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Reclaim a More Youthful, Rested Appearance

Wrinkles tell a story, but not always one you want to share. If frown lines, crow’s feet, or forehead creases make you look tired, angry, or older than you feel, BOTOX offers a proven, subtle solution. At Accents Cosmetic Surgery, our expert injectors use an artistic, customized approach to smooth unwanted lines while preserving your natural expressions. Whether new to injectables or looking for a skilled provider to correct past results, our team is here to help you feel more confident in your skin.

BOTOX Before & After

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What Is BOTOX?

BOTOX® Cosmetic is an FDA-approved neuromodulator that temporarily relaxes the facial muscles responsible for expression-based wrinkles. It’s commonly used to soften crow’s feet, glabellar lines (the “11s” between the brows), and forehead creases. By reducing muscle movement in targeted areas, BOTOX smooths the overlying skin and helps prevent future lines from forming.

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Where BOTOX Works Best Key Areas We Treat

Eyes

Squinting, laughing, and smiling can all contribute to developing fine lines around the eyes, commonly called crow’s feet. BOTOX softens these dynamic wrinkles, restoring a smoother, brighter, and refreshed appearance.

Brows

With age, the brows may begin to droop, causing the face to look tired, sad, or tense. BOTOX can subtly lift the brow and reduce frown lines between the eyes, giving the upper face a more open and content expression.

Forehead

Horizontal forehead lines often deepen over time due to repeated brow raising. BOTOX gently relaxes these overactive muscles, smoothing the skin and helping prevent future creasing.

Jaw

If your jawline feels overly prominent or you experience tension from jaw clenching or grinding, BOTOX can help relax the masseter muscle. This creates a slimmer facial contour and provides functional relief without changing your bone structure.

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Patient Testimonials

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Both Dr. Berkowitz and Maria were terrific and I really enjoyed discussing an FUE procedure with them. They were open and honest about my level of hair loss, and were realistic ...

Both Dr. Berkowitz and Maria were terrific and I really enjoyed discussing an FUE procedure with them. They were open and honest about my level of hair loss, and were realistic and clear about what was possible to achieve. They weren't pushy and left the decision entirely within my hands on whether to proceed. I ultimately didn't go through with the procedure as I felt that what was achievable wasn't worth the cost. I would very much recommend their office and staff to anyone interested in FUE.

–Nicholas L.

Low wait times. Came in for a consult for hairloss. I felt everything was explained thoroughly. I’m considering him as an option, but so far only positive things to say of...

Low wait times. Came in for a consult for hairloss. I felt everything was explained thoroughly. I’m considering him as an option, but so far only positive things to say of the practice.

–Lena J.

Long time patient of Dr. Berkowits, service was great! People were friendly. Looking forward to seeing him again.

–Jean B.

I feel he’s highly skilled in all things cosmetic. Over the years, I’ve seen Dr. Berkowitz for several thing and always left satisfied.

–Elenora B.

I couldn’t be more impressed with the experience I had with Dr. Berkowitz. I feel he’s good at he does. Always a 5-star experience.

–Rosalyn M.

I've seen Mei for injections for years now and she is THE best!! She makes me feel so comfortable and does a wonderful job explaining everything every step of the way. She is ex...

I've seen Mei for injections for years now and she is THE best!! She makes me feel so comfortable and does a wonderful job explaining everything every step of the way. She is extremely talented and I have never had a single issue.

–SE BK

Kalye is the best!!! I was scheduled with her to do some injections into my scalp for hair loss and she couldn’t have been more kind, informative and really made me feel t...

Kalye is the best!!! I was scheduled with her to do some injections into my scalp for hair loss and she couldn’t have been more kind, informative and really made me feel taken care of as a patient and a client. She went above and beyond to make sure I was comfortable and understood the process - she even inconvenienced her own schedule in order to accommodate mine and ensure I received the best results. I have so much more confidence for the journey ahead, knowing I am in such great hands with Kalye.

–Lauren P.

I loved this clinic! Maria helped me schedule everything and answered each and every question I had like the pro that she is. Megan and Monica were the technicians working on me...

I loved this clinic! Maria helped me schedule everything and answered each and every question I had like the pro that she is. Megan and Monica were the technicians working on me. They did an absolutely amazing job. I was so happy with the treatment and appreciated how absolutely meticulous they were throughout the entire process. Excellent team work and excellent bedside manners. Definitely recommend.

–Sara M.

Dr. Berkowitz and his team have proven to be an excellent cosmetic practice! I had a lower eyelid blepharoplasty procedure in October 2020. Dr Berkowitz took the time to let me ...

Dr. Berkowitz and his team have proven to be an excellent cosmetic practice! I had a lower eyelid blepharoplasty procedure in October 2020. Dr Berkowitz took the time to let me know what to expect in every detail. The procedure went smoothly, and I healed rather quickly without any complications. After recovery, the results have been exactly what I was hoping they would be. For anyone considering this surgery, I would highly recommend it. Addressing the aging around the eyes takes years off the overall appearance! You can surely trust that the entire team at Accents Cosmetic Surgery will take amazing care of you through every step of the way.

