Botox Procedures

Conveniently located to serve Honolulu and Hawaii

Patient Testimonial

I have been seeing Dr. Tantisira for several years now. Initially, I went to see her for the fractional CO2 laser. Not even fully understanding it’s true benefits. Of course I was so happy with the way I “looked”. I looked so much younger! Then I went in for some Botox and fillers. Again I was thrilled with my results. A couple years have gone by and 50 is around the corner. Reality is setting in. I was diagnosed with basal cell skin cancer. And I have severe dry eye. She is an amazing eye doctor along with her other talents of skin care. I ended up needing my tear ducts cauterized. She performed this procedure and my quality of life has changed.

By Susan B, Waimea, Hawaii
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Our cosmetic practice in Honolulu offers Botox injections as a quick and easy solution to reduce fine lines and wrinkles. Both men and women can benefit from these injections, which help to rejuvenate their facial appearance. Dr. Tantisira has over 30 years of experience performing Botox injections and can provide amazing results.

Is Botox Right for Me?

Do you see crow’s feet, frown lines between your eyebrows, or wrinkles across your forehead? Botox, an FDA-approved cosmetic injectable that relaxes muscle movement, can reduce the appearance of lines and wrinkles that form on the face when squinting, concentrating, frowning, or making an expression.

“Lines at rest” vs. “Lines in motion”

As we age, our skin’s ability to bounce back from the lines and wrinkles that form when making habitual expressions begins to slow down. Wrinkles appear between the eyebrows, above the brows, or around the eyes and mouth. Once these wrinkles become fixed deep lines that stay in the skin even without making the expression, they are considered “lines at rest.” Once the lines bare fixed in the skin, dermal fillers and lasers then may be needed to rejuvenate these areas.
“Lines at rest” differ from lines and wrinkles “in-motion” that appear when using the facial muscles to make an expression. Patients experiencing “lines in motion” are great candidates for medications like Botox that relax the muscle’s contraction.

Botox Cosmetic and Dysport

Botox Cosmetic and Dysport offer similar outcomes for patients aged 18-65 who want to soften frown lines without the downtime of traditional surgery. Studies indicate that for some patients, Dysport may show faster, longer-lasting results than Botox Cosmetic. Ask Dr. Tantisira why she uses these two muscle relaxants in different areas of the face!

During a free consultation, Dr. Tantisira will discuss your goals and examine your individual anatomy, including specific muscle movements and effects on wrinkles. She will then design an individualized treatment plan that best suits you and your needs.

What to Expect

Your Botox treatment will be performed in-office at True Vision Center in Honolulu. Treatment time is generally short and depends on the size and number of the areas to be treated. No anesthesia is required, but ice or topical anesthetic may be used to numb the injection area. Dr. Tantisira uses special delicate needles that are as fine as acupuncture needles and quite comfortable. She will inject a precise amount into each of the muscles that cause wrinkles.

Corrective Treatment

If you are unhappy with the results of your Botox treatment from other offices or Medspas, Dr. Tantisira has the experience to provide corrective treatment. Depending on the situation, she may be able to balance out uneven areas with a strategic injection of Botox/Dysport to counteract the previous treatment or at least to minimize the imbalance.



The cost of your Botox treatment will be discussed as part of your consultation. Our doctor will need to examine the areas of your face you want to treat to determine the number of units for the treatment required. Please note that our prices reflect the expertise of our MD surgeon injector, Dr. Tantisira.


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    Botox Before & After

    Photos – Before and After Procedure

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    Botox Cosmetic – Before and After

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Results from Botox injections depend on the treatment area and pre-treatment status. Frown lines, crow’s feet, and forehead lines can be erased if they have not been present for too long. (If these wrinkles have been present for a long time, there could be skin damage with lines etched into the skin that will require time or another procedure to completely remove.) Other treatment areas, such as bunny lines, lip flip, Nefertiti Lift, depressor anguli oris, masseter muscle, and neck webs all respond very well to muscle relaxant treatment. Because of her experience, Dr. Tantisra usually gets maximum results with these muscle relaxing medications. Her patients have come to expect her “Botox brow lift” with their frown line and upper eyelid treatment. The youthful results of smooth skin are amazing. Results typically last up to 3 to 6 months for the first treatment. Each subsequent treatment lasts longer if it is performed as soon as the previous treatment wears off, so that many of her patients only need it every 6 to 9 months.

Discomfort is minimal as Dr. Tantisira uses tiny needles 2 to 3 sizes smaller than the standard size used by other injectors. Adding very cold ice or numbing cream as needed to the skin, she really strives to maximize each patient’s comfort and to minimize bruising.

The recovery period is short, with the main restriction being to avoid rubbing the treated area for 4 hours to decrease the risk of spread to the wrong muscle. Most normal activities can be resumed right away, but facials and massage of the face should be avoided for a day or so. Mild bruising, swelling, and redness are possible side effects, but they are usually temporary and mild.

When you are ready for your next Botox treatment, be sure to call our Honolulu expert, Dr. Melanie Tantisira for your free consultation


Contact us

If you are bothered by the fine lines and wrinkles on your face, contact our cosmetic practice today to schedule a consultation for your Botox treatment in Honolulu. Our team can provide you with beautiful and natural-looking results.

Dr. Tantisira has over 30 years’ experience with delicate surgery and Botox injections. She now features a wide assortment of cosmetic procedures in her Honolulu office. Contact Dr. Tantisira to see how she can help you achieve your desired appearance.

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