Botox (Neuromodulators) in Vancouver & north Vancouver, BC
20+ Years Experience Performing Botox Injections for Natural-Looking Results
Both our Vancouver & North Vancouver clinics are led by Dr. Thomas Buonassisi. Our advanced aesthetic RN injectors have over 20 years of experience and are skilled in artfully yet carefully injecting botulinum toxin, more commonly known as "Botox®", to provide safe and effective results.



Botox®
Botulinum toxin, Botox, is a popular neuromodulator treatment. Common concerns we address with our patients are fine lines around the eye area, deep set lines on the forehead and between the brows and other common signs of aging in the face.
Our cosmetic injectable specialists are extensively trained in advanced techniques and are recognized as leading Vancouver Botox® industry experts who have trained other professionals at the national level.
Click below to learn more about Botox.
Before & After








Benefits of Botox Injections
Treatments are available at both our Vancouver clinic and our North Vancouver clinic.
- Treatment is quick and you can resume your regular activities right after with no downtime
- Patients enjoy results that last for 3 – 4 months
- Treatment is available at both our Vancouver clinic, and our North Vancouver clinic
- Treatments are customized to your unique facial structure and goals
Frequently Asked Questions
What is hyperhidrosis and why use Botox?
Hyperhidrosis is excessive sweating beyond normal body needs. Botox blocks nerve signals to sweat glands, significantly reducing sweat in treated areas.
How does Botox work for sweat control?
Botulinum toxin A inhibits nerve signals to sweat glands, reducing sweat production for months.
Where can Botox be used for hyperhidrosis?
Common treatment sites include underarms (axillae), palms, soles, and forehead.
How long do results last?
Most patients experience 6–12 months of reduced sweating; repeat treatments maintain results.
What is botox?
Botox (Botulinum toxin) is an FDA-approved cosmetic injectable used to reduce the appearance of fine lines and wrinkles. It is classified as a neuromodulator, meaning it temporarily alters nerve signals to relax specific facial muscles. While most commonly known for treating forehead lines, crow’s feet, and frown lines, it is also used medically to treat migraines, excessive sweating (hyperhidrosis), and TMJ.
What is botox made of?
Botox is made from a purified form of Botulinum toxin type A. This protein is derived from the bacterium Clostridium botulinum. In cosmetic applications, the toxin is highly diluted and purified, making it safe for injection into muscles to block nerve signals without causing illness.
What is a botox lip flip?
A Botox lip flip is a non-surgical procedure where a small amount of Botox (usually 4–6 units) is injected into the cupid’s bow and corners of the upper lip. This relaxes the orbicularis oris muscle, causing the upper lip to slightly "flip" outward. The result is a fuller-looking upper lip without the added volume of dermal fillers.
How does botox work for wrinkles?
Botox works by blocking the release of acetylcholine, a chemical messenger that tells your muscles to contract. When injected into specific facial muscles, it prevents them from contracting or "scrunching" the skin. This relaxation smooths out existing dynamic wrinkles (caused by movement) and prevents new deep lines from forming.
How long does botox last in your face?
On average, Botox lasts for 3 to 4 months. Over time, the body metabolizes the neuromodulator, and nerve signals slowly return to the muscle, causing movement (and wrinkles) to reappear. First-time users may find it wears off slightly faster, while long-term users often see results lasting longer as the muscles weaken from disuse.
How long does botox last around the eyes?
Botox injected for "crow’s feet" (lines around the eyes) typically lasts about 3 to 4 months. However, because the muscles around the eyes are highly active when we smile and blink, some patients may notice movement returning slightly sooner than in less active areas like the forehead.
How long does botox take to work?
Botox is not immediate. You may start to see initial softening of lines within 3 to 5 days, but the full effect typically takes 10 to 14 days to develop. Most clinics recommend waiting a full two weeks before assessing the final result or deciding if you need a touch-up.
How often should you get botox?
Most providers recommend scheduling maintenance appointments every 3 to 4 months. The goal is to receive the next treatment just as muscle movement begins to return but before deep wrinkles have a chance to reform.
Is botox safe?
Yes, Botox is considered extremely safe when administered by a licensed and experienced medical professional (such as a dermatologist, plastic surgeon, or nurse injector). It was FDA-approved for cosmetic use in 2002 and has a long track record of safety. Side effects are generally mild and temporary, such as bruising or swelling at the injection site.
Is botox permanent?
No, Botox is not permanent. The effects are temporary and reversible. Unlike surgery, which makes structural changes, Botox only affects muscle activity for a short period. This makes it a low-commitment option for those trying anti-aging treatments for the first time.
Does botox wear off?
Yes, Botox always wears off. It is not a permanent change. As the neurotoxin is naturally broken down by the body, the nerve endings regenerate and muscle action is fully restored. If you stop getting treatments, your face will eventually return to its pre-Botox appearance.
What not to do after botox?
To ensure the best results and avoid complications (like the toxin migrating to unwanted muscles), follow these key rules for the first 24 hours:
- Do not rub or massage the treated area
- Do not lie down flat for 4 hours.
- Do not engage in strenuous exercise.
- Do not wear tight hats or headbands.
- Avoid excessive heat (saunas, hot yoga).
Can you lay down after botox?
You should wait at least 4 hours before lying down flat or bending over. Remaining upright prevents the toxin from migrating (moving) to other areas of the face, which could cause temporary issues like a droopy eyelid (ptosis).
Can you exercise after botox?
You should avoid strenuous exercise and heavy lifting for at least 24 hours. Elevated heart rate and blood pressure can increase swelling and bruising, and vigorous movement could theoretically cause the product to spread to unintended muscles.
Can you drink alcohol after botox?
It is recommended to avoid alcohol for at least 24 hours after your appointment (and ideally 24 hours before). Alcohol acts as a blood thinner, which significantly increases the risk of bruising at the injection sites.
Can you shower after botox?
Yes, you can shower and wash your face after Botox. However, keep the water lukewarm and avoid hot steam. Do not scrub or massage the treated areas while washing your face for the first 24 hours.
Can you wear makeup after botox?
Yes, you can gently apply makeup after your treatment, but it is better to wait a few hours to let the injection sites close. If you must apply makeup immediately, use clean brushes and use a very light touch to avoid putting pressure on the treated areas.
Can you get a facial after botox?
You should wait at least 1 to 2 weeks before getting a facial, microdermabrasion, or a chemical peel. Facials often involve massaging the face, which can displace the Botox and alter your results.
Can you fly after botox?
Yes, it is generally safe to fly after Botox. While changes in cabin pressure technically affect the body, there is no evidence that flying causes issues with Botox results. However, if you are prone to bruising, the dry air and pressure might slightly exacerbate swelling, but it is not medically dangerous.
Can you go in the sun after botox?
Brief sun exposure is fine, but you should avoid prolonged sun exposure and high heat for 24–48 hours. Heat causes vasodilation (widening of blood vessels), which can increase bruising and swelling. Always wear SPF to protect your skin regardless of treatment.
Guide to Injectables
So you want to maximize the results you’re getting out of your Botox. The first thing to know is that treatment longevity is different from patient to patient—and even from session to session. There’s no single secret to making your Botox last longer. There are, however, some simple tips and tricks to keep in mind that might help in The 8 West Clinic Guide to Making Your Botox Last Longer.
Download the infographic for details on 6 tips to make your Botox last longer from our experts, including:
- Do’s and Don’ts with Botox
- Complementing Treatments
- Lifestyle Adjustments & Skin Health
- Product Recommendations
- How to Find a Skilled Injector


