We are now offering in-person office visits with the necessary precautions due to COVID-19. We look forward to seeing you. Call us to book your appointment today.

Skip to main content


Josier M. Nisnisan, MD -  - Internist

Royal Oaks Medical Home and Wellness Clinic

Josier M. Nisnisan, MD

Internist located in Sugar Land, TX

As you age, your skin ages with you, leading to fine lines, wrinkles, and expression lines. Although signs of aging are normal, they can lead to stress and feelings of low self-esteem. Instead of letting wrinkles get you down, fight back with BotoxⓇ. Dr. Josier Nisnisan can treat your trouble areas at his office in Sugar Land, Texas. At the Royal Oaks Medical Home and Wellness Clinics, Dr. Nisnisan can help you look as young as you feel. Please contact 713-360-9600 for more information.

Botox Q & A

What is Botox?

Botox is an FDA-approved cosmetic treatment designed to improve the appearance of crow’s feet, fine lines, and wrinkles. During a Botox treatment, Dr. Nisnisan administers injections into specific facial muscles. Each injection contains a small amount of Clostridium botulinum, a purified botulinum toxin. This toxin paralyzes your facial muscles, preventing them from contracting and creating deeper lines and wrinkles.

While Botox is not permanent, some patients do experience long-term benefits from the treatment. Because Botox paralyzes the muscles for up to five months, the skin begins to heal and may reverse lines caused by the muscle movement.

What happens during a Botox treatment?

When you arrive at Royal Oaks Medical Home and Wellness Clinics, you’re shown to a room where you can prep for your Botox treatment by washing off any makeup. Dr. Nisnisan asks you to make facial movements, while he watches to see what muscles are contracting and causing your crow’s feet and frown lines. He marks the optimal points to inject the Botox formula.

He then prepares the injection, mixing a small amount of liquid into the vial. Once it’s ready, Dr. Nisnisan gives you 5-7 Botox injections. For most people, these are not painful but feel more like a pinprick. Once Dr. Nisnisan has injected the medication, he may ask you to move your face, allowing the Botox to set into the muscles.

As soon as that’s finished, you’re free to go and can return to your normal daily activities right away, as Botox does not require any downtime.

How do you know if Botox is right for you?

Dr. Nisnisan can examine your skin and muscle movements and determine if Botox can help you reach your goals. Botox is not a harsh treatment, and many have it done a few times a year to maintain its effects. Side effects from Botox are rare but may include:

  • Swelling, pain, or discomfort in the injection area
  • Neck pain
  • Tiredness
  • Headache
  • Dry mouth

In a small percentage of users, Botox can cause eye issues, including double or blurred vision. Rarely, decreased eyesight may occur. If you want to learn what Botox can do for you, schedule your appointment online today.