Botox in Pasadena, CA: Smooth Lines, Natural-Looking Results
Quick Answer
Botox in Pasadena typically costs $12 to $18 per unit at the market level, and a first treatment for the forehead and frown lines usually runs $360 to $720 for 30 to 40 units. At Akari Medspa on South Lake Ave, every treatment is planned and injected by Isabel Koo, MSN, NP-BC.
Book online through Jane App (akarimedspa.janeapp.com) or call (949) 628-6949.

01 · Our Botox Service
Botox at Akari Medspa in Pasadena

Botox is an FDA-approved neuromodulator used to treat fine lines caused by repetitive muscle movement. When administered by skilled professionals, it softens wrinkles on the forehead, around the eyes, and between the brows, creating a refreshed yet natural appearance.
At Akari Medspa in Pasadena, every Botox treatment is customized to your facial anatomy, lifestyle, and aesthetic goals. Our injectors use advanced mapping techniques to place each dose precisely, so treatment enhances your natural beauty instead of erasing it.
Botox temporarily blocks nerve signals to the treated muscles, reducing the contractions that cause dynamic wrinkles. That lets the skin relax and smooth out naturally. The procedure takes about 15 to 30 minutes, with little to no downtime, and results typically appear within 3 to 5 days, with the full effect at about 2 weeks.
- Forehead lines
- Frown lines
- Crow’s feet
- Brow lift and jaw slimming
- Lip flip and neck bands
02 · Your Options
Botox, Dysport, or Daxxify?
| Brand | Onset | Typical duration | Best for | Cost framing |
|---|---|---|---|---|
| Botox | 3 to 5 days, full effect by about 2 weeks | 3 to 4 months | Precise placement, smaller areas, first-time patients | Priced per unit; Pasadena market range $12-$18 per unit |
| Dysport | 2 to 3 days | 3 to 4 months | Larger areas such as the forehead, a softer and wider spread | Priced in its own units, which are not interchangeable with Botox units, so per-unit prices cannot be compared directly |
| Daxxify | 1 to 2 days for many patients | About 6 months | Patients who want fewer appointments each year | Premium pricing per treatment rather than a simple per-unit comparison |
Most Pasadena patients start with Botox for precision. Dysport suits larger areas. Daxxify is the choice when you want fewer visits per year.
All three are FDA-approved neuromodulators, and none of them is best for everyone. The right choice depends on the area being treated, how quickly you want to see results, and how often you want to come back. Izzy recommends a brand at your consultation based on your anatomy and your treatment history, and most patients settle on one once they know how it wears on them.
03 · Dosing and Cost Guide
How Many Units Will You Need?
Most patients are surprised by how much the dose varies by area. Use this table to estimate your treatment before your consultation:
| Treatment area | Typical units | Estimated cost (market range) |
|---|---|---|
| Forehead lines | 10-20 | $120-$360 |
| Frown lines | 20 (label dose) | $240-$360 |
| Crow’s feet | 12-24 (label dose) | $144-$432 |
| Bunny lines | 4-8 | $48-$144 |
| Brow lift | 4-8 | $48-$144 |
| Chin | 6-10 | $72-$180 |
| Neck bands | 20-40 | $240-$720 |
| Jaw slimming (masseter) | 20-30 per side | $240-$540 per side |
| Lip flip | 4-6 | $48-$108 |
For reference, the FDA label doses for the three approved cosmetic areas are 20 units for frown lines, 24 units for crow’s feet, and 40 units for forehead lines treated together with frown lines. Your actual dose is set by your muscle strength, your goals, and how your face moves.
Two honest notes: men typically need more units than women for the same areas, because male facial muscles are generally stronger. And the estimated costs above use the typical Pasadena market range, so they are planning estimates, not a quote. Izzy confirms your exact dose and total before treatment begins.
04 · Your Visit
Your Botox Visit, Step by Step

Consultation and Facial Mapping
Your journey begins with a detailed discussion of your goals, facial structure, and medical history. Your provider maps your facial anatomy and designs a plan tailored to your features.
Your Unit Plan and Exact Price
Your injector identifies precise injection points, and you agree your dose and your exact total before anything is injected. No treatment starts until your price is confirmed.
Treatment, About 15 to 30 Minutes
Using ultra-fine needles, Botox is injected precisely into targeted muscles for natural-looking results. The procedure takes about 15 to 30 minutes, with minimal discomfort.
Results and Follow-Up
You can return to daily activities immediately. Over the next 3 to 5 days, treated muscles relax and lines soften, with full results by about two weeks. A follow-up every 3 to 4 months keeps your result consistent.
05 · Before and After
Before Your Treatment and Aftercare

