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Botox® Cosmetic for Wrinkles, Lines, and Facial Contouring

Aesthetic injectables · Riverside & Menifee

Botox® Cosmetic, placed by a physician.

Softer frown lines and crow’s feet, a lifted brow, a quieter jaw — treated by Rainier Guiang, MD, a board-certified anesthesiologist and pain physician who has been injecting facial and cervical anatomy for nearly two decades. Same medicine as the med spa down the street. Different hands.

Book a consult · $95Call 951 900 3253

Board-certified physician injector

$14 per unit, quoted before we start

Two offices — Riverside & Menifee

Areas we treat

Nine areas, and what each one usually takes

Botox is dosed in units, not syringes. Every muscle has a working range — a strong glabella needs more than a lip flip. These are typical ranges; your plan is built at the consult and quoted before a needle comes out.

Forehead linesFrown linesCrow’s feetBrow liftBunny linesLip flip and gummy smileChin dimplingMasseter and jawlineNeck bands

Hover or tap an area to find it on the face

Forehead lines6–15 units
Frown lines — the “11s”20–25 units
Crow’s feet12–24 units
Brow lift4–8 units
Bunny lines (nose)4–8 units
Lip flip · gummy smile4–8 units
Chin dimpling · downturned corners4–10 units
Masseter · jaw slimming30–50 units
Neck bands (platysma)26–60 units

What it’s used for

Two reasons people come in

Some of these are FDA-approved uses of Botox®. Others are long-established off-label uses — standard practice in aesthetic medicine, well documented, and legal for a physician to perform. We label which is which, because most clinics don’t.

FDA-approved uses

Lines & facial rejuvenation

  • Frown linesThe vertical “11s” between the brows — the original and most requested treatment.
  • Crow’s feetFine lines fanning from the outer corners of the eyes.
  • Forehead linesHorizontal lines, softened without freezing expression.
  • Neck bandsThe vertical platysma cords between jaw and neck. Approved for Botox® Cosmetic since 2024.
Off-label uses

Shaping & contour

  • Masseter / jaw slimmingSoftens a heavy, square jaw and the bulk that builds from clenching. Currently under FDA review for this use; treated off-label today.
  • Chemical brow liftA few units release the muscles that pull the brow down, opening the eye.
  • Lip flip & gummy smileRolls the upper lip outward, or lowers a high smile line.
  • Bunny lines, chin, mouth cornersNose crinkles, chin pebbling, and downturned corners of the mouth.
  • Trapezius / shoulder lineRelaxes bulky upper traps for a longer neckline — and less desk tension.

Treating pain rather than appearance? Therapeutic botulinum toxin is a separate treatment with different dosing and its own insurance pathway — see Therapeutic Botox for pain.

Off-label means the FDA has not reviewed Botox® for that specific use. It does not mean experimental — a licensed physician may prescribe an approved drug for an unapproved use based on the medical evidence, and these uses are supported by decades of published experience.

Pricing

You pay for units, not for areas

Per-area pricing hides how much product you actually got. We charge one flat price per unit, count the units out loud, and give you the number before we begin. Nothing is charged that wasn’t agreed to first.

$14per unit

Most first treatments land between 20 and 50 units — roughly $280 to $700.

Pricing current as of August 2026 and subject to change. Your exact total is confirmed at the consult.

Frown lines, the most common first treatment: 20 units × $14 = $280, quoted at the chair before we start.

  • Same per-unit price whatever the area — no premium for “advanced” zones.
  • Consultations are $95 and booked online through our scheduler. Treat the same day, or take the plan home and think about it.
  • You’ll hear the unit count and the total out loud before anything is injected.

What to expect

Fifteen minutes, then two weeks of quiet work

01 — Day 0ConsultBooked online, $95. We look at your face at rest and in motion, review your health history, and agree on areas and units.
02 — Day 0TreatmentA handful of injections with a very fine needle. Ten to fifteen minutes. Most people describe a quick pinch.
03 — Day 0Straight back to itNo downtime. Small red bumps settle within an hour; occasional bruising covers with makeup.
04 — Days 3–5It startsThe first softening appears. Judging the result before this point is judging it too early.
05 — Day 14Full effectPeak result, and the right moment to judge it. Effects typically last three to four months — longer in the jaw.

Before & after your visit

Small things that protect the result

  • Skip alcohol, fish oil, and anti-inflammatories for a couple of days beforehand if you bruise easily — never stop a prescribed blood thinner without asking us first.
  • Stay upright for four hours afterward.
  • Don’t rub, massage, or apply pressure to the treated areas for 24 hours.
  • No hard workouts, saunas, or hot yoga for 24 hours.
  • Hold off on facials, microneedling, and lasers over treated areas for two weeks.

