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 227 Reviews
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Brandi Willard
March 23, 2026

I couldn't be happier with my results. Rachel does an amazing job and my results look very natural. She listens to my concerns and gives me feedback on how they can be addressed. I am so so happy with my experience at Md Cote!

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laura sapieszko
March 22, 2026

Dr Cote and assistant are great. They take time to do what you want. Lyndsey is great too! Be mindful of the small print when you sign that you understand. The person that handles that portion isn't rude, but I wouldn't make seeing her a habit.

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Dawn Miller
March 22, 2026

I had an amazing experience with Mya for laser hair removal. She took the time to explain everything to me to make me feel completely comfortable. The process was painless and took six sessions with much success. The space was clean and professional and her services exceeded my expectations. I would highly recommend Mya if you’re looking for high-quality laser hair removal delivering great results.

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Khumar Ibrar
March 18, 2026

I was a loyal client for years, and bought a package laser treatment in 2023 and due to health issues advised by my doctor hold off on any treatments like these which I had provided the dr letter to the spa, they did not inform me about expiration policy the staff and the esthetician even not aware of the policy. Now they are saying I can’t use my package because it had expired.My attempts to resolve the issue were ignored. This is extremely unprofessional and disappointing. I think business is struggling and they r finding ways to make money. I would strongly caution others about paying upfront here. Please avoid this spa at any cost. Multiple unhappy clients and their reviews so stay away. I am now pursuing formal complaint. ** I completely disagree with your response. It misrepresents the facts and avoids the real issue—you accepted payment and failed to deliver the services. Not stated ever about the expiration. These treatments are not cheap if clients are aware off expirations who would have this kind of money to donate it to spa like yours. I made repeated efforts to resolve this privately, which were not taken seriously. Your reply only reinforces my concern about the lack of professionalism and accountability.

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Jennifer Jepson
March 12, 2026

I have had the pleasure of spending time with Jenna over this past year as I have received a few coolsculpting treatments. Jenna is just a beautiful person inside and out. She is so gentle, kind and easy to connect with. By the time I am ready to leave, not only have I had the best Coolsculpting session (their equipment and expertise using it is top of the line), I feel like I’ve had a little therapy session as well😊 Thank You Jenna!!

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Ramsha
March 9, 2026

The change in management has been disappointing to say the least. After years of coming here, I can no longer support a business that profits from shady policies and doesn’t honor their long-standing clients. There are far better options for med spas than this place. I highly recommend going elsewhere with higher standards, updated practices and customer loyalty.

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RANGE
March 6, 2026

I just had my very first facial ever, and I can honestly say it was an incredible experience from start to finish! I wasn’t sure what to expect, but the entire treatment was relaxing, professional, and surprisingly rejuvenating. Mya explained each step and the process. I will definitely be back soon! Thanks Mya!

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Michelle Connors
February 27, 2026

Mya did a great job!!!

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Shannon Trichak
February 26, 2026

Mya does an amazing job with the dermaplaning and the diamond glow facial. I leave the office feeling so much more confident with my glowy, smooth skin. I can't wait for my next appointment!

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Dee Marcyes
February 22, 2026

Mia is very personable and is extremely knowledgeable. I always feel comfortable, relaxed, and in good hands.

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Darcey Peterson
February 17, 2026

Staff are always kind and professional. I feel listened to and cared for. Highly Recommend!

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Tracie Hammonds
February 13, 2026

I love this place! Their people are amazing, answering questions, making suggestions, making you feel comfortable and relaxed. They offer amazing products that work and their services are tops! They don’t try to sell you on services you don’t need. In fact, I had a consultation for a particular service and the technician explained why it was not necessary and would not give me the results I was looking for. Instead she suggested a product that could help. Wow! A place that doesn’t try to take you money. The other services I really enjoy and see results are the micro needling , peal, laser, and Botox. The micro needling vanished a dark spot on my face after one treatment. Obviously results will vary but for me it only took one but I had a second treatment done anyway 😊Amazing! The laser treatments take time obviously, but I noticed a difference in some areas after the first. Can’t wait to see the final results. The Botox really helps with my headaches and of course fine lines. 😉 They also offer discounts thru Alli and have promotions throughout the year. Another plus!

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Mary Kent
February 7, 2026

Always happy with the results

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Katrina Buck
February 7, 2026

I am writing to express my disappointment regarding a recent appointment I scheduled via email. Upon arriving at the clinic, I was informed that no appointment was on record and staff were unsure how this occurred. I had made arrangements and taken time off work specifically for this appointment, as I was very much looking forward to being seen. Given the inconvenience and lost time, I would appreciate discussing whether compensation for a portion of my time is possible. Thank you for your attention to this matter. I look forward to your response.

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Skip
February 2, 2026

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!

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.