Available at our Bedford, NH & Lynnfield, MA locations
Botox
Smooth, Refresh, and Rejuvenate
Reduce fine lines and wrinkles that form when facial expressions are made. As your skin ages these repeated expressions cause lasting static lines. Neuromodulators block the chemicals that cause muscle contraction, so these lines are softened.
Neuromodulators
Toxin Follow-Up Policy
Every Botox and Xeomin treatment includes a complimentary 2-week follow-up to assess results and ensure precision. We do not perform touch-ups before 2 weeks to avoid over-treatment.
Complimentary touch-up units are provided only when medically appropriate, as determined by your provider. If your provider observes residual movement, asymmetry, or underdosing in treated areas and you received the provider-recommended initial dose additional units are administered at no charge.
If you personally want "more units" but your provider's assessment shows no residual movement, symmetric outcomes, and no medical indication for additional product, those units are not complimentary and will be charged at $13/unit (Xeomin) or $15/unit (Botox). Your provider may decline to administer additional units if doing so would cause over-treatment or complications.
New treatment areas not included in your original plan are charged transparently at standard per-unit pricing this is not a touch-up, it's an expansion of your treatment.
New patients are required to attend their 2-week follow-up. Established patients are encouraged but not required.
We treat based on clinical necessity and safety, not cosmetic preference beyond medical appropriateness.
Recommended Units
While dosing is always personalized based on your anatomy and desired results, treatment may fall within these general ranges and could be lower or higher depending on your needs.
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Frontalis/Forehead: Typically 14–30 units are used to relax forehead muscles, reducing horizontal lines and smoothing the brow area.
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Glabella/“11’s”: Around 18–30 units can soften the frown lines between the eyebrows for a more relaxed expression.
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Crow’s Feet: Usually 12–24 units are applied around the outer eyes to diminish fine lines and wrinkles.
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Lip Flip: 4–12 units can subtly lift the upper lip for a gentle, natural smile enhancement.
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Nose / Bunny Lines: 10–24 units help soften lines on the bridge of the nose when smiling or scrunching.
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Depressor Anguli Oris (DAO): 8–14 units relax the muscles at the corners of the mouth to reduce a downward-turning expression.
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Platysmal Bands: 36–60 units target vertical neck bands for a smoother, more youthful neckline.
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Masseter/Jawline Slimming: 40–60 units are used to relax jaw muscles, improving jawline contour and reducing teeth grinding.
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Underarms/Sweat Tox: 60–100 units are used to reduce excessive underarm sweating and improve comfort and confidence.
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Hands: 60–80 units target sweat glands in the hands for relief from palmar hyperhidrosis.
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Migraines/Chronic Migraine Relief: 150–200 units are strategically injected across the head and neck to reduce the frequency and severity of chronic migraines.
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Trapezius/Shoulder & Neck Tension: 30–60 units relax the trapezius muscles to relieve tension and discomfort.
Why Facial Balance Matters: Treating Botox/Xeomin as a System, Not Isolated Areas
At PM Aesthetics, we often encounter patients who want to treat just one area of their face—crow's feet, forehead, or frown lines (11s)—while leaving adjacent areas untreated.
We understand the reasoning: you have a specific concern, a budget, or you want to "start small" before committing to more comprehensive treatment.
And we'll always accommodate your preferences.
But we also have a responsibility to educate you about what results you can realistically expect—and why treating isolated areas sometimes creates outcomes you won't be happy with.
The Problem with Treating Only One Area
Your face functions as an interconnected system. The muscles that control your forehead, frown lines, and crow's feet work together to create facial expressions.
When you relax ONE set of muscles while leaving adjacent areas untreated, you can inadvertently:
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Create visual imbalance → The untreated areas become more noticeable by contrast
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Shift muscle compensation → Untreated muscles work harder, creating new lines
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Produce asymmetry → One side of your face ages differently than the other
Common examples:
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Treating crow's feet only → Forehead and 11s now stand out more because they're still moving while the crow's feet are smooth
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Treating forehead only → Can cause the brows to feel heavy or make frown lines more prominent
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Treating 11s only → Forehead muscles compensate by overworking, creating horizontal lines that weren't as noticeable before
The result: You've spent money on treatment, but you're not satisfied because the imbalance is now MORE obvious than it was before.
The Problem with Undertreating (Using Too Few Units)
Some patients request "just a little bit" of Botox or Xeomin—fewer units than clinically recommended—hoping to save money or achieve an ultra-subtle result.
Here's the issue:
Neurotoxins require a minimum effective dose to produce visible results. If we use too few units, the treatment often doesn't work at all.
What happens:
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The treated area still moves (because the dose wasn't sufficient)
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You don't see the improvement you expected
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You feel like you wasted your money
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We look ineffective (even though we warned you this might happen)
Nobody wins.
You're disappointed. We're frustrated. And the treatment didn't achieve its purpose.
Our Recommendations for Optimal Results
1. Treat the upper face as a unit.
For most patients, treating the forehead + frown lines (11s) + crow's feet together produces balanced, natural-looking results. This approach prevents compensation patterns and maintains facial harmony.
2. Use the clinically appropriate dose.
We calculate dosing based on your muscle strength, treatment goals, and facial anatomy. Using the recommended amount ensures you'll see results without looking frozen or overdone.
3. If budget is a concern, consider phasing or membership.
Phased approach: Start with the most impactful area (often the 11s or forehead), then add other areas over time as budget allows.