–Rachel L.

From making the appointment to actually meeting Dr. Alford, everything was smooth and amazing! I’m surprised I’m the first to even leave a review about how wonderful...

From making the appointment to actually meeting Dr. Alford, everything was smooth and amazing! I’m surprised I’m the first to even leave a review about how wonderful he is. He listened, modeled patience and made me feel comfortable. He did a breast augmentation on me and when I say I was nervous, that’s an understatement, but he assured me I’d be just fine, and I was. His work is phenomenal and I’d recommend him to anyone! Thank you so much Dr. Alford. I will be sure to update this review according to my healing and future results!!!

–Tia J.

I can't say enough nice things about Accents medical spa. I am always completely satisfied with any procedure I receive. Everyone who works in the West Bloomfield office is the ...

I can't say enough nice things about Accents medical spa. I am always completely satisfied with any procedure I receive. Everyone who works in the West Bloomfield office is the best. They are always welcoming, kind, and professional. I highly recommend their services. You can completely trust them to make you look and feel your best

–Lori N.

I had an upper and lower blepharoplasty with a brow lift. Along my healing journey I had many questions and concerns as my body was going through different stages of healing. Dr...

I had an upper and lower blepharoplasty with a brow lift. Along my healing journey I had many questions and concerns as my body was going through different stages of healing. Dr. Berkowitz and his team answered everything very quickly, and assured me that all was within a normal range of healing. Dr. Berkowitz is a perfectionist making him a leading expert in his field. I would highly recommend him for any kind of plastic surgery!! I am grateful to him for making me look like myself again, which improved my vision and quality of life!!

–Jenny

Came in for a consult, a close friend of mine referred them to me. I had a great experience. The staff was welcoming, no pressure into making decisions. All my questions were an...

Came in for a consult, a close friend of mine referred them to me. I had a great experience. The staff was welcoming, no pressure into making decisions. All my questions were answered. Will update, but so far would recommend.

–Patricia M.

My girlfriend and I come here quite often and we always leave happy with our experiences. Bianca is always great. Can’t say enough positive things about them.

–Betty N.

Kalye is so kind and patient. Wouldn’t get Botox from anyone else. She makes you feel so comfortable and has very gentle hands. Would highly recommend her.

–Kara D.

Experience, procedure and results were way higher than I expected. Highly recommend. My eyebrows look amazing and gave me an entirely new and improved look. I loved the staff an...

Experience, procedure and results were way higher than I expected. Highly recommend. My eyebrows look amazing and gave me an entirely new and improved look. I loved the staff and especially the two ladies who helped me during my procedure.

–Anonymous

Couldn’t be happier with my results. Everything went exactly how Dr. Berkowitz said it would. They answered every question I had and made me feel comfortable throughout, f...

Couldn’t be happier with my results. Everything went exactly how Dr. Berkowitz said it would. They answered every question I had and made me feel comfortable throughout, from the first call to my year follow.

–Anonymous

I received Juvederm lip fillers by Dr. Berkowitz a while back, and wanted to go on to share my experience. I went to him, as a c lose friend of mine had seen him in the past and...

I received Juvederm lip fillers by Dr. Berkowitz a while back, and wanted to go on to share my experience. I went to him, as a c lose friend of mine had seen him in the past and I loved her results. This was my first time coming in, and I'm overly thrilled with the results. I feel he did a fantastic job. He was able to give me a very natural look.

–Anonymous

Dr. Berkowitz was a pleasure to work with. I've been struggling with hair loss for the longest time, and thought there was no hope. I feel he was very understanding, up front, e...

Dr. Berkowitz was a pleasure to work with. I've been struggling with hair loss for the longest time, and thought there was no hope. I feel he was very understanding, up front, explained things well. It's been a handful of months since I've seen him, and I'm seeing amazing results. I'm not disappointed in the slightest. I'd highly recommend him and the rest of his office staff.

–Mars

Little to no pain or swelling my experience with Maria and Dr Berkowitz was top tier best money I couldve spent anybody suffering from thinning hair or receding hairlines like I...

Little to no pain or swelling my experience with Maria and Dr Berkowitz was top tier best money I couldve spent anybody suffering from thinning hair or receding hairlines like I was go see Dr B and get your confidence and swagger back

–Robert

About 10 months back, I had chose Dr. Berkowitz to help with my thinning hair. The process wasn't as painful as I thought it would be, and I'm beyond thrilled with how things ha...

About 10 months back, I had chose Dr. Berkowitz to help with my thinning hair. The process wasn't as painful as I thought it would be, and I'm beyond thrilled with how things have been progressing over this past 10 months. I'd recommend him

–Anonymous

Some of the best care I’ve ever received. I’ve been seeing Dr. Berkowitz for cosmetic reasons and like how things have been moving forward. They do amazing laser wor...

Some of the best care I’ve ever received. I’ve been seeing Dr. Berkowitz for cosmetic reasons and like how things have been moving forward. They do amazing laser work here.