A few simple steps before and after your appointment protect your result. None of it is complicated, and Izzy reviews it with you at your visit.
Before your treatment
- Schedule smart: book at least two weeks before a major event, so results have fully settled and any follow-up adjustment is complete.
- Skip alcohol for 24 hours before your appointment, since it can increase bruising.
- Tell Izzy about every medication and supplement you take, including blood thinners and fish oil. Never stop a prescribed medication without your prescribing doctor’s guidance; Izzy will explain what applies to you.
- Mention any recent illness, a skin infection near the treatment area, or a previous reaction to an injectable.
- Tell Izzy if you are pregnant, breastfeeding, or living with a neuromuscular condition, since Botox may not be appropriate.
- Arrive with a clean face if you can. Makeup can be removed at the clinic.
After your treatment
- Stay upright for about 4 hours, and avoid lying flat or bending deeply.
- Do not rub, press, or massage the treated areas for the rest of the day.
- Skip strenuous exercise, saunas, and very hot showers until the next day.
- Small bumps at the injection points are normal and usually fade within an hour. A small bruise can happen and is easy to cover with makeup the next day.
- Results appear gradually over 3 to 5 days and settle fully by about two weeks. That is when we review and adjust if needed.
06 · Is It Right for You
Is Botox Right for You?

Botox works well for anyone with visible wrinkles, expression lines, or early signs of aging who wants a smoother, refreshed look. It is best suited to adults in good general health, without a neuromuscular condition, and it is not used during pregnancy or breastfeeding.
- Dynamic wrinkles: lines that appear when you frown, squint, or raise your brows.
- Healthy skin: skin in the treatment area is clear of infection or irritation.
- Realistic expectations: you want a rested, natural result rather than a frozen look.
- No pregnancy or breastfeeding: Botox is not used while you are pregnant or breastfeeding.
07 · Choosing a Provider
How to Choose a Botox Provider in Pasadena

Botox itself is a standardized product. Results are not. The difference between a result that looks refreshed and one that looks frozen is the judgment of the person holding the syringe, which is why choosing a provider matters more than choosing a brand.
- Credentials you can verify: a licensed medical provider (NP, RN, PA, or physician) with advanced injectables training, for whom injecting is a core part of daily practice.
- A real consultation: your provider should watch your face move, ask what actually bothers you, and explain a plan before quoting any number of units.
- Genuine product: Botox, Dysport, and Daxxify sourced through the manufacturer or an authorized distributor, and prepared in front of you if you ask.
- A conservative philosophy: a provider who is willing to start lighter and add at a follow-up is protecting you from an overdone result.
- Continuity: the same injector at every visit, so your dosing history builds and your plan improves over time.
At Akari Pasadena, every Botox treatment is performed by Isabel “Izzy” Koo, MSN, NP-BC, an Allergan Master Injector. You consult with Izzy, you are treated by Izzy, and Izzy adjusts your plan at every visit.

08 · Meet Your Injector
Isabel “Izzy” Koo, MSN, NP-BC
Izzy plans every Botox treatment conservatively and full-face, dosing to how your muscles actually move. The goal is a natural result that leaves your expressions intact: rested and refreshed, never frozen.
For higher-risk areas, Izzy uses ultrasound-guided placement to add an extra layer of precision and safety to the treatment.
- MSN, NP-BC
- Allergan Master Injector
- Advanced K-beauty and Rejuran training
- Ultrasound-guided injection technique
5.0 on Google, Pasadena
09 · Visit Us in Pasadena
On South Lake Avenue, minutes from the neighborhoods we serve
Akari’s Pasadena clinic sits on South Lake Ave in the South Lake Avenue shopping district, a few minutes from Old Town Pasadena and Colorado Blvd, with building parking available. Patients visit us from across the San Gabriel Valley and the foothill communities, including South Pasadena, San Marino, Arcadia, Altadena, Sierra Madre, La Cañada Flintridge, San Gabriel, Temple City, Alhambra, Monterey Park, Eagle Rock, and Glendale. Wherever you are coming from, appointments run about 15 to 30 minutes, so treatment fits into a lunch break or an errand run on South Lake.
South Pasadena · 7 min
San Marino · 8 min
Altadena · 10 min
San Gabriel · 10 min
Arcadia · 12 min
Sierra Madre · 12 min
Glendale · 15 min
La Cañada Flintridge · 15 min
Monrovia · 15 min
Temple City · Alhambra · Monterey Park · Eagle Rock
202 S Lake Ave, Suite 298, Pasadena, CA 91101 · (949) 628-6949 · Monday to Friday 10 to 6, Saturday 10 to 2 · Get directions

