Botox® 

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Smoother Lines, Authentically You

At BelleSante by Kristine Romine, MD, and Sara Romine, DNP, FNP-C, neuromodulator treatments like Botox® are approached with precision, nuance, and a deep understanding of natural facial movement. Rather than chasing lines or creating dramatic changes, our philosophy centers on softening areas of overactive muscle activity to reveal a refreshed, expressive appearance that never looks frozen. Each treatment is tailored to harmonize with your facial anatomy, supporting subtle rejuvenation while preserving individuality.

A key part of our approach is prevention: when timed and dosed thoughtfully, Botox helps keep repetitive expression lines from becoming etched into the skin at rest, reducing deeper creasing over time.

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What Is Botox® ?

Botox® (onabotulinumtoxinA) is an FDA-approved neuromodulator used to soften dynamic expression lines caused by repeated muscle movement. It is a highly purified natural protein produced by the bacterium Clostridium botulinum and has been used successfully for decades to treat a variety of medical conditions. In aesthetic medicine, Botox is an extremely safe way to reduce fine lines and wrinkles when used by experienced clinicians.

By gently relaxing targeted muscle fibers, Botox can reduce the appearance of frown lines, forehead creases, and crow’s feet, as well as more nuanced areas such as “bunny lines” along the nose, lip lines, chin dimpling, and downturned mouth corners. Our goal is to keep your expression natural and fluid while softening the lines and tension that distract from your features.

Although Botox is widely recognized, it is just one option within a family of refined wrinkle erasers that also includes Jeuveau and Dysport®. Many patients ask for Botox simply because it is a familiar name. During your consultation, however, our experts evaluate your anatomy, expression patterns, and overall goals to determine whether Botox is truly the best choice—or whether another neuromodulator or treatment approach would create a more natural, balanced outcome.

In many cases, subtle volume restoration, biostimulators, or comprehensive facial balancing may address the underlying cause of your concern more effectively than neuromodulators alone. At BelleSante, the treatment selected is the one that best supports your features and aesthetic goals—the product is chosen for you, not the other way around.

Why BelleSante’s Approach Is Different

While many practices focus narrowly on treating isolated wrinkles, BelleSante’s methodology is rooted in balance, proportion, and an understanding of how the face moves as a whole. Rather than relying on predefined “recipe” injection patterns, our experts study your muscle dynamics, light reflection, and natural asymmetry to ensure each treatment supports harmonious expression.

Botox is never used as a default or one-size-fits-all solution. Some patients discover that another neuromodulator—or a completely different treatment—better supports their desired outcome. With extensive experience in aesthetic dermatology, Dr. Romine and Sara Romine provide thoughtful guidance to help you understand all available options and select the approach that aligns most closely with your anatomy and goals.

Neuromodulators like Botox are never used to “freeze” movement, but rather to soften harsh shadowing, refine transitions between facial regions, and support a rested, youthful appearance. Every treatment is designed to ensure you look refined—never overdone.

Benefits of Botox

When used with precision and an eye for balance, Botox can:

  • Soften lines between the brows, across the forehead, and around the eyes
  • Maintain natural movement while minimizing harsh creases
  • Help prevent deeper expression lines and “lines at rest” from becoming permanent
  • Support a rested, approachable appearance
  • Complement dermal fillers and other rejuvenating treatments as part of a comprehensive plan
  • Create gentle eyebrow shaping or lift to brighten the eye area
  • Provide a subtle lip flip and improve the look of lip lines or a “gummy” smile
  • Lift slightly downturned mouth corners to soften a serious or tired expression

These benefits develop gradually as the facial muscles relax and light reflects more evenly across the features.

Who Benefits From Neuromodulators Like Botox?

Botox and other wrinkle erasers may be appropriate for adults who:

  • Notice lines between the brows, across the forehead, or around the eyes
  • Prefer a subtle softening of expression rather than dramatic change
  • Want to maintain natural movement while minimizing harsh creases
  • Hope to prevent deeper expression lines from becoming permanent
  • Wish to complement injectable hyaluronic acid (dermal “fillers”) or other rejuvenating treatments
  • Prioritize balanced, individualized results over a “one-size-fits-all” approach

During your consultation at BelleSante, we will create a plan centered on your specific goals.

BelleSante’s Executive Aesthetic Credibility™

Executive Aesthetic Credibility™ is a physician-led, personalized plan designed to help high-visibility professionals look consistently refreshed, confident, and camera-ready without appearing “treated.” Built around your schedule and goals, it prioritizes subtle, natural results through thoughtful timing, skin quality, and facial balance—so your appearance supports your leadership in every setting.

