BOTOX® Cosmetic in Tucson, AZ

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Are you distressed about fine lines or wrinkles present on your brow area and in the skin tissue around your eyes? Commonly called dynamic lines, these skin issues occur due to repeated facial expressions. As we age, these wrinkles ultimately remain and can make us look worn out. Thanks to BOTOX, it is now possible to temporarily minimize the development of moderate to severe frown lines, forehead lines, and Crow's feet. Derived from a specialized type A strain of botulinum toxin, BOTOX temporarily blocks the muscles that assist with those contractions, allowing the overlying skin to recover over time. At James Rough, M.D. Plastic Surgery, board-certified plastic surgeon Dr. James Rough performs BOTOX as a minimally invasive cosmetic solution for patients to achieve a smoother, refreshed appearance. Reach out to our location in Tucson, AZ to learn more about BOTOX.

Fine lines and facial folds can take away from our other features, in addition to making us seem older than we are. BOTOX is a trusted option for providing you with a younger, rejuvenated appearance. Although the outcomes are not permanent, you will reap their benefits for many months before wanting to schedule a second appointment. You may also get additional benefits from BOTOX at James Rough, M.D. Plastic Surgery, such as:

  • Quick appointments: BOTOX treatments may take as few as 10 minutes.
  • No rest or recovery: Due to the minimally invasive nature, you are welcome to resume your daily life following treatment.
  • Minimal discomfort: BOTOX injections use a very fine needle, so that the treatments will feel only like a small pinch of the skin.
  • Easy maintenance: If you want to maintain your results for a while, follow-up appointments are brief and realistic for day-to-day activities.

Individuals seeking a nonsurgical treatment to smooth Crow's feet, frown lines, or forehead creases may be excellent candidates for BOTOX injections at our Tucson, AZ facility. It can also be a good solution if you are experiencing noticeable glabellar lines ("11" lines between the eyes) that cause a withered or aging appearance. BOTOX injections have grown in popularity among younger patients, as well. While individuals ages 20 – 30 may not yet show the early signs of aging, BOTOX can be provided as a preventive option to fend off the natural process of aging by temporarily minimizing or slowing the appearance of facial wrinkles.

Throughout your first consultation, Dr. Rough will examine your facial skin to determine which areas require treatment. Since BOTOX is provided during a quick, outpatient service, your injections can often be carried out in the same appointment. The formula will be placed into the specified areas of your forehead or upper face using a small syringe. BOTOX treatment takes approximately 15 – 20 minutes to complete, and most patients notice only minor discomfort (such as a pinching or pinprick feeling). After your session, you are welcome to leave our Tucson, AZ practice and carry on with your daily activities, but you must avoid strenuous activity for up to 24 hours.

You might see a bit of minor bruising, swelling, and redness in the injection sites following BOTOX treatment, but these symptoms shouldn't last long. We might suggest that you refrain from rigorous exercise and not touch the treatment sites for about a day or so. Over the next 48 – 72 hours, you will likely start to experience your firmer, smoother skin. BOTOX treatments could offer up to four months of youthful, natural-looking improvements for the majority of men and women. Dr. Rough will recommend how often you need treatments as part of a customized plan to help you meet your aesthetic results. Our staff can discuss the approximate cost of BOTOX injections, but the price generally varies, depending on how many units are used.

I had a mommy Makeover on October 7th performed by Dr. Rough,. After visiting 4 Plastic Surgeons in Tucson and Scottdale I decided to go with Dr. Rough. He and his staff are,hands down, the best! Not only I am beyond happy with the results he is a very compassionate person. I called him with a few questions after my surgery and he always answered in a timely manner. He listened to me and validate my feelings. I highly recommend Dr Rough when it comes to Plastic surgery.

E.L. Google

I would highly recommend Dr. Rough to my family and closest friends. I had breast augmentation done about two years after having a baby. I am so incredibly happy with the results. They look exactly the way I hoped they would. Dr. Rough was kind, caring, and ensured I felt comfortable throughout the entire process. I felt like he listened to me and truly cared about what I wanted. I was worried about how breast augmentation might affect running and working out, and Dr. Rough answered all of my questions. Anissa was also wonderful- she is very friendly and always available to answer questions. The day of surgery was easy, and I felt well taken care of by the entire team. I am so grateful for the confidence that Dr. Rough gave me.

