Botox Cosmetic Injections
Botox is one of the most trusted and effective treatments for softening fine lines and wrinkles, restoring a refreshed and youthful appearance. Botox is ideal for anyone looking to reduce visible signs of aging while maintaining a natural, confident look. Beyond aesthetics, Botox is also used in advanced therapeutic applications, making it a versatile treatment for both cosmetic and medical needs.
WHY MD COTE
At MD Cote, we are proud to be recognized in the top 1% of Botox providers in the entire country. Our expert injectors have trained with leading educators and physicians across the globe and bring decades of combined experience to every treatment. Unlike many practices, we are not only skilled in cosmetic Botox injections but also highly trained in Theratox® therapeutic Botox for chronic pain management.
Our philosophy is simple: you should look like yourself—only more refreshed. We take a natural, conservative approach to Botox to ensure you never appear plastic or frozen. With our unmatched expertise and commitment to patient-centered care, you can feel confident knowing you are in the most qualified hands in South King County.

The Versatility of Botox Cosmetic
Botox goes far beyond smoothing frown lines. At MD Cote, we specialize in both cosmetic and therapeutic applications, including:
- Forehead Lines
- Joint Pain Relief
- Crow’s Feet
- Migraine Relief
- Glabella / Brow Lines
- Chronic Allergies
- Gummy Smile
- Plantar Fasciitis
- Platysma Bands
HOW BOTOX WORKS
Botox works by blocking communication between nerves and muscles, causing the targeted muscles to relax. This process not only smooths existing lines but also prevents new wrinkles from forming with consistent treatment. Results typically last 3–4 months, but it’s important to note that dose equals duration. If your Botox hasn’t lasted as long as expected, you may have been under-treated. At MD Cote, we carefully evaluate each patient to determine the correct, personalized dosage to achieve both longevity and natural-looking results.



REAL STORIES, UNREAL RESULTS
Join our community of satisfied clients and see why we proudly maintain a 5-star rating on Google!
The Diamond Glow facial with Jenna was amazing! She is very friendly, knowledgeable, and tailored the treatment to my skin type. I love the results - cleaner and healthier skin - and highly recommend this!
I just received the diamond glow facial from MD cote. It was my first facial. I loved the experience. I felt pampered as soon as I walked in the office. Everyone is so warm and professional. My esthetician listened to my skin concerns and recommended that we start with hydration and work our way up to microdermabrasion and different serums in the future because it was my first. I appreciated the questionnaire that asked about my skin tone and sun sensitivity. Jenna was warm, friendly and had a natural flow of conversation. I felt very comfortable with her. My skin looked amazing afterwards and my pores were so clear! (she even showed me all the gunk that came out at the end haha) highly recommend getting your facials here.
I had a Diamond Glow Facial & added on dermaplaning with Mya & it was amazing! My face is still glowing days later. Highly recommend!
Dr Cote and her staff are very professional and great to do business with. They make you feel comfortable and ensure you will have a great experience. I would recommend them to anyone.
Awesome women dr Cote very funny and professional. Knowledgeable and great staff along side her.
I've been coming here for a few years now. Started with Botox then other services like facials and fillers. The entire team is always professional, patient and courteous. They all work together like a well oiled machine. I've been pleased with EVERYTHING. The establishment is top-notch. It's not the highest but not the lowest but reasonable. Scheduling is easy.Happy customer so far. The main thing i have been pleased with over the years is... 1. They dont do hard up sells. 2. Dr. Vote and the staff listen. I had photos of what I like and dont like and it was 100% what i wanted. Its your face. Its important to be heard. I would highly recommend this place. You won't be disappointed.
I am extremely happy with the services I received. I was listened to and given all the information on each procedure I was interested in. I like how Dr. Cote' asked me what I wanted improved, she didn't tell me what I needed. Lyndsey is also great. She explained what real results I could see and what to expect. They also let you know the cost of each procedure ahead of time. All the staff members are professional and welcoming.
Mya is continuously amazing, welcoming and thorough. My skin always feel and looks 10x healthier after a facial.
I’ve been going to Md cote for almost 3 years for tattoo removal. I couldn’t be happier. I never thought I would ever see my tattoo free hands again. Would definitely recommend . Super friendly staff.
