BOTOX® Cosmetic is a simple, nonsurgical,  treatment that can temporarily smooth moderate to severe frown lines


Areas Treated

Millions of Americans are undergoing BOTOX® Cosmetic treatments to mask and prevent frown lines, expression lines and crow”s feet around the eyes. After years of BOTOX® Cosmetic treatments, BOTOX® Cosmetic has been cleared by the FDA for the treatment of frown lines.

The Treatment

Injections of BOTOX® Cosmetic into the muscles that create these wrinkle lines block the chemicals that normally signal these muscle groups to contract


Treated areas are relaxed and softened. Wrinkles are less visible.

Usual Number of Treatments for an Effective Series

A single session of injections for each area generally lasts for 3 to 4 months and may last up to 6 months

Maintenance Treatments

Every 3 to 6 months

Before and After Pictures


Deborah Matthew MD

Wellness for Men, Women and Children

President – NC Integrative Medical Society

Advanced Fellow Functional Medicine

Diplomat of the American Board of Anti-

   Aging & Regenerative Medicine (A4M)

Diplomat of the American Board of

   Integrative & Holistic Medicine (ABIHM)

Oral Examiner for A4M

Medical Director


Staci Burrell FNP

ANCC Board Certified Family Nurse Practitioner


Marci Scott ND

Patient Educator, Naturopath


Heather Baerga RN BSN

Aesthetic & Wellness Nurse


Dee Langford APRN – BC

Adult Psychotherapist


Debbie Dalessandro RN, BSN 

Wellness Educator, Health Coach



Disclaimer: The information on this website has not been evaluated by the FDA. This information is not intended to treat diagnose, cure or prevent any disease. All material provided on this web site and links are for educational purposes only. None of the information on this web site should be taken as medical advice and is in no way a substitution for professional medical care. We recommend you consult with a physician before starting any health program. Signature Wellness PA disclaims responsibility and liability for any harm resulting from the use or misuse of any information on this site.

No treatment, treatment advice, exercise or nutritional advice if followed can be guaranteed to work in everyone nor can they be considered absolutely safe. Individual response to treatment and unexpected responses can affect outcomes. Individual results vary. Reputable physicians do not guarantee outcomes and no prediction of outcome is implied.