Close up of woman receiving BOTOX treatment


As you age, your skin loses elasticity, developing fine lines and creases that can make you look older than you feel.

Dr. James E. Murphy can soften facial wrinkles and rejuvenate your appearance with safe, non-surgical BOTOX® Cosmetic injections.

Learn why BOTOX Cosmetic treatment is so popular at our Reno, NV, practice...

What Is BOTOX?

BOTOX is short for botulinum toxin, a type of toxin made by the bacterium Clostridium botulinum. The toxin is FDA-approved for several purposes, both cosmetic and medical.

We Offer Two Types of Treatment

BOTOX Cosmetic

Facial lines are caused by repetitive motion. When facial muscles contract, the skin around the eyelids, lips, and forehead folds. Eventually, permanent creases develop in these areas. When BOTOX Cosmetic is injected into the muscle, it blocks the nerve impulses that cause muscle movement.  When the muscles no longer contract, the skin heals, allowing fine lines and wrinkles to smooth and soften.

BOTOX® Medical

BOTOX Medical is designed to help certain patients treat chronic migraines that are directly caused by muscle contraction. If you and your doctor decide it is right for you, we will inject several areas around the forehead and neck to trigger temporary muscle paralysis. The effects of the toxin typically last about 12 weeks, after which you will return for additional injections.

Look and Feel More Youthful

Before BOTOX® photo
After BOTOX® photo
After 25 units of Botox to the glabella
BOTOX Cosmetic can be used on several kinds of facial wrinkles. Our Lake Tahoe area patients frequently target frown lines (the furrows between the eyebrows), crow's feet (the creases at the corners of the eyelids), and smile lines (the creases at the corners of the mouth).

What Are You Waiting For? Get Started on Treatment Today

You deserve to feel confident in your appearance. If facial lines and creases are causing you to look tired or feel older than you really are, it's time to consider cosmetic enhancement.  Murphy Plastic Surgery & Medical Spa offers a wide range of surgical and non-surgical procedures to wind back the clock and achieve natural-looking enhancement. Find out what we can do with BOTOX injections and more by scheduling a consultation at our Reno plastic surgery office and med spa. You can reach us online, or by calling: 

(775) 322-3446

Dr. Murphy and staff
Dr. James E. Murphy has been helping patients in the Reno and Lake Tahoe, NV, area rejuvenate their appearance for over 20 years.

Hear from Our Patients 5-Star Reviews


Michelle Perry Roberts


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Enjoy all the facial rejuvenation I get from Tracy Murphy. She is one of the best injectors in town.

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Dawn P


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Beautiful office. Very pleasant and caring staff! And I’m thrilled with my results.

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Is BOTOX Right for Me?

Many of our Lake Tahoe and Reno area patients are great candidates for botulinum toxin treatment. During your consultation, we will go over a few factors to ensure BOTOX is right for you.


Since BOTOX is a non-surgical procedure, most patients qualify. However, please go over your medical history and any medications you are taking with our doctor to ensure you are not at an increased risk for side effects.

Skin Health

While BOTOX is approved for patients 18 and over, treatment works best for those with good skin elasticity. As you get older, your skin gradually loses elasticity and is less likely to bounce back after injections. If the skin is significantly wrinkled or gathers in loose folds, a facelift may be better for your needs.


The best candidates for BOTOX Cosmetic are those looking to refresh their appearance and soften fine to moderate age lines. If your goal is more dramatic enhancement, we might recommend surgical treatment, or fillers like JUVÉDERM® to restore lost volume.

What Happens During Treatment

BOTOX is a non-surgical procedure that generally takes about 10-20 minutes. Here is what you can expect when you arrive at our Reno, NV office for your injections.
Our practice has been helping patients feel comfortable and confident in their skin for over 20 years.

Day of Procedure

Our practice has been helping patients feel comfortable and confident in their skin for over 20 years.


We begin by preparing the proper unit dosage of the botulinum toxin. Your nurse will carefully determine the optimal injection site locations to target wrinkles and preserve your facial expression. These areas of the skin are then cleaned with an alcohol solution.


We inject the botulinum toxin in approximately three to five different spots per muscle area depending on the severity and location of the wrinkles. You may feel a tiny pinch at the injection site, but most patients find that discomfort is very minimal.

Post Appointment

Once you receive your injections, you can resume your normal day. While you might feel a slight tenderness or notice some mild redness at the injection site, these side effects are temporary and should fade within a day or two.

Results and Maintenance

After a few days, the muscles at the injection site will be immobilized, and your facial lines will become less pronounced. BOTOX Cosmetic typically reaches its peak effects in about two weeks. The results of treatment usually last between three and six months, after which the muscles regain mobility. With our doctor's approval, regular follow-up visits are safe and can produce even better results as time goes on.

"Dr. Murphy's entire office is very honest and very professional."

"They strive for natural appearances in all their facial procedures. Dr. Murphy did a facial procedure (surgery) and my results are so natural, just perfect. Tracy has done my injections for years and she is amazing with Botox and Filler and she really cares about your results. Proof: I just saw a group of friends that I haven't seen in 15 years. They kept going on and on about how good I look. By the end of the week, two of them pulled me aside and said, okay, really, what are you doing? You look like you looked years ago. When I told them about what I do, their comment back was, that's amazing! We would have never known! You just look young, just like you looked years ago, you don't look like you have had anything done." Megan Bailey-Smith, 5-Star Review
Dr. James Murphy

Murphy Plastic Surgery & Medical Spa

Dr. James Murphy is a highly trained, board-certified plastic and reconstructive surgeon who has been in practice 25 years. He serves patients throughout Reno and Lake Tahoe and is affiliated with several prestigious organizations, including: 

  • American Society of Plastic Surgeons 
  • American College of Surgeons 
  • American Medical Association 
  • Reno Surgical Society

Schedule your consultation today by contacting us online or call (775) 322-3446. Se habla español. If you would like to text us during business hours, we can respond via text to you. You can also send pictures to us with questions.

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