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Introduction to Botox for Hyperhidrosis
Botox for hyperhidrosis is a quick, minimally invasive treatment that uses botulinum toxin type A to block nerve signals to sweat glands in areas like the underarms, hands, feet, or forehead. At 8 West Clinic, our expert injectors provide personalized, Health Canada–approved care based on a detailed assessment of your sweat patterns. The 20–30 minute procedure involves precise micro-injections and typically results in reduced sweating within 3–7 days, with full effects in four weeks and lasting relief for 4–6 months or more. With little to no downtime, it’s a safe, effective way to regain confidence and comfort in daily life.
Benefits of Botox for Hyperhidrosis
Botox for hyperhidrosis offers a medical-grade solution to excessive sweating—safe, effective, and tailored for comfort. With precise injection techniques and Health Canada approval, this treatment empowers you to regain confidence and ease in daily life without surgical intervention.
- Significantly reduces sweating (typically 80–90%)
- Quick procedure (~20–30 minutes) with no downtime
- Long-lasting relief—up to 7–12 months
- Approved by Health Canada and supported by extensive clinical use
- Precise targeting for underarms, palms, feet, or forehead
- Boosts comfort, confidence, and quality of life
Videos
Botox Experience

The History of Botox & Dysport Neuromodulators
In this video, our Nurse Director & Advanced Injector Jenn brings her years of specialized expertise to talk about how neuromodulators have evolved when it comes to cosmetic use. She discusses some of the history of Botox and Dysport, how treatment may differ between candidates (e.g. women vs. men), and the ways Botox and Dysport are used today.


Lisa did my botox and lip filler and I am very pleased with the service I received. She listened carefully to what I wanted and even encouraged something different than what I had originally thought. She was absolutely right and I had the perfect look and balance for my face.


Lisa Roberge at 8 West is a total pro. I’ve been seeing her for a few years now and am always happy with the results. I love her “less is more” approach to fillers and botox. She knows how to make subtle changes that have a huge impact. Very skilled and knowledgeable
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Our Team
We treat aesthetic injectables as both a science and a finely-tuned art form. Handpicked with the highest of standards by Dr. Thomas Buonassisi, our injectable treatments are performed by providers who carry extensive experience and advanced training in wrinkle relaxing injections, dermal fillers, and biostimulator injections.
Our team prides themselves on being the best, as they continue to upskill and even train other professionals at a national level for many of our brand partners. We’re proud to be the home of cosmetic injection professionals who are at the top of their field.

Madison Patrick, RN
Madison is highly skilled in IV Therapy, Ozone Therapy, and cosmetic injectables, including neuromodulators. She emphasizes natural-looking results and collaborates closely with patients to deliver safe, customized treatment plans that support wellness and rejuvenation.

Caroline Genove, RN
Caroline assists with pre- and post-operative care and performs cosmetic injections. Her dual experience in surgical nursing and injectables ensures safe, well-rounded care throughout every patient journey.

Dr. Shehla Ebrahim, MD
Dr. Ebrahim brings 20+ years of experience in family and aesthetic medicine. She leads our private dermatology services at 8 West Clinic, with a focus on hormonal health, skin health, and prevention.

Jennifer Sheaves, RN
Jennifer leads our nursing team and specializes in advanced injectable treatments. With extensive experience in aesthetic medicine and hormone replacement therapy, she’s known for her precision, patient care, and commitment to delivering natural-looking results.
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Lisa Roberge, RN CSANS
Lisa is known for her expertise in advanced injectables and sclerotherapy. She focuses on precision and patient education, delivering safe, effective treatments tailored to each individual’s needs.

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