BOTOX® Cosmetic

Sometimes the earliest signs of aging are the most upsetting, especially those fine lines and wrinkles around the eyes and brow area. Frown lines and crow’s feet are known as dynamic wrinkles, and develop as a result of the repetitive muscle movement that occurs when making normal, everyday facial expressions. BOTOX® Cosmetic offers a nonsurgical solution that can help men and women look years younger simply by allowing facial muscles to relax, which in turn erases the resulting dynamic wrinkles.

Recognized as a skilled BOTOX® Cosmetic injector and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. Dr. Koehler offers a wide range of medical spa and plastic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach.

Shop now for medical-grade wrinkle-fighting skin care products in our online storefront! You can also contact us online or call Eastern Shore Cosmetic Surgery at 251-929-7850 to schedule your BOTOX® consultation today.

Are You a Candidate?

If you’ve recently noticed the development of wrinkles at the outer corners of the eyes (crow’s feet), vertical lines between the brows (frown lines) or horizontal forehead lines, BOTOX® Cosmetic injections may be able to help. Men and women considering BOTOX® should be in good physical and mental health, and have realistic expectations about their results.

Although known as a quick, effective treatment that can help you look younger and more refreshed, BOTOX® doesn’t add volume when injected, and won’t improve the appearance of sagging skin. Some wrinkles, like the laugh lines around the mouth, are caused by age-related volume loss rather than muscle movement, and are better treated with dermal fillers, while more advanced aging may require facial cosmetic surgery. Dr. Koehler will discuss treatment choices with you in more detail at your consultation.

Meet Dr. Koehler

Educated at the University of Alabama and in practice for over 15 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

About BOTOX® Cosmetic

Facial muscles are attached to the overlying skin, so the skin bunches together every time muscles contract. This movement forms lines in the skin over time, most commonly above the eyebrows, across the forehead and at the outer corners of the eyes. When injected directly into the muscles, BOTOX® blocks the nerve signals telling the facial muscles to contract into expressions like smiling or frowning. As a result, the treated muscles are weakened or paralyzed, which allows both muscles and skin to settle into a smooth, unlined appearance.

BOTOX® is commonly used to treat visible signs of aging, but an increasing number of men and women are looking into BOTOX® as a preventative treatment to help limit the formation of those dynamic wrinkles in the first place. Dr. Koehler will talk about both of these options with you during your consultation so you can learn more about how BOTOX® works and whether it’s right for you.

Please visit our Real Patient Photo Gallery to see real patients just like you before and after getting BOTOX®.

BOTOX® Cosmetic Costs

The cost for BOTOX® injections from our practice is $12/unit, so your total will vary depending on the level of correction needed, the size of the area being treated, your specific goals and whether additional procedures are performed at the same time. Eastern Shore Cosmetic Surgery also supports the Brilliant Distinctions® program from the makers of BOTOX®, which allows patients to collect reward points for med spa treatments that can be redeemed against future appointments. Dr. Koehler and his staff are happy to answer any questions you may have about cosmetic procedure pricing and help you fully understand the costs associated with BOTOX®.

What to Expect

During your consultation, Dr. Koehler will ask you about your appearance concerns and explain the target areas that he feels will be most effective in meeting your goals. He’ll also explain what you can expect during your treatment and talk about the results you’re likely to see.

Because BOTOX® is completely nonsurgical, patients can enjoy treatment as a very brief outpatient procedure that can even be completed over a lunch break. Additionally, since there’s no downtime afterwards, your appointment can be scheduled at a time that’s convenient for you without concerns over having to take time off work or away from your daily routine.

At your appointment time, Dr. Koehler will ask you to make several facial expressions, which allows him to examine your facial muscles in order to determine where to place the BOTOX® injections for the best results. Next, the product is injected into the targeted areas. Dr. Koehler uses several techniques so that you feel little to no discomfort during this procedure.

After your session, you can simply return to life as normal, making sure to keep your head upright for the first 4 hours following your appointment. Rarely, you may notice a bit of blood at the injection site, and some patients experience minor swelling or bruising. However, these side effects are very rare when BOTOX® is administered by an experienced injector.

Risks and Complications

BOTOX® Cosmetic is considered a very low-risk procedure, especially when injections are performed by a cosmetic surgeon with a great deal of technical expertise. It’s possible, although rare, for some patients to have an unanticipated response to BOTOX® such as droopy eyelids, headaches or other negative reactions. Dr. Koehler will discuss all the risks and benefits associated with BOTOX® during your consultation so you can feel fully prepared about what to expect.

Your New Look

You should see the results of your BOTOX® treatment within a few days to a week. Visible wrinkles in the treated area should soften significantly or disappear entirely, leaving you looking rested and refreshed yet very natural. The effects of BOTOX® are temporary, and generally last anywhere from 3 to 4 months before they gradually fade away. Dr. Koehler and his staff can work with you to schedule ongoing treatment sessions at regular intervals to maintain your new look long-term.

Dr. Koehler has the right combination of surgical skill and focus on patient care to help you feel and look your best. Please don’t hesitate to Contact us online and schedule your BOTOX® Cosmetic consultation today, or call us at 251-929-7850.


BOTOX® Cosmetic
Service Type
BOTOX® Cosmetic
Provider Name
Dr. James Koehler,
7541 Cipriano Ct.,Fairhope,Alabama-36532,
Telephone No.(251) 929-4051
Board certified cosmetic surgeon Dr. James Koehler offers BOTOX Cosmetic and a range of med spa offerings for those in the Mobile-Pensacola metro area.