For years, Dr. Rueckl has been one of the top injectors of BOTOX Cosmetic in the Las Vegas area and has one of the largest BOTOX client retention rates because patients see consistent results. BOTOX is safe, and virtually non-invasive. Until mid-2009, BOTOX was the only treatment of its type approved by the FDA. Dr. Rueckl performs BOTOX treatments in his office daily and has done nearly 20,000 treatments.

Dr. Rueckl has always been the only injector of BOTOX at Lakes Dermatology. He has never delegated this responsibility to a physician assistant, nurse, medical assistant, or anyone else.This fact is important to the integrity of his practice and to his patients’ consistent care and his high patient return rate.

What is BOTOX and what does it do?

BOTOX is a prescription medicine of purified protein produced by the Clostridium botulinum bacterium, called onabotulinumtoxinA. In late 2009, Allergan began differentiating BOTOX (for non-cosmetic purposes) and BOTOX Cosmetic (for cosmetic purposes). Both prescriptions are the same compound and the same derivation of medication, but they are promoted differently. For our purposes, we only use BOTOX Cosmetic, but simply refer to the treatment as BOTOX.

BOTOX is used cosmetically to reduce the activity of the muscles that cause frown lines, crow’s feet, horizontal lines in the forehead, and the hard “11’s” between your brows. BOTOX temporarily stops these muscles from contracting, which smoothes the lines and wrinkles on your face. Though used infrequently, small amounts of BOTOX can be administered by the corners of the mouth to raise them or injected into the chin to stop dimpling and the “orange peel” look. BOTOX results typically last 3-4 months.

BOTOX can also be injected into the underarms to treat hyperhydrosis (excessive sweating) when topical medications don’t work well enough. Dr. Rueckl performs these types of injections, as well as BOTOX for cosmetic purposes. Any questions about the use of BOTOX to treat hyperhydrosis and the specifications of this treatment, including cost, can be discussed with Dr. Rueckl or a Medical Assistant at your appointment or by calling our office—full details are not discussed on this website.

For more information on BOTOX, including all FDA information and a photo gallery of befores and afters, please visit the Allergan BOTOX website at

Where is BOTOX used?

BOTOX is used at our office for:

  • Softening frown lines, horizontal forehead lines, and crow’s feet
  • Relaxing deep wrinkles between the brows, which are sometimes called “11s”
  • Lifting the brow and opening the eyes
  • Raising the corners of the mouth
  • Stopping chin dimpling or “orange peel” look
  • Stopping excessive underarm and palm sweating

What is a BOTOX treatment like?

All BOTOX injections are performed by Dr. Rueckl. At your first visit, you will meet with Dr. Rueckl and his assistant to discuss the treatment and sign a consent. Though the injections are not painful, patients have the option to apply a small amount of topical anesthetic cream to the injection sites and can also opt to have a machine that blows cold air used during the procedure. Dr. Rueckl will administer the BOTOX using a very small needle. He may have you raise and lower your eyebrows and wrinkle and crease your forehead so he can better determine the appropriate injection sites for the BOTOX. The procedure takes less than 15 minutes to perform. If needed, you will be given small icepacks to apply post-treatment to lessen any possible bruising. Some patients experience small “bee stings” at each injection site, but these should dissipate within an hour. When you leave, you will have no downtime and can return to normal activities immediately.

Each patient has a choice to receive 25 or 50 units of BOTOX. 25 units is most often used to treat only the “11s”, the deep wrinkles between the brows. A full treatment is 50 units, which treats the forehead, between the brows, and the sides of each eye (crow’s feet). Nearly all patients opt for a full treatment.

What kind of results can I expect from a BOTOXtreatment?

BOTOX results generally give one a relaxed and youthful appearance. Where the BOTOX was administered, you can expect to see a smoothing of lines and a loss of tension in those muscles. Results typically begin to appear within days and should be fully noticeable after 10 days. Touch-ups or additional BOTOX will not be administered until 10 days have passed so full effects can take place. Patients who consistently receive BOTOX may notice it takes a bit longer to kick in after each treatment. This is normal, but no additional injections should be done until the 10 days have passed. BOTOX results last approximately 3-4 months.

How much does BOTOX cost?

As stated, BOTOX is charged in either 25 or 50 unit treatments. For a full treatment where 50 units are used for the forehead, between the brows, and for the crow’s feet, the treatment cost is $600. To treat only the area between the brows using 25 units, the treatment cost is $325. Our patients always receive full strength BOTOX and continue to return to Dr. Rueckl for consistent results. 100u Botox is $1,100.

If you get BOTOX regularly, make sure you sign up for Allergan’s Brilliant Distinctions program. By participating in this program you get points for each treatment which you can then deposit and redeem for discounts on future treatments and products from Allergan. For all of the details, please check out

Botox for Hyperhidrosis (underarm sweating):

Botox for hyperhidrosis requires 100u of Botox. This is priced at a discounted rate of $1100.


Hi everyone at Lakes Dermatology!!!

Wanted to say “Thank You” to everyone for helping me look my best for my competition this past Saturday July6th.
I WON!!! Took first place 🥇 on both of the categories I competed and took overall on both which I broke record, no-one has won 2 overalls in one show.
Thank you 🙏🏻


I Love This Place!

I love this place. My first step in their office, I was like, whoa! It’s beautiful! I was sent here by the VA for some skin issues and the doctors here are truly amazing. He listens to every single complaint I’ve had without any judgment and is very positive about my treatment plan! Even the nurses and ladies behind the desks were super friendly. I definitely recommend this place!!


Does The Best Lips!

Does the best lips! He’s also a really skilled injector. I don’t even think he numbed me, but I barely felt anything. It was nice not to do a dental block. He gave me the exact (natural) look I was going for. Not obviously fake at all but I DID get compliments on my lips from a few of my doctor friends!


The Best Doctor Ever!

The best Doctor ever! I’ve been dealing with rosacea for years and he was the only doctor who really help me. Im really glad that i find this amazing person he’s so kind, professional humble


I’m so happy with the results!

I have been going to Lakes Dermatology for over a decade now. I recently moved and tried out a few other dermatologists. No where else compared to the results I received here. So I flew all the way back to Vegas just to see Dr. Reukle at Lakes Dermatology. My skin turned out great after the Voluma, fractora, photofacial, and Venus procedures I had done here. I love the skinceuticals products I bought as well. Thank you! I’m so happy with the results!