox cost?
Cost depends on the areas and individual treatment plan. Ask for the complete quote after assessment. Units are specific to each toxin brand and should not be compared as though they were interchangeable.
Can men have Botox?
Yes. Treatment is based on anatomy, facial movement, goals and health rather than gender. Donna can explain a plan that fits your features.
Can Donna come to my home?
Ask about GO-Tox in-home care for injectables and dermal fillers. The team confirms your location, suitability and appointment arrangements.
Can I stop having treatments?
Yes. The effect is temporary and gradually wears off. There is no requirement to continue; discuss your preferences and any concerns with your provider.
Keep exploring
Compare your options.
A private consultation
Let’s talk about
your goals.
Bring your questions and the changes you would like to explore. We will help you understand your options, the proposed treatment and the care you will need afterward.
Or call 561-405-9020
