Botox in New Braunfels, TX is one of the most requested treatments at Elect Dermatology — and one of the most misunderstood. Done well, botulinum toxin softens the lines that make you look tired or stern while leaving your natural expressions intact. Done poorly, it produces the frozen, heavy-browed look that gives the treatment a bad name. The difference is rarely the product; it is the person holding the syringe. At Elect Dermatology, every Botox treatment is performed by a board-certified, residency-trained M.D. dermatologist — never delegated to a technician — in a medical practice equipped to handle the full picture of your skin, not just the cosmetic surface.
What Botox Is and How It Works
“Botox” has become the everyday word for an entire family of treatments: botulinum toxin type A, a purified protein that temporarily relaxes the small facial muscles whose repeated contractions fold the skin into lines. When a precise, tiny dose is injected into a specific muscle, it blocks the nerve signal that tells that muscle to contract. The muscle rests; the overlying skin stops creasing; and the line it was carving softens — often dramatically. Nearby muscles keep working normally, which is why properly placed treatment does not change your ability to smile, squint, or look surprised.
At Elect Dermatology, the neuromodulator we primarily use is Jeuveau® (prabotulinumtoxinA) — a modern botulinum toxin FDA-approved in 2019 and developed specifically for aesthetic use. It works the same way as Botox® Cosmetic, with comparable onset and duration; many of our patients simply know it as “the Botox appointment,” and that is fine by us. What matters is not the brand on the vial but the accuracy of the assessment and the placement — which is where your dermatologist comes in.
This mechanism is why Botox works on dynamic wrinkles — lines created by motion — and why it is the wrong tool for volume loss, sagging, or creases that are present at rest. Those concerns respond better to dermal fillers, chemical peels, or RF microneedling, and part of a dermatologist’s job is telling you honestly which category your concern falls into. According to the American Academy of Dermatology, botulinum toxin injection is among the most commonly performed cosmetic procedures in the United States, with a decades-long track record when administered by qualified physicians.
What We Treat
Frown lines (the “11s”): The vertical creases between the eyebrows are the classic neuromodulator target — the area where botulinum toxin was first established in landmark clinical trials (J Am Acad Dermatol) and the indication Jeuveau is FDA-approved to treat.
Crow’s feet: The fan of lines at the outer corners of the eyes that deepen when you smile or squint — in sun-drenched Central Texas, often the first area patients notice. A well-established physician-directed use of botulinum toxin.
Forehead lines: The horizontal rows that appear when you raise your brows. This is the area where dosing judgment matters most: too much product placed too low is what causes brow heaviness. Treating the forehead well means balancing it against the frown-line muscles so the brow stays lifted and mobile.
Brow shaping and other refinements: Small, carefully placed doses can subtly lift the tail of the brow, soften a dimpled chin, or relax the bands that ring the neck. These are finesse treatments we plan individually at your consultation.
We do not use Botox for hyperhidrosis or migraine treatment at Elect Dermatology; our injectable practice is focused on facial rejuvenation, where we can deliver consistently excellent results.
Why a Board-Certified Dermatologist Should Do Your Botox
Texas allows a wide range of providers to inject Botox, which is why you see it offered at med spas, salons, and even dental offices. Legal is not the same as equivalent. A board-certified dermatologist has completed four years of medical school and a three-year dermatology residency devoted specifically to skin, its underlying anatomy, and its diseases — training that matters at three moments: when your facial anatomy is assessed and dosed (the difference between refreshed and frozen), when something on your skin deserves a medical eye (we routinely catch suspicious lesions at cosmetic visits), and in the rare event of a complication, which a physician can recognize and manage immediately rather than referring you elsewhere. We wrote a full guide to this difference: Board-Certified Dermatologist vs. Med Spa: Why It Matters.
At Elect Dermatology, your injector is Dr. Stephen Stahr or Dr. Alfred Hockley — the same physicians who perform our skin cancer and medical dermatology care. Botox here is practiced as medicine, not retail.
What to Expect at Your Appointment
Consultation first. We look at your face in motion — how your muscles actually move — and listen to what bothers you. We will tell you plainly whether Botox will address it, how many units we recommend and why, and what it will roughly involve over a year of maintenance. If a different treatment would serve you better, we will say so.
The treatment itself takes about ten minutes. Using a very fine needle, we place a series of small injections into the planned muscles. Most patients describe each as a brief pinch; no numbing is typically needed. There is no downtime — you can return to work immediately.