Who should wait

When we’ll tell you no

Botox is very well tolerated, but it isn’t for everyone. We won’t treat you if you’re pregnant or breastfeeding, have an active skin infection at the injection site, or have had a reaction to a botulinum toxin product before.

Neuromuscular conditions — myasthenia gravis, Lambert-Eaton syndrome, ALS — and certain antibiotics change how the medication behaves, so bring your full medication list. If a filler or a skin treatment would serve you better than a neurotoxin, we’ll say so rather than sell you units.

Serious side effects are rare but real: the effect can spread beyond the injection site, causing swallowing or breathing difficulty. Call us right away if that happens.

Questions

What people ask before their first appointment

Will I look frozen?
Not if it’s dosed properly. Being “frozen” is a dosing and placement problem, not a property of the drug. We start conservatively on new patients, see you at two weeks, and add units if you want more — adding is easy, removing is impossible.
How much does it cost?
$14 per unit. We price per unit rather than per area, so your cost depends on how many units your muscles actually need — typical first treatments run 20 to 50 units, or about $280 to $700. You’ll get an exact number at the consult, before anything is injected.
Is the consultation free?
No — it’s $95, booked online through our scheduler. You’re paying for a physician’s assessment: what’s actually causing the lines you don’t like, whether a neurotoxin is the right tool, and how many units each area needs. You can treat the same day or take the plan and think it over.
How long does it last?
Three to four months for most facial areas. Jaw (masseter) treatment often lasts five to six months. With regular treatment the muscles weaken over time and many patients need fewer units to hold the same result.
Does it hurt?
The needle is very fine and each injection takes a second. Most patients describe a brief pinch and skip numbing entirely. Ice or topical numbing is available if you’d like it.
Who actually does the injecting?
Dr. Rainier Guiang, MD — board-certified in anesthesiology and pain medicine, and director of Regenerative Medicine at University Pain Consultants. Facial and cervical anatomy is the same anatomy he works in every day under ultrasound and fluoroscopy.
Is Botox® the same thing as filler?
No. Botox relaxes the muscle that creates a moving wrinkle. Filler adds volume to a hollow or a crease that’s there whether or not you move. Lines that show only when you frown or squint are a neurotoxin’s job; lines etched at rest may need something else, and we’ll tell you which you have.
What if my problem is pain, not appearance?
Then you want therapeutic botulinum toxin, which is a different treatment: different dosing, different injection map, and its own insurance pathway. Dr. Guiang does that work too — it just lives on a separate page. See Therapeutic Botox for pain, or ask at your consult and we’ll point you to the right visit.
What if I don’t like the result?
Tell us at about the two-week mark, once it has fully set. If it’s under-treated we can add units. If it’s asymmetric we can usually balance it. If it’s simply more than you wanted, the honest answer is that it wears off in a few months — which is exactly why we start conservatively with new patients.

Where to find us

Two offices in the Inland Empire

Serving Riverside, Menifee, Moreno Valley, Corona, Perris, Sun City, Canyon Lake, Wildomar, Murrieta, Temecula, Lake Elsinore, and Hemet.

Riverside6900 Brockton Avenue, Suite 203
Riverside, CA 92506951 900 3253
Menifee27990 Sherman Road
Menifee, CA 92585951 900 3253

Related care

Often combined with

PRP & PRF for skinTexture and tone, using your own plateletsPRP & PRF for hairThinning hair and hairline restorationRed light therapyCollagen support between treatmentsTherapeutic Botox for painThe medical side, dosed and billed differently

Start with a conversation, not a needle.

Tell us what bothers you when you look in the mirror. We’ll tell you honestly whether Botox is the right answer.

Book a consult · $95951 900 3253

BOTOX® and BOTOX® Cosmetic are registered trademarks of Allergan, Inc., an AbbVie company. Regenerative Medicine at UPC is not affiliated with, endorsed by, or sponsored by Allergan or AbbVie.

Individual results vary and are not guaranteed. Botulinum toxin treatment is temporary and must be repeated to maintain results. Uses labeled “off-label” on this page have not been evaluated by the FDA for that indication; they are prescribed at the discretion of a licensed physician. This page is general health information, not medical advice, and does not create a physician-patient relationship. Talk with Dr. Guiang about the risks, benefits, and alternatives that apply to you.

Regenerative Medicine at UPC · Rainier Guiang, MD, Director · 951 900 3253 · regeneration@unipain.com