Understanding Botox
Botox is a non-surgical injectable treatment that temporarily relaxes facial muscles to soften the appearance of fine lines and wrinkles. It’s most commonly used on forehead lines, frown lines (the "11s" between the eyebrows), and crow’s feet around the eyes.
Dr. Iyengar delivers Botox with precision to achieve refreshed, natural-looking results—never frozen. Botox works by blocking nerve signals to the muscles, reducing movement in the treated areas and helping to create a smoother, more youthful look.
When should I consider botox?
If you’re noticing signs of aging—such as forehead creases or smile lines—but aren’t ready for surgery, Botox can be a quick and effective solution. Many patients also use Botox as a preventive treatment to delay the formation of deeper lines over time.
What are the details of this procedure?
Botox treatments are fast and minimally invasive. Using a fine needle, Dr. Iyengar precisely injects small amounts of the product into targeted facial muscles. The entire process takes about 10–15 minutes and requires no downtime.
Results begin to appear within 3–5 days, with full effect in about two weeks. The effects typically last 3–4 months.
Why choose Dr. Iyengar for botox?
With his surgical background and deep understanding of facial anatomy, Dr. Iyengar delivers natural-looking Botox results—never frozen or overdone. His approach focuses on subtle enhancement that allows your expressions to shine through while minimizing the signs of aging.
What does recovery look like?
There’s no downtime with Botox, and most patients return to normal activities immediately after treatment. Mild redness or swelling at the injection sites typically resolves within an hour.
Regular maintenance treatments every few months can help keep your results consistent and your skin looking smooth and refreshed.
Check out how our patients looked before and after.
Check out galleryCheck out what our patients have to say.
Aimee S.
There isn't a bad thing I can say about Dr. Iyengar or my experience. I found Dr. Iyengar after I had been to a friend's consultation up in Bellevue. I heard her quote and options, and knew I wanted to be closer to home for my procedure. I got in for my consultation the same week as I had inquired about my procedure. Dr. Iyengar won me over with the fact that we both grew up in Puyallup, we share a love for Olive Garden breadsticks, he is friendly, knowledgeable, has an incredible bedside manner, taking time to answer questions and get to know your needs, professional, and funny. From consultation to 3 weeks post op, and everything in between has been an experience that I would recommend to family and friends, and have recommend to anyone that asks. If you're going back and forth, do yourself a favor and stop looking. Dr. Iyengar is your guy!! My BFF and I are proof that this guy is THE. BEST.

Lawrence W.
I was having trouble getting a grip on some hand tools, and at a restaurant that used round table ware rather than flat and edged utensils I notice I couldn't seem to hold them from rolling. My primary physician referred me to Dr. Iyengar. Probably one of the better 20 mile appointments I've had.Dupuytren's contracture, is the culprit the good doctor diagnosed and showed how it prevents my hand from lying flat on a table top because the little, and ring finger were closing on the palm. I mentioned that the middle finger of that hand also locked often with some pain associated with the nuisance. "We can take care of these two procedures today if you'd like" he offered and it made sense if he was willing, I'd travelled 20 miles for the diagnosis, getting the cure at the same time was more than just good sense.
In less than an hour, a pain free hour, the troublesome contracting cord had been freed up and a needle shot of a drug, perhaps cortisone, though I've forgotten, and I was on my way to the physical therapist to learn what I could do following up on the minimal surgery.
From the time I entered the office until I left was a pleasant and friendly exchange of information and personal stories. I didn't wait long, so short I could not get through reading the diplomas and advanced training and education certificates hanging on the walls that Dr. Iyengar has garnered from his studies and surgical skills.
The good doctor keeps a friendly atmosphere for staff and patients, for me 20 miles no longer seemed inconvenient. I'll see him for the followup and look forward to that. You'll be in good hands with Dr. Iyengar and staff.

Lisa R.
I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.

Liza C.
From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!
Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!
The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.
My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!

Jenny M.
I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.

Quality care in all realms of plastic and reconstructive surgery.
We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.
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