–Anonymous

I wouldn’t trust anyone else when it comes to my face! Dr. Berkowitz has always been amazing over the years. Highly recommend him.

–Anonymous

I started to see Dr. Berkowitz for my receding hairline. The experience I had with him was amazing. No scaring, very minimal pain. The pre and post op process were good. Very re...

I started to see Dr. Berkowitz for my receding hairline. The experience I had with him was amazing. No scaring, very minimal pain. The pre and post op process were good. Very realistic results.

–Anonymous

I've been seeing Dr. Berkowitz for hair loss treatment, and I've been noticing a significant change since I've been under his care. I've always been very insecure when it would ...

I've been seeing Dr. Berkowitz for hair loss treatment, and I've been noticing a significant change since I've been under his care. I've always been very insecure when it would come to my looks, wearing hats, avoiding public situations, and so on. He's been very helpful since I started seeing him. I've already referred him to a close friend.

–Anonymous

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Why Accents Cosmetic Surgery?

ALMI procedure performed by Dr. B

Dr. B performs the ALMI Procedure

The Benefits of BOTOX

  • Smoother Skin: BOTOX visibly reduces forehead lines, crow’s feet, and frown lines for a more youthful look.
  • Preventative Aging: Regular treatment helps prevent deeper wrinkles from forming over time.
  • Natural Expression: When administered by an expert, results are subtle, not frozen, so you’ll still look like yourself.
  • Non-Surgical Convenience: Enjoy dramatic improvement without incisions, anesthesia, or downtime.
  • Quick Treatment Time: BOTOX appointments typically take just 10–15 minutes.
  • Trusted Safety Profile: With decades of clinical use, BOTOX is one of the world's most studied and widely used aesthetic treatments.

Is BOTOX Right for Me?

BOTOX may be an ideal choice if you:

  • Are bothered by dynamic wrinkles in the upper face
  • Want a subtle, refreshed appearance without surgery
  • Are generally healthy and not pregnant or nursing
  • Have realistic expectations about results and maintenance
  • Prefer a quick, low-commitment way to start your aesthetic journey

It’s also a great option for younger patients looking to delay the onset of wrinkles, known as preventative BOTOX.

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What to Expect Your BOTOX Treatment

Consultation & Evaluation

Your journey begins with a facial assessment to identify muscle movement and determine precise injection sites.

Preparation

The treatment area is cleaned, and our Ouchless™ Needle technology may be used to deliver a cooling spray that minimizes discomfort.

Precise Injections

BOTOX is injected into targeted muscles using a very fine needle. The process takes 10–15 minutes.

Post-Treatment Instructions

You can resume most activities right away, though we ask that you avoid strenuous exercise, alcohol, and rubbing the treated areas for 24 hours.

BOTOX Results

You may notice visible wrinkle softening within 3 to 5 days, with full results developing over the next 7 to 10 days. Effects typically last 3 to 4 months, after which maintenance treatments are recommended to preserve your refreshed appearance. For those seeking a longer-lasting option, we also offer Daxxify, a peptide-enhanced neuromodulator lasting 6 to 9 months.

Why Choose Accents Cosmetic Surgery for BOTOX?

Decades of Expertise

Dr. Mark Berkowitz has been performing BOTOX for over a decade. His extensive experience ensures that you receive precise, customized results that reflect your goals and natural anatomy.

Plastic Surgeon Precision

Unlike many medspas, your treatment is led by a board-certified facial plastic surgeon. Dr. Berkowitz understands the nuances of facial harmony and uses BOTOX to enhance—not erase—your natural expressions.

Virtually Painless Technique

Our patients love the comfort of our Ouchless™ Needle technology, which delivers a cooling mist before each injection. It’s the perfect solution for those with sensitive skin or a fear of needles.

A Personalized Experience

We don’t believe in one-size-fits-all injections. Every BOTOX treatment at Accents Cosmetic Surgery is thoughtfully tailored to your unique facial structure, muscle movement, and aesthetic vision.

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Refresh Your Beauty

Ready to smooth wrinkles and restore your glow? Schedule your BOTOX consultation with Accents Cosmetic Surgery today and take the first step toward feeling more confident in your skin.

Frequently Asked Questions BOTOX

How long does BOTOX last?

Most patients enjoy results for 3 to 4 months. Over time, with consistent treatment, you may notice longer-lasting effects.

Is BOTOX safe?

Yes, BOTOX is FDA-approved and has a decades-long safety track record when administered by trained professionals.

Does it hurt?

Discomfort is minimal, especially with our Ouchless™ Needle technology. Most patients describe it as a quick pinch.

Can BOTOX be preventative?

Absolutely. Many patients in their 20s and 30s use BOTOX to prevent the formation of deeper lines.

Will I look frozen or overdone?

Not at Accents. We use precise dosing and placement to ensure your results look soft, natural, and expressive.

Can I return to work after treatment?

Yes. There’s no downtime, though we recommend avoiding exercise and facial massage for 24 hours.

Can BOTOX be used on the jaw?

Yes. Jawline BOTOX can slim a bulky masseter muscle or reduce tension from jaw clenching and teeth grinding.

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