J.G. Google

Dr. Rough and his staff were amazing: professional, compassionate, and knowledgeable! He let me know what would work best for me and my body, and following his recommendation, the results from my elective surgery far exceeded any expectation I could imagine! I am absolutely in love with the results and I have Dr. Rough and his staff to thank! Thanks this team, for the first time in my life, I am in love with my body!! Highly recommended!!

J.V. Google

I will update this review as I get through the process but I want to start now so I don’t forget anything: I had done 12 virtual consultations and 3 in person consultations before my consultation with Dr. rough for my skin removal post weight loss (tummy tuck) After meeting with him I didn’t feel the urge to meet with anyone else; I knew I wanted him as my surgeon. When I walked into the very clean smelling office I was greeted by a receptionist who was wearing a face mask but despite not being able to see half her face her personality still shined through as helpful, polite and happy. I arrived 10 minutes early and was seen right on time. When Dr. Rough came into the room he made sure to answer all my questions, he showed me what areas he would be able to work and always followed his direct responses with an easy to understand medical reason for why something could or couldn’t happen. He made sure to have a female assistant (I’m not sure of her title) in the room the entire time I was unrobed. He checked with me to make sure the extra eyes in the room was ok prior to but the fact that I didn’t have to request her myself made me feel very comfortable as not all the surgeons before him did that. I won’t discuss the actual price because pricing can change based on your needs but I got a tummy tuck with MR and Lipo to the abdomen. He also address the pelvic area so I wouldn’t look like a ken doll after surgery. It was a lot of money but not nearly as much as some surgeons were charging. I got my surgery today 9/9/2022 - the anesthesiologist was hilarious and very sweet. The nurses at the surgical center made me feel like I was making a good decision and after I got out of surgery they monitored me and sent me home. Apparently I am hilarious when recovery from anesthesia but that doesn’t belong in this review lol I am now home with a clear understanding of the medications I need to take and how frequently I should empty my drains. Dr rough called at 830pm to check on me and make sure all is well before our appointment tomorrow. I am able to walk hunched over but no crazy complications or greys anatomy style issues. I will update this after seeing my incision tomorrow and again after a few months. Over all my experience so far is outstanding and I encourage you to consider him as your surgeon. Update: I am 3 days post op. I did my one day follow up yesterday. Dr rough was very thorough about what to do next and I’m able to shower today! He also gave his cellphone number for any questions I may have and his response time has been with in minutes. One of my main concerns was how surgeons do their incisions and belly buttons- he EXCEEDED my expectation. He gave me an innie belly button and it looks so natural!!!! Even the incision was super low and he did his absolute best to avoid cutting through my side tattoos. I’ll update again after drains are out in a few weeks but still 5 stars

S.J. Google

I recently had breast augmentation done and I could not be more happy! Dr.Rough has done a great job along with the help of Anissa.I’m glad I decided to go with him preforming surgery after looking at other doctors in town.

D.R. Google


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If you're tired of seeing facial lines that make you appear older, BOTOX injections at James Rough, M.D. Plastic Surgery may be an excellent noninvasive rejuvenation treatment. BOTOX can help soften dynamic creases and wrinkles to heighten your physical beauty. Call our office in Tucson, AZ to book a consultation with Dr. Rough, and learn more about achieving a refreshed, youthful appearance!

About Us
How many injections/units will I need?

The number of BOTOX treatments needed will vary based on individual needs and the depth and severity of your lines and wrinkles. Dr. Rough and his team will suggest the correct quantity of BOTOX injections based on your targeted cosmetic goals and whether you prefer to address the brow area, forehead, or Crow's feet. To refresh your aesthetic results, our experts may recommend getting BOTOX every 3 – 4 months.

Are there comparable aesthetic injections?

BOTOX Cosmetic is a certain formulation of wrinkle reducer that thrives among a multitude of other effective options, including Dysport®. Other wrinkle relaxer treatments utilize type A botulinum toxin; however, each is designed individually to address specific challenges.

Is there a variation among wrinkle relaxers and fillers?

While wrinkle reducers, like BOTOX, are used to diminish fine lines by temporarily preventing muscle contractions, dermal fillers are a distinct category of cosmetic options that enhance facial volume. Dermal fillers are intended to volumize areas of the face and fill in static wrinkles. Dr. Rough and his team can decide if you might be a good candidate for a filler (like JUVÉDERM® or Restylane®) to complement your BOTOX outcomes.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.