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  • Built around your schedule
  • Designed to preserve natural expression
  • Focuses on skin quality + facial balance
  • Provides maintenance for steady results

Your Treatment Experience at BelleSante

Your Botox treatment begins with a detailed, multi-angle evaluation of your facial animation, expression patterns, and underlying muscle activity. Dr. Romine and Sara Romine assess how your features move during conversation, smiling, and at rest to determine precise dosing and placement.

We use ultra-fine needles, TAP-esthesia, ice, topical numbing, and calming breath cues to support your comfort. The injections themselves take only a few minutes, and most patients describe the experience as brief and well-tolerated, with little to no downtime.

For some, Botox is used as a standalone wrinkle eraser; for many others, it is incorporated into a broader rejuvenation plan alongside injectable hyaluronic acid, biostimulators, and KRMD Advanced Medical Skin Care as part of The BelleSante Skin Gym.

Recovery & Results

Mild redness or sensitivity at the injection sites may occur and typically resolve quickly. Early improvements begin to appear within several days, with full results developing over one to two weeks.

Results generally last three to four months, depending on your natural muscle movement and expression habits. Regularly scheduled treatments can help preserve a softened, refreshed appearance while ensuring movement remains natural and expressive.

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What Our Clients Are Saying

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“Just had The most amazing visit with Dr. Romine!!! She is so knowledgeable and caring. What I love most is her passion for health and the full picture! Exercise, eating right, hormones and so much more. She’s interested in the whole body. Once you find someone this good … you’re a client for life!!”

Tonya R.
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"I’m 69 years old. I experienced a package of six Emsella Chair treatments before taking a cruise vacation. I was very pleased to have experienced such a remarkable improvement. I was able to do all ports of call without worrying about finding a toilet! It was so freeing! Thank you, Dr. Romine."

Terri M.
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“Every aspect of my visit was above and beyond…Dr. Romine was just amazing. She answered all my questions and went through the procedure of Ellacor showing me pictures of how it works and before and after pictures of other patients that have had it done. She is the best example of how well you heal and look after having done it herself…I would highly recommend BelleSante.”

Stacy D.
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"Dr. Kristine Romine is the best! Upon my last visit she took her time and even spent a moment educating my daughters who were tagging along with me on the importance of skin care and sunscreen. Her office has the newest and often only technology in the industry. I couldn't imagine going anywhere else!"

Sarah W.
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"I was having at a minimum of two migraines a week. My peripheral vision would be blacked out, nausea would set in, I would have a sharp and throbbing pain in my forehead and occipital area, as well as sensitivity to noise. After receiving Jeuveau injections in my masseters, forehead, and occipital areas from Dr. Romine, I went from having multiple migraines per week to one migraine in the last eight weeks. I am so appreciative to Dr. Romine for helping me feel normal again and allowing me to resume my normal schedule."

S.T.
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"Integrative medicine, health, and beauty combined with Dr. Romine at the helm. It doesn’t get any better than this. The practice is welcoming and the staff are friendly."

Mima S.
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“Dr. Romine, Sara, and the team at BelleSante are absolutely wonderful. I’ve been seeing Dr. Romine and Sara for years now and trust them wholeheartedly to recommend treatments in line with my desire to age gracefully…From the expertise of the team to the welcoming atmosphere, every detail at BelleSante is carefully curated to provide an exceptional experience. I would absolutely recommend them to anyone seeking top-quality treatments delivered by the best in the field.”

Krista D.

The BelleSante Difference

At BelleSante, neuromodulators such as Botox, Dysport, and Jeuveau are used as part of a thoughtfully curated, individualized treatment plan. Many patients expect Botox because it is the most familiar name, but our experts will help you understand if Botox is the best option—or whether another approach will give you the results you desire.

With decades of clinical experience, Dr. Romine and Sara Romine combine advanced dermatologic training with an artistic understanding of facial balance. Their expertise ensures that every treatment enhances your natural beauty, supports expressive movement, and aligns with BelleSante’s signature philosophy: elevated, nuanced, and authentically you.

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Discover Subtle, Refined Rejuvenation at BelleSante

If you’re considering Botox or other neuromodulators, schedule a consultation at BelleSante. Our experts will help you explore the most thoughtful and effective options based on your anatomy, goals, and movement patterns.