I purchased a BBL package while it was on sale in December 2023. I used one treatment shortly after, then my second in October 2024. When I went to schedule my final appointment, I was told my package had expired six months after purchase — based on an agreement I supposedly signed five years ago. Not once during my visits was I ever informed that there was an expiration, nor was this policy clearly explained when I purchased the package. These treatments are not cheap, and I would have never spent that kind of money had I known the sessions would expire so quickly. It’s extremely disappointing that they won’t honor what was clearly a communication mistake on their end. I’m out the money, and the company isn’t taking responsibility — very unprofessional and not what I expected from a business in this industry.
Rachel made my experience just great. All the staff seem to go above and beyond to helping their customers; my nurse specifically made my experience nearly painless and less scary. She did various techniques to get me distracted of the needle. The results are great too. She added enough to fix my gummy smile, which other places couldn’t fix. I am now a client and it’s worth the drive for me.
Dr. Cote and her staff have changed my life! I found out about hormone therapy during one of her seminars, and I am feeling better every day. Doc is knowledgeable, takes her time to explain processes and procedures, and has a funny, laid-back approach during her appointments. It's 5 stars for me!!
Lyndsey did an amazing job on my procedure, she is very knowledgeable and I wish I would have gone there 1st instead of this other place. The staff is very nice and it was a pleasure going there. Highly recommend and I will be going back. William S.
I had my lips and a few units of Botox done here with rachel. She did a great job, she executed my vision perfectly plus the atmosphere is so girly and cute I love it. I recommend!
Great experience and really took great care of me, made me feel comfortable in a vulnerable situation.
common Botox faqs
Explore our frequently asked questions to learn more about Botox, its benefits, and what to expect during treatment.
Botox Cosmetic is a popular injectable treatments used to temporarily reduce the appearance of facial wrinkles and fine lines. They contains botulinum toxin type A, a purified protein derived from the bacterium Clostridium botulinum. When injected into specific facial muscles, these neurotoxins work by blocking nerve signals that cause muscle contractions. This relaxes the targeted muscles, smoothing out wrinkles and creating a more youthful appearance.
The treatment is most commonly used for:
- Forehead lines
- Frown lines between the eyebrows (glabellar lines)
- Crow’s feet around the eyes
Botox Cosmetic is FDA-approved and has been used safely for cosmetic purposes for over two decades. The effects typically last 3-4 months, after which the treatment can be repeated to maintain results.
The timeline for seeing results from Botox can vary slightly from person to person, but generally:
- Initial effects: You may start to notice a difference within a few days after treatment.
- Full results: The complete effect of the treatment usually becomes visible at 14 days.
- Duration: Results typically last 3-4 months, though some people may experience longer-lasting effects, especially with repeated treatments.
Factors that can influence the longevity of results include:
- Individual metabolism
- The area treated
- The amount of Botox used (dose = duration)
- Lifestyle factors (e.g., sun exposure, smoking)
To maintain consistent results, most people schedule follow-up treatments every 3-4 months. Over time, with regular treatments, some individuals may find they can go longer between sessions as their muscles become more conditioned to being relaxed.
While Botox Cosmetic is generally considered safe when administered by a qualified professional, like any medical procedure, it does carry some potential risks and side effects:
Common side effects (usually mild and temporary):
- Bruising or swelling at the injection site
- Headache
- Flu-like symptoms
- Drooping eyelid (ptosis) – occurs in 1-5% of cases and resolves within weeks
Rare but more serious side effects:
- Difficulty swallowing, speaking, or breathing
- Vision problems
- Muscle weakness
- Allergic reactions
To minimize risks:
- Choose a board-certified dermatologist or plastic surgeon with experience in Botox administration
- Disclose all medications and supplements you’re taking
- Follow all pre and post-treatment instructions carefully
- Avoid rubbing the treated area for 24 hours after injection
It’s crucial to discuss all potential risks and side effects with your healthcare provider before undergoing treatment.
Botox is suitable for adults looking to reduce the appearance of fine lines and wrinkles caused by repetitive facial expressions. Ideal candidates are generally healthy and have realistic expectations for what these treatments can achieve. A consultation with one of our experienced injectors will help determine if Botox is right for you.
