Injectables

Botox in Clarks Summit, PA - placed by a physician, not delegated.

Botox at The Summit Aesthetics is a physician-injected neuromodulator treatment that softens dynamic facial wrinkles – frown lines, forehead lines, and crow’s feet – for approximately three to four months per session. Every Botox injection at our Clarks Summit medical spa is performed personally by our physician-owner, Dr. Charles Dennis – not by a nurse injector, physician assistant, or delegated staff member. A typical first-time treatment for the upper face takes 15 to 20 minutes, uses 20 to 60 units depending on your muscle activity and treatment goals, and requires no downtime. Most patients see softening within 3 to 5 days and full effect within 10 to 14 days. Your complimentary consultation includes a written treatment plan you take home – there is no obligation to book.

Duration

15 minutes per area

Downtime

None

Results

Initial results appear quickly; maximum effect around 12 weeks

Sessions

Typically 1–2 sessions per area

Ready to begin

What Botox is and how it works

Botox is a purified form of botulinum toxin type A, FDA-approved since 2002 for the cosmetic treatment of dynamic wrinkles – the lines that form when you make expressions like frowning, squinting, or raising your eyebrows.

When Dr. Dennis injects Botox into a specific facial muscle, it temporarily blocks the nerve signal that tells that muscle to contract. The muscle relaxes. The overlying skin – no longer being pulled into a repeated crease – smooths out. Existing static lines soften. New lines form more slowly.

Botox does not fill anything. It does not add volume. It does not tighten skin. It relaxes the muscle causing the wrinkle. That is a meaningful distinction – and it’s why patients with volume loss or skin laxity usually need a combined plan rather than Botox alone.

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What Botox treats at The Summit Aesthetics

Dr. Dennis performs Botox for the following FDA-approved and commonly treated areas:

01

Frown lines (glabellar lines)

the vertical "11s" between your eyebrows

02

Forehead lines

horizontal lines across the forehead

03

Crow's feet

lines fanning out from the outer corners of the eyes

04

Bunny lines

the small wrinkles across the top of the nose when you scrunch

05

Lip flip

a small dose along the upper lip border to gently roll it outward

06

Chin dimpling

smoothing the "cobblestone" texture of the chin

07

Downturned mouth corners

softening the muscles that pull mouth corners downward

08

Gummy smile

relaxing the upper lip elevator muscle to reduce gum show when smiling

09

Masseter reduction (jawline slimming)

reducing bulk of the jaw muscles

10

Neck bands (platysmal bands)

softening vertical neck cords

11

Excessive underarm sweating (hyperhidrosis)

an off-label but well-established use

If you're not sure which area is the right starting point, Dr. Dennis will map your dynamic movement patterns during your consultation and recommend the smallest effective plan.

How many units of Botox do I need?

Unit counts vary by muscle mass, movement strength, and desired result. As a general guide for the most common areas:

Treatment area

Typical unit range (per session)

Frown lines (glabellar)

15 – 25 units

Forehead

10 – 20 units

Crow’s feet (both sides)

10 – 24 units

Lip flip

4 – 6 units

Bunny lines

4 – 10 units

Chin dimpling

4 – 8 units

Masseter (both sides)

40 – 60 units

These are ranges, not prescriptions. A conservative first treatment often lands at the lower end so we can see how your muscles respond before adjusting at the two-week follow-up. It is much easier to add a few units than to remove a treatment that was too aggressive.

What to expect at your Botox appointment

Consultation (first visit)

Complimentary, 45 minutes. Dr. Dennis assesses your dynamic movement, discusses your goals, reviews your medical history, and builds a written plan.

Treatment (injection appointment)

15 to 20 minutes for a standard upper-face treatment. Dr. Dennis marks the injection points, cleanses the skin, and administers the units using a fine 30- to 32-gauge needle. Most patients describe the sensation as a series of small pinches - brief and manageable without numbing.

Immediately after

You will see small raised bumps at each injection site - these settle within 15 to 30 minutes. Some patients have minor bruising at one or two sites, which resolves within a few days.

Onset

Softening begins 3 to 5 days after treatment. Full effect at 10 to 14 days.

Follow-up

Two weeks after your treatment, we invite you back for a complimentary review. If any area needs a small touch-up, we address it at no additional charge.

How long does Botox last?

For most patients, Botox lasts three to four months in the treated areas. That range is not marketing language – it’s the median duration across published clinical trials and matches what we see in practice.

Several factors shift where you land in that range:

Muscle activity.

Patients who are highly expressive, athletic, or who have strong native muscle tone metabolize Botox faster.

Metabolic rate.

Younger and highly active patients often see a shorter duration.

Dose.

Under-dosing produces a shorter duration because the muscle regains function sooner.

Treatment consistency.

Patients on a regular 3- to 4-month schedule often extend interval length over time as the muscle "learns" the reduced activity pattern.

If you're looking for a longer-lasting alternative, Daxxify - also injected by Dr. Dennis - averages six months per session.

Botox aftercare: what to do and what to avoid

For 4 hours after treatment

  • Stay upright – do not lie flat
  • Avoid touching, rubbing, or massaging the treated areas
  • Skip strenuous exercise, saunas, hot yoga, and any heavy heat exposure

For the first 24 hours

  • Avoid alcohol if possible (increases bruising risk)
  • Avoid facial treatments (facials, dermaplaning, chemical peels, microneedling)
  • Skip makeup on the injection sites if you can

Fine after 24 hours

  • Normal exercise
  • Sleeping in any position
  • All normal skincare and makeup

When to call us

Any asymmetry that persists past day 10, any drooping of the eyelid or brow, any allergic-type reaction (rare). Call (570) 585-0201.

Botox vs Daxxify - which one is right for you?

