WHY CHOOSE DR. ANNIE BUINEWICZ?
AT HUNTERDON COUNTY, NJ and BUCKS COUNTY, PA
Dr. Annie Buinewicz is a board-certified family medicine physician with over 25 years of experience. She holds additional certifications in medical weight loss, body contouring, hair restoration, and aesthetic injectables including Botox®, Daxxify™, and dermal fillers. Dr. Buinewicz takes a holistic approach to care, focusing on the overall health and wellness of each patient.
At Buinewicz Plastic Surgery, Dr. Buinewicz personally treats every patient—ensuring high-quality, individualized care in a practice that truly prioritizes medical integrity and patient-centered service.
BOTOX®
BOTOX® Cosmetic is a prescription injectable that temporarily relaxes the facial muscles behind frown lines, forehead lines, and crow's feet. Treatment takes minutes, requires no downtime, and softens lines for three to four months.
BOTOX®
Introduction
Maybe you look tired in photos when you feel rested. Maybe the crease between your brows makes people ask if you are upset. These lines come from years of frowning, squinting, and raising your eyebrows, and they linger longer with age. At Buinewicz Plastic Surgery, Dr. Annie Buinewicz uses BOTOX to soften them while keeping your expressions natural. She plans and performs every injection herself. We welcome patients from Doylestown, PA and Bucks County, Flemington, NJ, the greater Philadelphia, PA area, and Hunterdon County, NJ.
TABLE OF CONTENTS
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What Is BOTOX?
BOTOX is the brand name for onabotulinumtoxinA, a purified protein given in tiny, measured doses. It belongs to a group of medications called neuromodulators, often nicknamed wrinkle relaxers. Neuromodulators are the most popular minimally invasive treatment in the U.S., making up half of all minimally invasive treatments.
BOTOX works best on dynamic lines. These lines appear when you make an expression and fade when your face is still. Static lines stay visible even at rest.
How Does BOTOX Work?
Every expression starts with a nerve signal telling a muscle to tighten. BOTOX temporarily blocks that signal in the specific muscles where it is placed. When those muscles relax, the skin above them stops creasing. Nearby muscles keep working normally, so you can still smile, laugh, and look surprised. Over a few months, the nerve signals gradually return, and so does the movement.
Am I a Good Candidate for BOTOX?
You may be a good candidate for BOTOX if you:
- Are an adult in good general health.
- Have lines that show up when you frown, squint, or raise your brows.
- Want a softer, more rested look without surgery or downtime.
- Understand that results are temporary and need regular maintenance.
BOTOX is not right for everyone. Dr. Annie will ask you to wait if you have an infection near the treatment area. She will also review your health history for conditions that affect the nerves and muscles, such as myasthenia gravis. Some antibiotics and other medications can change how BOTOX works, too.
If your lines are visible even when your face is at rest, BOTOX alone may not be enough. Static lines often need a different approach, such as dermal fillers or CO2 laser resurfacing. At your consultation, Dr. Annie will tell you which type of lines you have and what will help most.
How Should I Prepare for BOTOX?
Your visit begins with a call from our Patient Care Coordinator, who answers your first questions and schedules your consultation. Before treatment, a few simple steps help lower your risk of bruising and keep your appointment on track:
- Unless a doctor prescribed them, avoid aspirin, ibuprofen, and naproxen for two weeks.
- Tell us every vitamin, herb, and supplement you take, since some can increase bruising.
- Let us know if you are pregnant, breastfeeding, or planning a pregnancy.
- Book at least two weeks before a wedding, reunion, or other big event.
What Is Recovery Like After BOTOX?
There is no downtime after BOTOX. A few simple precautions help the medication stay where it was placed:
- Skip intense workouts for the first 12 hours.
- Do not rub, massage, or press on the treated areas for 24 hours.
- Avoid saunas, hot tubs, and other heat exposure for 24 hours.
Small bumps or redness at the injection sites fade on their own, usually within hours. A mild headache for a day or two is also possible. Less often, patients notice a temporarily drooping eyelid or brow.
How Long Does BOTOX Take to Work?
BOTOX is not instant, but it works quickly. Many patients see softer lines within 3 to 7 days, with the full effect at around two weeks. That timing is why we recommend booking at least two weeks before a big event.
How Long Does BOTOX Last?
Results last three to four months, and sometimes longer. As the effect fades, movement returns gradually rather than all at once.
Many patients plan their next visit when they notice lines starting to return, usually every three to four months.
Ready to Schedule Your BOTOX Consultation?
If expression lines make you look more tired or tense than you feel, BOTOX may help. We see patients at our offices in Doylestown, PA and Flemington, NJ. Many travel from across Bucks County, the greater Philadelphia, PA area, and Hunterdon County, NJ. Book an appointment to meet Dr. Annie and find out whether BOTOX fits your goals.
Source Index
- American Society of Plastic Surgeons. 2025 ASPS Procedural Statistics Release. Arlington Heights, IL: ASPS; 2026. https://www.plasticsurgery.org/documents/news/statistics/2025/plastic-surgery-statistics-report-2025.pdf
- AbbVie Inc. BOTOX Cosmetic (onabotulinumtoxinA) for injection, for intramuscular use: Full Prescribing Information. Revised October 2024. https://www.rxabbvie.com/pdf/botox-cosmetic_pi.pdf
- Naumann M, Lowe NJ. Botulinum toxin type A in treatment of bilateral primary axillary hyperhidrosis: randomised, parallel group, double blind, placebo controlled trial. BMJ. 2001;323(7313):596-599. https://doi.org/10.1136/bmj.323.7313.596
- Small R. Botulinum toxin injection for facial wrinkles. Am Fam Physician. 2014;90(3):168-175. https://www.aafp.org/afp/2014/0801/p168.html
- Brin MF, De Boulle K, Liew S, et al. Safety and tolerability of onabotulinumtoxinA in the treatment of upper facial lines from global registration studies in 5298 participants: a meta-analysis. JAAD Int. 2024;14:4-18. https://doi.org/10.1016/j.jdin.2023.07.021
- American Academy of Dermatology. Botulinum toxin therapy: overview. https://www.aad.org/public/cosmetic/wrinkles/botulinum-toxin-overview
Our Locations
Doylestown Office
Hours:
Monday – Friday
8:00 a.m. – 5:00 p.m.
Flemington Office
Hours:
Tuesdays 8:00 a.m. – 12:00 p.m.
Thursdays 1:00 p.m. – 5:00 p.m.
Fridays 9:00 a.m. – 12:00 p.m.