Botox Cosmetic for Wrinkles & Facial Lines
Fine lines and facial wrinkles are a natural part of aging—but for many, they start to appear sooner or more prominently than expected. Years of facial expressions like frowning, laughing, or squinting can gradually lead to etched lines across the forehead, between the brows, and around the eyes.
At Mackay Vein & Circulation Specialists, we offer FDA-approved Botox® treatments to help soften these lines and restore a more refreshed, relaxed appearance. With decades of medical expertise and a focus on subtle, natural results, our team provides personalized care to help you feel confident in your skin.
Call us for a complimentary facial rejuvenation consultation at 727-527-2888.

What is Botox?
Botox is a prescription medication derived from botulinum toxin type A. It has been FDA-approved for the temporary reduction of moderate to severe frown lines, forehead lines, and crow’s feet in adults.
Rather than filling in wrinkles, Botox works by targeting the underlying muscle activity that causes dynamic wrinkles—those formed by repeated facial expressions such as frowning, squinting, or smiling.
Common treatment areas of the face:
Meet the Botox Expert
When administered by a trained medical professional, Botox provides subtle yet noticeable smoothing of facial lines, helping patients achieve a refreshed, more youthful appearance.
- Marissa Tufariello PA-C, RVT
Botox Results.
Click on the images to reveal how Botox with Juvederm was able to produce these results.
How Does Botox Work?
Wrinkles form when facial muscles repeatedly contract over time. With age, the skin loses elasticity and these lines become more pronounced. Botox works by temporarily blocking the nerve signals that cause these muscles to contract.
Once the treated muscles are relaxed:
- The overlying skin becomes smoother
- Wrinkles and fine lines soften in appearance
- Further deepening of lines is prevented with regular treatment
Keeping your Natural Look
Botox does not affect areas of the face that are not treated, so your natural expressions are preserved.
The goal of our Botox experts is not to "freeze" your face but to soften unwanted lines while maintaining a natural look.
What to Expect from Treatment
Your Consultation:
This initial appointment allows your provider to evaluate your needs and ensure Botox is a safe and effective option for you. During this time, you’ll receive a detailed assessment and treatment plan.
Your provider will typically cover:
- Reviewing your medical history
- Assessing your facial anatomy and wrinkle pattern
- Discussing your goals and expectations
- Determining if Botox is the right option for you
Your Procedure:
Botox injections are quick and minimally invasive. Here's what you can expect.
During your visit for treatment:
- Botox is administered via a series of small injections using a fine needle
- The process typically takes 10 to 20 minutes and does not require anesthesia
- Most patients report minimal discomfort—often described as a quick pinch
- No incisions or downtime required
- You can return to normal activities immediately
- Aftercare instructions will be provided to optimize your results
Your Results:
Botox doesn’t work instantly, but the effects appear soon after treatment and gradually improve. Understanding the typical timeline can help set realistic expectations.
Estimated timeline:
- Initial results may be visible in 3 to 5 days
- Full results are typically seen by day 10 to 14
- The effects usually last up to 4 months
- Maintenance treatments can extend results and prevent lines from re-forming
Ready to get started with a Botox Consultation at Mackay Vein & Aesthetics?
Please submit the appointment request form or call us direct at 727-527-2888.
LEARN MORE IN OUR BOTOX GUIDE
Is Botox Right for You?
Botox is an excellent option for many adults looking to reduce facial wrinkles. However, it’s not suitable for everyone. Ideal candidates include:
Adults age 18 and older with moderate to severe dynamic wrinkles
Individuals in good general health
Patients looking for non-surgical, temporary cosmetic improvements
You may not be a good candidate if you:
Are pregnant or breastfeeding
Have a history of neuromuscular conditions (such as ALS or myasthenia gravis)
Are allergic to any of the ingredients in Botox
Have an active infection at the proposed injection site
During your consultation, we will help determine if Botox—or another treatment—is the best option for your goals.
Frequently Asked Questions
Is Botox safe?
Yes. Botox is FDA-approved and has been used for decades in both cosmetic and medical applications. When administered by an experienced medical provider, it has a strong safety profile. At Mackay Vein, your treatment is always performed by highly trained professionals in a clinical setting.
Will Botox freeze my face?
This is a common misconception. When used appropriately, Botox simply relaxes targeted muscles—it does not eliminate your ability to show expression. Our expert injectors focus on precision placement to ensure natural, refreshed results.
How often will I need Botox?
Most patients find that Botox lasts up to four months. To maintain optimal results, many choose to schedule treatments three to four times per year. With regular use, some patients report that results last longer and require fewer units.
Does it hurt?
Discomfort is minimal. Injections are done with a very fine needle, and most patients compare the sensation to a quick pinch or insect bite. The procedure is fast, and numbing is rarely needed. Minor redness or swelling at the injection site is normal and typically resolves within hours.
Why Patients Choose Mackay Vein & Circulation Specialists
When it comes to your face, precision and experience matter. At Mackay Vein, all injectable treatments are performed with the same high standards of medical care that have defined our practice for over 30 years.
Our approach is rooted in:
- Trusted Medical Expertise: Led by board-certified vascular surgeon Dr. Edward G. Mackay, our team brings decades of clinical experience and anatomical knowledge to every treatment.
- Expert Cosmetic Care: Aesthetic services are provided by Bethany Berghoffer, PA-C, a certified Physician Assistant with specialized training in Botox®, Xeomin®, and dermal fillers. Her detail-oriented approach helps patients achieve natural-looking results safely and comfortably.
- Personalized Treatment Plans: We take the time to understand your goals and tailor each treatment to complement your unique features—never a one-size-fits-all approach.
- A Reputation for Results: Patients across St. Petersburg and the Tampa Bay area choose us for our consistent outcomes, professional integrity, and commitment to patient-centered care.
Refresh Your Look with Botox at Mackay Vein & Circulation Specialists
Botox offers a safe, nonsurgical way to soften expression lines and restore a smoother, more youthful appearance. Our experienced team provides personalized care and expert treatment planning to help you feel your best.
We look forward to seeing you at one of our three convenient locations in Tampa Bay: in Palm Harbor, St. Petersburg, or Largo in southwest Florida.
Why choose Bethany Berghoffer PA-C for your injectable treatment
Bethany, a Northern Virginia native, has been a certified Physician Assistant since 2003. With over a decade of experience at our practice and extensive training in both medical and cosmetic services—including Botox, Xeomin, and dermal fillers—Bethany is known for her thoughtful, personalized approach and skilled aesthetic touch.
Patients trust her to deliver natural-looking results while ensuring safety and comfort throughout the process.

