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!
Lyndsey is a master aesthetician! My skin has completely transformed since coming here. The BBL treatments for sun damage are incredible. I have been to other Aestheticians and did not get the results I am getting with Lyndsey 5 Stars!
Coolsculpting for entire days at a time, seemed more like a spa or vacation day, than a procedure day. Jenna was the best and most professional provider I have ever worked with.
✨ 5 Stars for Rachel at MD Coté in Maple Valley! ✨ Rachel is truly the go-to expert for all things youth and beauty! Her knowledge, care, and personalized approach make every visit a relaxing, confidence-boosting experience. From skincare treatments to anti-aging solutions, she always knows exactly what my skin needs. I walk out feeling refreshed, glowing, and so well taken care of. If you’re looking for someone who genuinely cares about helping you look and feel your best—Rachel is your girl! 💆♀️💖 #GlowingSkin #YouthfulVibes #MapleValleyBeauty
Rachel is amazing and the absolute best. She has great recommendations, awesome bedside manner. She only recommends what will be the best for the client and I always trust her opinion and feel safe in her hands. The only improvement I wish- the waiting room is SO BRIGHT now 😩 I liked it before. The new super light pink paint and super bright LED’s kill the vibe.
Hi Team, writing a review on my last week experience with you. Team is amazing especially Mya. She was super nice, gentle with my skin. She listened to all my concerns. She did dermoplaning and diamond facial on me. Appreciate all the work you do. Thank you Mya. You are an amazing 👏 person. Cant wait to see you next time and get the facial done from you. Thanks & Regards Saroj
This clinic is truly wonderful. I’ve had the pleasure of working with Mya, Jenna, Lyndsey, Julia, and Dr. Cote, and they take the time to understand your goals, walk you through every option, and make sure you feel confident in your decisions. Their execution is so seamless and precise it almost feels unreal. Jessica and Michell are equally amazing—always greeting you with genuine warmth and making sure you feel supported every step of the way. The entire team is not only highly professional, but also makes you feel like you’re among friends. I couldn’t recommend them more!
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.
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.