Membership pricing: Our membership program significantly reduces the cost per unit, making comprehensive treatment more affordable month over month.
What we DON'T recommend: Undertreating multiple areas just to "spread the budget." It's better to treat one area WELL than to treat three areas inadequately.
We'll Always Meet You Where You're At
If you strongly prefer to treat only one area, or if you want to start conservatively, we'll accommodate your request.
But we'll also:
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Explain what results you can realistically expect
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Discuss potential drawbacks (imbalance, compensation, asymmetry)
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Offer alternative approaches that might serve your goals better
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Document your preferences and our recommendations in your chart
Our goal is informed consent, not pressuring you into more treatment than you want.
But we also won't set you up for disappointment by agreeing to a plan we know is unlikely to produce the outcome you're hoping for.
The Bottom Line
Botox and Xeomin are medical treatments, not retail products.
Effective treatment requires:
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Proper dosing based on muscle strength and treatment area
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Balanced approach that considers how facial muscles work together
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Realistic expectations about what results are achievable
We're here to guide you toward outcomes that will make you happy—not just take your money and hope for the best.
If you're unsure what approach is right for you, schedule a complimentary consultation. We'll assess your facial anatomy, discuss your goals and budget, and create a treatment plan that's both clinically sound and financially realistic.
Why We Only Use Merz and Allergan Injectables
At PM Aesthetics, we don’t cut corners or chase trends. We exclusively use Merz and Allergan injectable products, the two gold-standard manufacturers in medical aesthetics. These are the brands backed by decades of clinical data, global safety studies, and proven, consistent results.
We don’t gamble with off-brand or gray-market products just to save a few dollars. Our patients trust us for outcomes that are safe, natural, and precise, and that means using the best science available, not the cheapest option.
Better ingredients. Better data. Better results. That’s why we only inject Merz and Allergan.
What Our Clients Say
Very professional staff. Wonderful people made me feel very comfortable great value. Dr Keady spent the time to consult with me about all the options. I went with the Botox and I look 10 years younger already. My wife can't keep her hands off me. Very highly recommended.
Steve
October 2025
PRE-TREATMENT INSTRUCTIONS
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Remove all jewelry from the treatment area.
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If possible, remove all makeup in the treatment area.
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Avoid excessive sun exposure (or tanning beds) 1 week prior to treatment.
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Avoid non-steroidal anti-inflammatories (NSAIDS) such as ibuprofen, Advil, aspirin, Aleve (unless taking these medications for a medical condition).
POST-TREATMENT INSTRUCTIONS
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Sit up straight for the next 4-6 hours.
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Avoid intense exercise for 24 hours post injection.
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Avoid direct sunlight, saunas, & hot tubs for 48 hours.
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Avoid alcohol consumption for 24 hours.
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Avoid wearing hats for 24 hours.
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Do not touch or massage the treatment area.
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Avoid all blood thinners before & after.
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Avoid retinol for 48 hours.
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You may gently apply ice and use arnica cream for bruising.
Before & After: The PM Aesthetics Difference
Our Providers’ Right to Say No
At PM Aesthetics, your safety and long-term results come before sales. Our medical providers have both the authority and the ethical duty to decline treatments that aren’t in your best interest—whether it’s unsafe, unnecessary, or likely to produce an unnatural result.
We’re not here to say “yes” to everything; we’re here to practice medicine responsibly and help you achieve outcomes you’ll still love a year from now.
FREQUENTLY ASKED QUESTIONS
Botox is a purified protein injected into specific muscles to temporarily relax them, reducing the appearance of fine lines and wrinkles.
It works by blocking nerve signals in the targeted muscles, preventing them from contracting and causing wrinkles.
Most sessions take about 10–30 minutes, depending on the number of areas being treated.
Most clients report minimal discomfort. Tiny needles are used, and some practitioners may apply a topical numbing cream if needed.
Results typically appear within 3–7 days, with full results visible around 2 weeks.
Results usually last 3–4 months, but this can vary depending on individual metabolism and treatment area.
Most clients return every 3–4 months to maintain results.
Both Xeomin and Botox are FDA-approved neuromodulators that reduce wrinkles by relaxing targeted muscles. The main difference is that Xeomin is “naked,” meaning it contains only the active ingredient without any additives, while Botox contains small accessory proteins. This can make Xeomin slightly less likely to trigger resistance over time, though both products are very safe and effective. Results and duration are similar for most people.
Clinical Standards You Can Trust
At PM Aesthetics, every neurotoxin treatment is performed under our comprehensive Clinical Standards framework. Our providers are never commissioned, our products are always pharmaceutical-grade (Merz & Allergan only), and our recommendations are based solely on medical appropriateness—not sales quotas. We also reserve the right to refuse treatment if it's not in your best interest.
ToxBooster Add-On
Elevate your Botox results with the ToxBooster treatment, which pairs a medical-grade VI Peel with your Xeomin® or Botox® injections in one visit. This powerful combination refines skin texture and tone while softening lines—delivering a brighter, smoother, more youthful look in about a week.
Lift and Define with the Lip Flip
Get a naturally lifted, more defined smile with our $69 Lip Flip. This quick, non-invasive treatment uses Botox to gently relax the muscles around the upper lip, creating a subtle lift without adding extra volume. Perfect for patients seeking a youthful, balanced look, the Lip Flip is an easy, affordable way to refine your results or complement lip filler treatments.
Join Us on Your Aesthetic Journey
Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.