Conveniently located to serve the areas of San Antonio, TX

botox san antonio

BOTOX Cosmetic is a popular, injectable material that is used to paralyze the muscles that cause wrinkles and creases on the face. Wrinkles are caused mainly by repeated muscle action like frowning.  You would be surprised by how many of your friends have had Botox and you don’t notice it.


Botox is used for over 180 medical conditions and has many cosmetic uses. Many years ago, the FDA approved the use of Botox to treat wrinkles between the eyes and crows feet on the outside of the eyes. FDA-approved Botox also helps with:

  • Temporary smoothing of facial wrinkles and improving your appearance
  • Severe underarm sweating
  • Cervical dystonia – a neurological disorder that causes severe neck and shoulder muscle contractions
  • Blepharospasm – uncontrollable blinking
  • Strabismus – misaligned eyes
  • Chronic migraine
  • Overactive bladder


Botox injections work by weakening or paralyzing certain muscles or by blocking certain nerves. The effects last three to 12 months, depending on what you are treating. The most common side effects are pain, swelling, or bruising at the injection site. You could also have flu-like symptoms, headache, and upset stomach. Injections in the face may also cause temporary droopy eyelids. You should not use Botox, or other non-prescribed drugs, if you are pregnant or breastfeeding.


A man or a woman who is in overall good health and would like to have a more youthful appearance by diminishing wrinkles on areas of the face and neck. Most patients find that they will need less Botox as the muscles atrophy or shrink and stop causing wrinkles. We have seen patients last as long as 6 months between treatments and even some last as long as a year.


Dr. Koneru will inject small doses of Botox to treat frown lines, worry lines across the forehead, crow’s feet lines, smile lines, lines around the mouth, downturned corners of the mouth, chin wrinkles, neck lines, “marionette” lines running down from the corners of the mouth, and excessively sweaty armpits, palms, and feet.


Men and women are surprised at how little pain they experience with Botox injections which have very small needles. For those who are especially sensitive to needles, we have special techniques to help minimize the pain.  Just let us know before your appointment.  There is no downtime. You may experience bruising at the site of the injections which diminishes in under a week. You can have Botox injected over your lunch hour and return to work!


For wrinkles, Botox is considered a cosmetic procedure and Insurance healthcare providers do not cover Botox. If you need Botox because of a medical condition, such as migraine headaches or excessively sweaty hands or armpits, your Insurance provider may cover it. If you have addressed the medical issue with your primary care physician and/or another doctor, and they have written letters verifying your medical condition, please bring the letters to your consultation. We will be happy to write one as well and submit it to your Insurance company for pre-authorization.