Akari Medspa Pasadena, 202 S Lake Ave.
10 · Frequently Asked Questions
Frequently Asked Questions
How much does Botox cost in Pasadena?
Botox in Pasadena typically costs $12 to $18 per unit at the market level. Most first treatments use 30 to 40 units across the forehead and frown lines, which puts a typical total between $360 and $720. Your exact quote depends on the areas treated and your muscle strength, and Izzy confirms it before treatment begins.
How many units of Botox do I need?
Most patients need 30 to 40 units for the upper face: 20 for frown lines, 10 to 20 for the forehead, and 12 to 24 for crow’s feet. Smaller areas need far fewer, such as 4 to 6 units for a lip flip. Izzy maps your dose to your muscle movement at your consultation.
How long does Botox last?
For most patients, Botox results last about 3 to 4 months. The effect fades gradually as the treated muscle regains movement, and lines soften rather than return all at once. Staying on a regular schedule helps maintain a consistent result, and many patients find their results hold a little longer after several treatments.
Does Botox hurt?
Most patients describe Botox injections as a quick pinch that lasts a second or two. The needle is very fine, treatments take about 15 minutes, and topical numbing or ice is available if you are sensitive. Any mild redness or small bumps at the injection sites usually settle within an hour or so.
Will Botox look natural or frozen?
Botox looks frozen only when it is overdosed or placed without regard for how your face moves. Izzy doses conservatively, treats the full pattern of muscles rather than one line, and plans for movement to remain. The goal patients describe afterward is looking rested and refreshed, with expressions intact, not done.
How often should I get Botox?
Most patients return every 3 to 4 months, as movement gradually comes back. Some areas, such as jaw slimming, are maintained on a similar schedule once the initial result is established. Izzy reviews your results at each visit and adjusts timing and dose, so maintenance stays as light as your goals allow.
Is Botox better than Dysport?
Neither is better for everyone. Dysport tends to spread a little more and can suit larger areas like the forehead, while Botox offers very precise placement for smaller areas. Onset and duration are similar, about 3 to 4 months. If you are open to a longer-lasting option, ask Izzy about Daxxify, which lasts about 6 months for many patients.
When should I start Botox?
There is no required age. Many patients start in their late twenties or early thirties, when expression lines begin to linger after the face relaxes. Others start later, once lines are established. Starting earlier usually means lighter doses. A consultation is the honest way to decide: Izzy will tell you if treatment would help yet.
Can I combine Botox with other treatments?
Yes. Botox is often combined with dermal fillers, skin boosters such as Rejuran, and microneedling, because each treats a different layer of aging: movement, volume, and skin quality. Izzy sequences combination plans carefully, sometimes in one visit and sometimes staged, and will map out what each treatment adds before you commit to anything.
Is there downtime after Botox?
There is little to no downtime. Most patients return to work and normal activities the same day. For the first few hours, keep your head upright, avoid rubbing the treated areas, and skip strenuous exercise until the next day. Small bumps or a faint bruise can occur and are easy to cover.
Where is the best place to get Botox in Pasadena?
Look for three things: a licensed medical provider who injects daily, genuine product sourced from the manufacturer, and a consultation where your full face is assessed before anyone quotes units. At Akari, every treatment is performed by Isabel Koo, MSN, NP-BC, an Allergan Master Injector, at our South Lake Ave clinic in Pasadena.
Is it better to go to a medspa, dermatologist, or plastic surgeon for Botox?
The setting matters less than the injector. What protects your result is medical licensure, daily injection experience, genuine product, and a conservative eye, and those exist in more than one type of practice. Akari is a medical spa led by a nurse practitioner who specializes in injectables, which is the combination most Botox patients actually need.
Ready to talk through your Botox plan?
Your consultation is with Izzy directly: your face assessed, your dose mapped, your exact quote confirmed before anything is injected. Book online through Jane App at akarimedspa.janeapp.com, or call (949) 628-6949. Akari Medspa Pasadena, 202 S Lake Ave Ste 298, open Monday to Friday 10 to 6 and Saturday 10 to 2.
Akari Medspa Pasadena, 202 S Lake Ave, Suite 298, Pasadena, CA 91101
Medically reviewed by Isabel Koo, MSN, NP-BC, Allergan Master Injector, Akari Medspa Pasadena.