Simple aftercare. For the rest of the day: stay upright for several hours, skip strenuous exercise, and do not rub or massage the treated areas (this keeps the product where it was placed). Mild redness or pinpoint bruising at injection sites can occur and typically resolves quickly.
Results on a predictable timeline. Expect first softening within 3–7 days and the full effect at about two weeks — which is when we like to see anything that needs a minor touch-up. Results typically last 3–4 months, sometimes longer with repeat treatment, and fade gradually rather than abruptly (Mayo Clinic). Most patients settle into a comfortable rhythm of three to four visits per year.
Botox in a Central Texas Skin-Care Plan
Living in New Braunfels means living with some of the most intense year-round sun exposure in the country, and no injectable can outrun ultraviolet damage. The patients who get the most from Botox pair it with disciplined daily sun protection — the single highest-return habit in all of dermatology — and, where appropriate, treatments that address skin quality rather than muscle motion: a medium-depth chemical peel for sun damage and uneven tone, or RF microneedling for texture and laxity. Because we are a full medical and surgical dermatology practice, your cosmetic plan is built alongside your skin-health plan: the same visit that maintains your Botox can flag a changing mole for a closer look. That combination — aesthetics inside real medicine — is the quiet advantage of having your injectables done at a dermatology practice.
A practical note on timing: Botox requires no downtime and no sun avoidance, so it fits any season. If you are planning ahead for an event — a wedding, reunion, or holiday photos — book four to six weeks out, so the full effect is in place and any touch-up is done with time to spare.
Safety and Side Effects
Botulinum toxin type A has been used cosmetically for over two decades and carries one of the most extensively studied safety records in aesthetic medicine; Jeuveau earned its FDA approval through head-to-head trials against Botox Cosmetic. In healthy adults treated by an experienced physician, side effects are usually limited to temporary injection-site redness, swelling, or bruising, and occasionally a mild short-lived headache. Uncommon effects such as a temporary drooping eyelid are strongly technique-dependent — another reason injector training matters — and resolve as the product wears off. We review your medical history and medications at your consultation; neuromodulators are not used during pregnancy or breastfeeding, or in patients with certain neuromuscular conditions.
Common Questions About Botox in New Braunfels
How much does Botox cost?
Cost depends on the areas treated and the units your anatomy requires, which is why we quote it at your consultation rather than advertising a one-size number. Beware of pricing that seems too good to be true — heavily discounted product may be over-diluted or injected by minimally trained staff.
Will I look frozen?
Not when dosing is tailored to your muscles. Our goal is that you look like yourself on a well-rested week — colleagues notice you look fresher, not that you have had something done.
What age should I start?
There is no single right age. Some patients start in their late twenties or thirties, when lines first begin to persist at rest (“preventive” use); others start later to soften established lines. What matters is treating an actual, motion-related concern — we will tell you honestly if you do not need it yet.
Is Jeuveau as good as Botox?
Jeuveau is the same molecule class (botulinum toxin type A) at the same clinical strength, FDA-approved on the strength of head-to-head trials against Botox for frown lines. Onset, results, and duration are comparable. It is a newer product built purely for aesthetics — and it lets us deliver the “Botox result” patients ask for, often at better value. If you have had Botox before, the experience will feel identical.
Botox or filler — which do I need?
Botox relaxes lines caused by movement in the upper face; fillers restore volume and structure, most often in the lower face — cheeks, lips, jawline. Many patients eventually use both, but they solve different problems. The consultation sorts this out in minutes.
How long does an appointment take?
Plan on about 30 minutes for a first visit including consultation; maintenance visits are often 15 minutes.
Is there anyone Botox is not right for?
Yes — pregnancy, breastfeeding, certain neuromuscular disorders, active skin infection at the injection site, and known allergy to the product’s components. This is exactly the screening a physician-run practice does as a matter of course.
Botox at Elect Dermatology
Ready to see what expertly placed Botox can do — or want an honest opinion on whether it is even the right treatment for you? Call (833) 353-2875 or schedule a consultation with Dr. Stahr or Dr. Hockley at 2154 Gabriels Pl, Ste 103, New Braunfels, TX 78130. We serve patients throughout New Braunfels, Seguin, San Marcos, and the surrounding Hill Country.
Medically reviewed by the board-certified dermatologists of Elect Dermatology.