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Best Botox in Portland, OR

Portland has 12 med spas offering Botox. Botox typically costs $10–$20 per unit ($200–$600 per treatment area) in this market. Top-rated providers include Refreshed M.D., Fresh Faces Rx, Soleil Medical & Beauty Spa. Typical downtime: Minimal — most patients resume normal activities immediately.

Looking for the best Botox providers in Portland, OR? Compare 12 top-rated med spas offering Botox and neurotoxin treatments. From wrinkle reduction and preventive Botox to advanced techniques for jawline slimming and excessive sweating, find experienced injectors with verified credentials and real patient reviews.

About Botox in Portland

Botox (botulinum toxin type A) is an injectable neuromodulator that temporarily relaxes facial muscles to reduce the appearance of dynamic wrinkles such as forehead lines, crow's feet, and frown lines. Results typically last 3–4 months.

Typical Cost
$10–$20 per unit ($200–$600 per treatment area)
Downtime
Minimal — most patients resume normal activities immediately
Sessions Needed
Maintenance every 3–4 months

What to Expect at a Portland Botox Appointment

Injections take 10–20 minutes. Results appear within 3–7 days and reach full effect at 2 weeks. Bruising at injection sites is possible.

Top Botox Providers in Portland

12 providers found

Aura Aesthetics

Featured
Portland, OR
4.9
200 reviews

2025 Best of the Rose City nominee owned by Suzanne Jagger, CRNA with nearly 20 years nursing experience. Offers comprehensive aesthetics and BHRT wellness programs.

BotoxDysportDermal Fillers+10 more
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Cosmetiq Medicine

Featured
Portland, OR
4.8
372 reviews

Physician-led Portland med spa specializing in Botox, dermal fillers, laser treatments, skin rejuvenation, and GLP-1 weight loss with personalized treatment plans.

BotoxDysportDermal Fillers+8 more
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Refreshed M.D.

Portland, OR
5.0
100 reviews

Physician-operated boutique medical aesthetics and wellness practice in the Pearl District. Offers injectables, NAD+ therapy, vitamin injections, and weight management.

BotoxDermal FillersLip Fillers+6 more
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Soleil Medical & Beauty Spa

Portland, OR
4.9
300 reviews

Established in 1999 in the heart of Multnomah Village. State-of-the-art laser and aesthetic services medical spa with professional, warm, and welcoming staff.

BotoxDermal FillersLip Fillers+9 more
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Reviance Plastic Surgery & Aesthetic Center

Clackamas, OR
4.9
180 reviews

Plastic surgery center with full medical spa services offering facial rejuvenation, energy treatments, injectables, and advanced skincare in the Portland area.

BotoxDermal FillersLip Fillers+7 more
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Riviere Med Spa

Portland, OR
4.9
250 reviews

Family-owned boutique medical spa in Forest Heights with a second Alameda/Irvington location. Comprehensive treatments for all skin types with personalized plans.

BotoxDysportDermal Fillers+9 more
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Fresh Faces Rx

Portland, OR
4.9
323 reviews

Female physician-led med spa in NW Portland recognized as a top Portland med spa. Offers advanced injectable and aesthetic treatments with locations in Portland and Lake Oswego.

BotoxDysportDermal Fillers+6 more
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Prime MedSpa PDX

Portland, OR
4.9
120 reviews

Customer-praised med spa known for excellent service, professional and friendly staff. Offers Botox, fillers, laser hair removal, and skincare treatments.

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Skin by Lovely

Portland, OR
4.8
400 reviews

Highly reviewed med spa with Portland and Lake Oswego locations specializing in personalized injectable treatments, Sculptra, PRF, and customized facials.

BotoxDysportDermal Fillers+5 more
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SkinSpirit - Portland

Portland, OR
4.8
200 reviews

National provider of Botox and fillers with a Portland location in the vibrant NW 23rd district. Offers CoolSculpting, laser hair removal, and advanced facials.

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Thrive Aesthetic & Wellness

Portland, OR
4.8
250 reviews

State-of-the-art clinic specializing in cosmetic and anti-aging medicine with over 30,000 treatments performed in 17 years. Medical director Adam Maddox leads the team.

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VIP Aesthetics & Wellness

Clackamas, OR
4.7
150 reviews

One of the few physician-owned and operated full-service medical spas in the Portland area offering lasers, injectables, and body treatments.

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About Botox

How Botox Works

Botox (botulinum toxin type A) is injected in small amounts into specific facial muscles. It temporarily blocks nerve signals to those muscles, reducing their ability to contract. This smooths the overlying skin and softens wrinkles. The effect is targeted — only the treated muscles are affected, allowing natural facial expressions in untreated areas.

Who It's For

Botox is commonly used by adults who want to reduce the appearance of forehead lines, frown lines between the eyebrows, and crow's feet around the eyes. It is increasingly popular among younger adults in their late 20s and 30s as a preventative measure. Both men and women receive Botox treatments.

What to Expect

A typical Botox session takes 15-30 minutes. The provider uses a fine needle to inject small amounts of Botox into targeted areas. Most people describe the sensation as a brief pinch. No anesthesia is typically needed. There is no downtime — most people return to normal activities immediately. Results begin to appear within 3-7 days and typically last 3-4 months.

Frequently Asked Questions

How much does Botox cost?
Botox is priced per unit, typically $10–$20 per unit. A typical forehead or frown-line treatment uses 20–40 units, so a single area runs $200–$600. Pricing per unit tends to be higher in major metros (NYC, LA, Boston) and lower in smaller markets.
How long do Botox results last?
Botox results typically last 3–4 months. First-time patients may see effects fade slightly faster, while regular maintenance patients often experience longer-lasting results as treated muscles weaken over time. Maintenance injections every 3–4 months keep results consistent.
Is Botox covered by insurance?
Cosmetic Botox is not covered by insurance. However, Botox is FDA-approved for several medical conditions (chronic migraines, hyperhidrosis, TMJ, certain muscle disorders), and insurance may cover it when prescribed for these uses. FSA/HSA accounts can sometimes be used for medical Botox.
How do I find the best Botox provider near me?
Choose a board-certified physician, nurse practitioner, or physician assistant with extensive Botox injection experience. Verify their training (Allergan-trained injectors are a strong signal), ask for before/after photos of their own patients, and read recent reviews to confirm consistent natural-looking results.

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