Both are neuromodulators. Both relax the muscle. Both are FDA-approved for frown lines. The differences that actually matter:

Details

Botox

Daxxify

FDA approval year

2002

2022

Average duration

3 – 4 months

6 months (some patients longer)

Onset of visible effect

3 – 5 days

2 – 3 days

Full effect

10 – 14 days

7 – 10 days

Formulation

Contains human albumin

Peptide-stabilized, no human/animal proteins

Best fit for

Patients new to neuromodulators, patients wanting the flexibility of a shorter cycle, patients treating many areas

Patients frustrated with 3-month maintenance, patients who travel frequently, patients who want fewer visits per year

At The Summit Aesthetics, both Botox and Daxxify are injected by Dr. Dennis. Neither is delegated. Your consultation will cover which fits your goals – you can also switch between them across visits.

Why "physician-injected" matters for Botox

In most medical spas, Botox is delegated to a nurse injector, aesthetician, or physician assistant. That is legal in Pennsylvania when performed under proper medical supervision. It is also how the majority of injectables in the country are performed.

We do it differently. Every syringe of Botox at The Summit Aesthetics is placed by Dr. Charles Dennis personally. That is not a marketing line – it’s the structure of how the practice operates. There is no “second-provider” tier and no delegation.

Why it matters clinically:

Consistency.

The same clinician who mapped your muscles at your consultation is the one placing the units. Dose adjustments across visits build on the same clinical judgment, not a hand-off.

Complication management.

In the rare case something needs medical intervention (brow ptosis, asymmetry, allergic response), the person who placed the injection is a physician, not a delegate calling a physician.

Anatomical accuracy in complex areas.

Masseter reduction, gummy smile, neck bands, and jawline slimming are more anatomically demanding than a standard upper-face treatment. Physician-level anatomy training matters more here than most patients realize.

Is Botox safe? Who should not get Botox?

Botox has been FDA-approved for cosmetic use since 2002 and has a long, well-documented safety profile when performed by a qualified provider. Complications are uncommon and, in almost every case, temporary.

Common, minor, and expected

  • Small bumps at injection sites (resolve in 15 – 30 minutes)
  • Minor bruising (1 – 5 days)
  • Mild headache for 24 hours (some patients)
  • Feeling of “heaviness” as the muscle relaxes (3 – 7 days)

Uncommon, temporary

  • Asymmetry (usually correctable with a small touch-up at day 14)
  • Eyelid or brow drooping (rare, resolves as the effect wears off)

Who should not get Botox

  • Anyone pregnant or breastfeeding
  • Anyone with a known allergy to any Botox component or previous allergic reaction to a botulinum toxin product
  • Anyone with a neuromuscular disorder (myasthenia gravis, Lambert-Eaton syndrome, ALS)
  • Anyone with an active skin infection at the intended injection sites

Tell Dr. Dennis at your consultation if you take blood thinners (increases bruising risk), have had prior neuromodulator complications, or are planning surgery within 3 months of your treatment.

Frequently asked questions

Questions our patients ask most

Botox is priced per unit at The Summit Aesthetics. Your unit count depends on which areas you’re treating and how strong your muscle activity is. Dr. Dennis will provide a specific unit-count estimate and total for your plan during your complimentary consultation. Call (570) 585-0201 to schedule.

Botox typically lasts three to four months. Patients who are highly athletic, highly expressive, or metabolically fast often see the shorter end of that range. Patients on a consistent every-3-to-4-month schedule often see the interval extend gradually over time as the muscle adapts to reduced activity.

The injections feel like brief, small pinches. Dr. Dennis uses a 30- to 32-gauge needle (very fine) and most patients describe the discomfort as minimal and brief. Topical numbing is available on request but rarely needed for standard upper-face treatments.

Both are neuromodulators that relax facial muscles to soften wrinkles. The main differences: Botox lasts 3 to 4 months per session; Daxxify lasts approximately 6 months. Botox has been FDA-approved since 2002; Daxxify since 2022. Both are injected by Dr. Dennis at The Summit Aesthetics – many patients try both across visits before choosing a preference.

You’ll see softening at 3 to 5 days after treatment and the full effect at 10 to 14 days. This is normal and consistent across patients – it takes time for the muscle to fully release.

Botox cannot be reversed, but it is temporary. If the result is not what you wanted, the effect wears off in 3 to 4 months. That is one of the reasons we prefer conservative first treatments – under-dosing can be corrected with a small addition at the two-week follow-up; over-dosing cannot be undone.

None in the traditional sense. You can drive, work, and continue your day immediately. The only restrictions are staying upright for 4 hours, avoiding heavy exercise for the rest of that day, and skipping facials for 24 hours.

Ready to begin

Book your Botox consultation

Every new Botox patient begins with a complimentary consultation with Dr. Dennis. There is no fee, no card required, and no obligation to book treatment.

Investment

Custom pricing at consult

Financing

From ~$25/mo · Cherry 0% APR

Member savings

Save 10–20% →


The Summit Aesthetics

116 North State Street, Clarks Summit, PA 18411 | Serving Scranton, Abington, Dunmore, Kingston, Wilkes-Barre, and the wider NEPA region

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Physician-led. Artistry-first.

Every TruSculpt iD Body Sculpting plan at The Summit Aesthetics is designed and delivered by board-certified providers with advanced training in facial anatomy, laser medicine, and aesthetic technique. No rotating techs. No sales pressure. Just expertise.

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The Summit Aesthetics

Serving Clarks Summit, Scranton, Kingston, and Northeastern Pennsylvania with physician-led aesthetic care in a calm, elevated setting.

Address

116 North State Street, Clarks Summit, PA 18411

Hours

Mon–Thu 10a–6p · Wed to 7p · Fri 10a–2p

Phone

(570) 585-0201

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