BOTOX® Cosmetic
FDA-approved for forehead lines, frown lines, crow's feet and platysma bands in adults.
Explore BOTOX® CosmeticPalm Beach Cosmetic Medicine is a physician-owned cosmetic medicine practice. Every injectable treatment is performed by Dr. Anna Frisch, MD, PhD, Board Certified in Endocrinology and Medical Director, using BOTOX® Cosmetic (onabotulinumtoxinA) and SKINVIVE™ by JUVÉDERM®, purchased directly from Allergan Aesthetics.
Consultations are open now. Injectable treatments begin in mid-October 2026.
Your injectorDr. Anna Frisch, MD, PhDBoard Certified in Endocrinology
Every injectable treatment at Palm Beach Cosmetic Medicine is performed by Dr. Anna Frisch, MD, PhD, Board Certified in Endocrinology and Medical Director, with 26 years of clinical experience and internationally cited research.
Meet Dr. FrischFDA-approved for forehead lines, frown lines, crow's feet and platysma bands in adults.
Explore BOTOX® CosmeticA hyaluronic acid microdroplet injectable FDA-approved to improve skin smoothness of the cheeks.
Explore SKINVIVE™Dr. Frisch owns the practice, wrote the protocols, and performs your treatment herself. The physician who reviews your history is the physician who injects.
Every vial and syringe is purchased directly from Allergan Aesthetics. Nothing from third parties, resellers or overseas suppliers. Federal health agencies have warned about counterfeit botulinum toxin, so where your product comes from belongs on the page.
The BOTOX® Cosmetic label lists nerve and muscle conditions such as myasthenia gravis as risk factors, and myasthenia gravis occurs more often in people with autoimmune thyroid disease. Screening for that is an endocrinologist's daily work, and Dr. Frisch does it herself at every injectable consultation.
Dr. Anna Frisch, MD, PhD, performs every injectable treatment at PBCM. She is Board Certified in Endocrinology, the Medical Director of Palm Beach Cosmetic Medicine, and an Emory University School of Medicine-trained physician-scientist with 26+ years of clinical experience and internationally cited research. Our clinical team supports your visit from intake through aftercare.
Palm Beach Cosmetic Medicine is at 12957 Palms West Drive, Suite 204, Wellington, FL 33470, near Wellington Regional Medical Center. Patients also come to us from Royal Palm Beach, Loxahatchee, Greenacres, Lake Worth and West Palm Beach.
PBCM is an Allē practice. Allē members earn points on BOTOX® Cosmetic and SKINVIVE™ treatments. Join free at alle.com before your visit.
Injectables address lines from muscle movement and skin smoothness. Skin health is its own program, and we plan the two together.
As Dr. Frisch's clinical standard, your thyroid history, any autoimmune conditions and your current medications are reviewed before treatment. If anything calls for an adjustment, your plan accounts for it before anything begins.
PBCM is enrolled in Allē, Allergan Aesthetics' loyalty program.
Our filler alternatives are made from your own blood.
Schedule a private consultation to design a treatment plan around your skin, your goals, and the way you want to look and feel.
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:
BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, forehead lines, and/or platysma bands.
BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of receiving BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Serious and/or immediate allergic reactions have been reported, including itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc (rimabotulinumtoxinB), Dysport (abobotulinumtoxinA), Xeomin (incobotulinumtoxinA), Jeuveau (prabotulinumtoxinA-xvfs), Daxxify (daxibotulinumtoxinA-lanm), or Letybo (letibotulinumtoxinA-wlbg); or have a skin infection at the planned injection site. This list may not include all available botulinum toxin products.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects, including difficulty swallowing and difficulty breathing, from standard doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including surgery or plans to have surgery on your face, trouble raising your eyebrows, drooping eyelids, any other abnormal facial change, are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby), or are breastfeeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc, Dysport, Xeomin, Jeuveau, Daxxify, or Letybo in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; or take aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems, including double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of eyelids, and dry eyes.
Approved Uses
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, frown lines between the eyebrows, and vertical bands connecting the jaw and neck (platysma bands) in adults.
For more information, refer to the Medication Guide or talk with your doctor.
To report a side effect, please call Allergan Aesthetics at 1-800-678-1605.
Please see BOTOX® Cosmetic full Product Information, including Boxed Warning and Medication Guide.
BOTOX® Cosmetic Product Information, including Boxed Warning · Medication Guide
APPROVED USES
SKINVIVE by JUVÉDERM® injectable gel is an injection to improve skin smoothness of the cheeks in adults over the age of 21.
IMPORTANT SAFETY INFORMATION
Are there any reasons why I should not receive SKINVIVE by JUVÉDERM® treatment?
Do not use this product if you have a history of multiple severe allergies or severe allergic reactions (anaphylaxis), if you are allergic to lidocaine or the Gram-positive bacterial proteins used in this product, or if you have had previous allergic reactions to hyaluronic acid fillers.
What Warnings should my specialist advise me about?
• One of the risks with dermal filler injection is the unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. Most of these events are irreversible. Tell your specialist immediately if you have changes in your vision, signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion), white appearance of the skin, or unusual pain during or shortly after treatment
• The use of this product where skin sores, pimples, rashes, hives, cysts, or infections are present should be postponed, as this may delay healing or make skin problems worse
• The effectiveness of removal of any dermal filler has not been studied
What Precautions should my specialist advise me about?
• Minimize strenuous exercise, exposure to extensive sun or heat, and alcoholic beverages within the first 24 hours following treatment. Exposure to any of these may cause temporary redness, swelling, and/or itching at the injection site
• Tell your specialist if you are using any medication that can prolong bleeding, such as aspirin, ibuprofen, or other blood thinners, as this may increase bruising or bleeding at the injection site
• Tell your specialist if you are planning laser treatment, chemical peeling, or any other procedure after SKINVIVE by JUVÉDERM®. There is a possible risk of an inflammatory reaction at the treatment site
• This product is intended for improving skin smoothness of the cheeks. The safety and effectiveness for treatment in other areas of the body have not been established
• Tell your specialist if you are on therapy used to decrease the body's immune response, as treatment may result in an increased risk of infection
• Tell your specialist if you are pregnant or breastfeeding. The safety for use during pregnancy, or in women who are breastfeeding, has not been studied
• Tell your specialist if you have a history of excessive scarring (thick, hard scars). The safety of this product in patients with a history of excessive scarring has not been studied and may result in additional scars
• Tell your specialist if you have a history of pigmentation disorders, as use of this product in patients with a history of pigmentation disorders has not been studied and may result in changes in pigmentation
What are the possible side effects of treatment?
The most commonly reported side effects were redness, lumps/bumps, swelling, bruising, pain, tenderness, firmness, discoloration and itching. Most side effects will resolve within 7 days. If they persist longer, your physician may choose to treat them with medications, such as antibiotics, steroids, or hyaluronidase. Additionally, there have been reports of inflammation, nodules, unsatisfactory result, loss or lack of improvement, allergic reaction, anxiety, blood vessel blockage, infection, dry skin, increase or decrease in sensation, and abscess.
Delayed-onset inflammation near the site of dermal filler injections is one of the known adverse events associated with dermal fillers. As with all skin injection procedures, there is a risk of infection.
To report a side effect, please call the Allergan® Product Support Department at 1-877-345-5372.
Please also visit SKINVIVE.com or talk to your specialist for more information.
SKINVIVE by JUVÉDERM® is available only by a licensed physician or properly licensed practitioner.
BOTOX® Cosmetic, SKINVIVE™, JUVÉDERM® and Allē are trademarks of Allergan Aesthetics, an AbbVie company, or its affiliates.