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!

4.8
Based on 247 Reviews
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Mellissa Burgy
July 18, 2026

This is my go to place for anything skin and beauty! Rachel is so knowledgeable and helpful, you will feel completely at ease in her care, highly recommend.

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Meghan Fenton
July 17, 2026

I see Mya and she is truly a master! She is knowledgeable in her craft and always walks me through what to expect. I had questions once after a service and she was prompt and detailed in reaching out with answers. Mya is warm, kind, patient, and I always look forward to seeing her. I highly recommend MD Cote, and Mya! The front desk coordinator Jessica is also a welcome and warm presence, always very sweet and helpful. Thanks to the whole team 💗

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A&R Brancato
July 16, 2026

A few days before my wedding I had a Dermaplane and DiamondGlow facial by Mya at MD Cote. I had seen her before and she’s so sweet and nice. She described what would be happening with each step showed me the things she would be using and was just very informative. My skin literally had a glow immediately after and lasted for like a week, I swear. My skin was super glowy on my wedding day and my makeup artist even said my skin looked amazing and the makeup went on smooth. Mya was so welcoming from the moment I saw her, she’s knowledgeable, sweet, caring and really wanted to make sure I was comfortable and relaxed. I will be back to get more work done for sure, but I highly recommend going to MD Cote but more so recommend seeing Mya! 🤍 With the DiamondGlow, there is no downtime, if you’re worried about that. I’d just book the appointment if you have an important event and you want that extra glow, or if you just need some good self care. Sadly, I didn’t take any photos before and after but here is a photo to show how smooth and glowy my skin was on the big day! I owe it to Mya!!

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Jennifer Jackson
July 4, 2026

I’m so glad I found Rachel! She came highly recommended by a close friend, and I couldn’t be happier that I took the leap. I’ve always wanted to try Botox, but I was honestly nervous. What I love most about Rachel is that her approach is all about enhancing your natural features with subtle, beautiful results. Her philosophy is to start slow, stay minimal, and build from a natural baseline if you choose to over time. That instantly put me at ease. Not only is her medical spa absolutely adorable, but Rachel has the best personality. She’s incredibly talented, has such an artistic eye, and is truly amazing at what she does. I highly recommend her!

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Mike Chase
June 23, 2026

Very professional and courteous.

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I just recently started getting Botox this year. I have been to other places, but I like this place the best. Everyone is super knowledgeable and all of the staff is really kind and personable. I enjoy going in to get my Botox. I definitely recommend going to Md Cote !

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Heather Condon
June 10, 2026

I see Mya for glow facials and laser hair removal. She’s so knowledgable with skincare and I always leave there relaxed after a facial! She makes me feel so comfortable and cared for with the laser hair removal! She’s an amazing cheerleader when I’m feeling nervous. Thank you Mya for being so fantastic!! 💕

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Nasim Shakibaei
June 1, 2026

Be careful when you’re planning to get a service here because their prices are always higher than other places with similar experience and products.

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Renee Vinje
May 24, 2026

I have been seeing Rachel for several years now. My experience is not only pleasant, it's friendly. She really knows what she's doing and makes me as comfortable as possible. I leave feeling confident that I will be looking my best! Highly recommend!

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Becca Evans
May 21, 2026

I've had such a lovely experience with the team at MD Cote - I've seen Lyndsey and Rachel, and they're both warm, considerate, knowledgable and professional. They've both taken time to answer all my questions, and have been really gentle in their approach. They've really gone above and beyond on all things, including making my life easier with scheduling. Highly recommend!

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Laura D
May 21, 2026

I had my first appointment at Md Cote yesterday with Rachel after being referred to her by a couple of people, and my experience was amazing from the moment I walked in. First off, the waiting room is so cute I loved the decor! Michelle at the front desk was awesome and very helpful during both check-in and check-out. Rachel was also amazing. She took the time to sit down with me, listen, and make sure we were on the same page before starting. I was super nervous, but she made me feel so comfortable and at ease throughout the appointment. I’m already looking forward to coming back!

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Cherie Greenside
May 20, 2026

Very professional. Staff is very friendly and knowledgeable about treatments.

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Dawn Hong
May 7, 2026

Rachel is the best! She is knowledgeable and mindful of pain management and answering all of my questions. The results were fantastic as I look like me just the best version of me.

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Kelsey Miller
May 4, 2026

I’ve been seeing Mya for a year now for laser hair removal and I seriously love her. She’s so skilled and I always feel safe when she is doing my laser treatments.

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Tom Smart
April 17, 2026

I am thrilled with my HALO treatment with Lyndsey! one month later, the fine lines around my mouth are significantly reduced, and my skin feels plumper. The 'Halo glow' is real Thank you so much Lyndsey!!!

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.