What No One Tells You About Botox: FAQs from Real Patients

At Nova MedSpa, we’ve answered thousands of Botox questions over the years — especially from first-timers. The internet is full of information (and misinformation), but nothing compares to having your questions answered by a real provider who actively listens.

In this post, we’re breaking down the real questions we hear every day in our Ankeny and Dubuque locations. We’ll give you clear, expert-backed answers and explain what makes your Botox experience at Nova so personal, safe, and surprisingly simple.

Will I look frozen?

This is hands-down the most common concern we hear. And the answer is simple: Not if it’s done correctly. Botox is designed to relax muscles, not paralyze your expression. When injected by trained medical professionals (like our advanced nurse injectors at Nova), it softens movement just enough to reduce lines — while still letting you look like you. At Nova, we tailor every Botox treatment to your facial structure, muscle strength, and desired outcome. Some clients want very soft results. Others want a more dramatic smoothing effect. We never do cookie-cutter injections — and you’ll never walk out looking overdone.

Botox vs. Dysport: What's the Difference and What's Better?

You might’ve heard of Dysport as an alternative to Botox, and yes — they’re both FDA-approved neuromodulators used to reduce wrinkles by relaxing targeted muscles.

Here’s what sets them apart:

• Botox has been around a little longer and is known for localized results.

• Dysport tends to address larger treatment zones, which can benefit areas like the forehead.

• Both have similar longevity (3–4 months) and onset (Dysport may kick in a little faster for some).

At Nova MedSpa, we offer both Botox and Dysport — and we’ll help you decide what’s best based on your anatomy, goals, and how quickly you want to see results. Some clients even switch between the two over time. The key? Having an injector who understands dose, duration, and placement.

How long does Botox really last?

You’ll often hear '3 to 4 months,' which is accurate — but here’s what most people don’t hear:

- First-time Botox may wear off a bit faster as your muscles adapt

- Consistent use helps results last longer over time

- Metabolism, activity level, and dosage all affect longevity.

At Nova, we’ll give you a personalized timeline based on your goals, not just a generic estimate.

Will it hurt?

We get it — needles sound intimidating. But here’s the truth:Most clients describe Botox as a 2/10 on the pain scale. It’s more of a quick pinch than anything else.

Our Ankeny and Dubuque injectors use:

- Ultra-fine needles

- Distraction methods (vibration tool or stress ball)

- Gentle technique and clear communication.

Plus, the actual injection process usually takes less than 10 minutes.

When will I see results?

Another common misconception is that Botox works immediately.

Here’s the real timeline:

- Day 1–2: No changes yet — don’t panic!

- Day 3–5: You’ll start to see softening of movement

- Day 7–14: Full effect sets in

This onset is totally normal and expected. When you take medication for a headache, it takes a little while to “kick in”, right? Same idea here! We always recommend a 2-week phone or in-person follow-up if you’re new.

How do I know how much Botox I need?

There’s no one-size-fits-all answer — and that’s actually a good thing.

At Nova MedSpa, we don’t just look at your age or a chart. We look at you:

- Your muscle strength

- Your expressions

- Your long-term goals

A treatment for forehead lines might take 10–20 units, and lines by the eyes often use 12–16 units. But we’ll walk you through every detail.

Is Botox safe? What about long-term effects?

Yes, when administered by trained medical providers, Botox is very safe.

Botox has been FDA-approved for cosmetic use since 2002, and for medical use even longer.We follow strict safety protocols and offer honest, no-pressure consultations. If you’re not a good candidate, we’ll tell you — and help you explore other options.

Real Talk: What Patients Say

"I was nervous about looking frozen, but my results are so natural. I still have expression — just no more angry-looking 11s."

"It didn’t hurt nearly as much as I thought. Honestly easier than a lip wax."

"They explained everything and made me feel so comfortable. I’m obsessed with my results."

Why Choose Nova for Botox in Ankeny or Dubuque?

- 14 years of trusted service in your community

- Advanced nurse injectors

- Subtle, customized results (no overfilled faces here)

- Clean, modern space with real clinical standards

- No rushed appointments. Ever.

Ready to Start Your Botox Journey?

We’d love to meet you. Whether it’s your first time or you’re ready for a refresh, our teams in Ankeny and Dubuque are here to guide you every step of the way.

✅ Book now and receive a free consultation with treatment!

📍 Located in Ankeny and Dubuque, we have been trusted by locals for 14+ years. Let’s create results that make you feel confident.

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Disclaimer: This blog is for educational purposes only. All treatments should be discussed with a licensed provider.