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West Vancouver · MD-Led Clinic

Botox in
West Vancouver.

Natural, refined wrinkle reduction delivered by Dr. Eli Akbari — double board certified facial plastic surgeon with over a decade of injection experience.

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Botox before and after
Why Botox

Soften lines.
Preserve what
makes you you.


Botox is a neuromodulator that temporarily relaxes targeted facial muscles — softening existing fine lines while preventing them from deepening over time. When administered by an expert, the result is a refreshed, natural appearance that retains your expressions.

"The goal is never to freeze or overcorrect. It's to refresh and refine — so you look like yourself, only rested."

01
Reduce Fine Lines
Softens forehead lines, crow's feet, and frown lines caused by repeated facial expressions.
02
Prevent Deeper Wrinkles
Regular treatments prevent fine lines from becoming permanently etched — a proactive approach to aging.
03
Quick & No Downtime
Treatment takes 15–30 minutes. Return to your day immediately. Results appear within days.
04
Medical Uses
Also effective for migraines, excessive sweating (hyperhidrosis), teeth grinding, and muscle spasms.

$12
Per Unit
Transparent, no hidden fees
15–30
Minutes
No downtime required
3–4
Months Duration
Many patients schedule seasonally
10+
Years Experience
Double board certified MD
Where We Treat

Common treatment
areas.

01
Forehead Lines
Horizontal lines from raising eyebrows, smoothed for a more relaxed, youthful appearance.
02
Frown Lines
Vertical glabellar lines between the brows, softened to reduce angry or stern expressions.
03
Crow's Feet
Fine lines at the outer corners of the eyes, treated for a brighter, more open look.
04
Bunny Lines
Lines across the nose bridge from scrunching, smoothed for refined nasal contours.
05
Brow Lift
Strategic placement lifts the brow for a more alert, refreshed appearance — no surgery required.
06
Lip Flip
Relaxes the muscle above the upper lip for subtle enhancement and reduced gummy smile.
07
Neck Bands
Vertical platysmal bands softened for a more refined, contoured neck profile.
08
Jaw Slimming
Masseter relaxation for a softer jawline and relief from teeth grinding (bruxism).
The Appointment

What happens during
your Botox appointment.

01
Consultation
Dr. Akbari assesses your facial anatomy, discusses your goals, and creates a personalized treatment plan. Photos taken for your records.
02
Preparation
Skin cleansed. Optional topical numbing cream applied for comfort. Treatment areas marked for precise injection placement.
03
Injection
Small amounts of Botox injected into targeted muscles using ultra-fine needles. Most describe the sensation as a slight pinch.
04
Assessment
Dr. Akbari evaluates symmetry and coverage. Additional units may be added to achieve optimal, balanced results.
05
Aftercare
You receive clear aftercare instructions. Avoid lying down, strenuous exercise, or rubbing treated areas for 24 hours.
06
Follow Up
Return in 2 weeks for assessment. Touch-ups scheduled if needed. A maintenance plan is created for long-term results.
Results Timeline

What to expect
and when.

Phase One
Days 1–3
Botox begins working. Minimal visible change. Possible minor redness or bruising at injection sites that resolves quickly.
Phase Two
Days 3–5
Initial improvements become noticeable. Muscles begin to relax. Lines start to soften as the treatment takes effect.
Full Results
Days 7–14
Maximum muscle relaxation achieved. Skin appears smooth and refreshed. Effects last 3 to 4 months.
Before & After

Real results.
Naturally yours.

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Botox before and after
Botox before and after
Botox before and after
Botox before and after

Individual results may vary. All treatments personally performed by Dr. Eli Akbari, MD, FRCSC.

Transparent Pricing

Botox pricing in
West Vancouver.

$12
Per Unit

Unit estimates are rough guides only — actual requirements vary significantly based on muscle mass, facial anatomy, and desired outcome. Dr. Akbari will provide a precise quote at your consultation.

Forehead Lines
Rough estimate: 15–30 units
$180–$360
Frown Lines
Rough estimate: 15–25 units
$180–$300
Crow's Feet
Rough estimate: 10–15 units per side
$120–$180/side
Jaw Slimming
Rough estimate: 30–60 units per side
$360–$720/side
Custom Treatment Plan
Multiple areas, personalized quote
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Why Monarch MD

The highest standard
of injectable care.

I
Expert Injector
Dr. Eli Akbari is a double board certified facial plastic surgeon with over a decade of Botox injection experience — the highest level of training available.
II
Natural Results
Dr. Akbari delivers refined, subtle enhancements that preserve your expressions and unique features. Never overdone or frozen.
III
Personalized Care
Each treatment plan is customized to your facial anatomy and aesthetic goals. Dr. Akbari takes time to understand your concerns before any needle is used.
IV
Safety First
FDA-approved products, sterile technique, and comprehensive consultations. Your safety and satisfaction are the non-negotiable starting point of every appointment.
Our Products

Neuromodulators we
carry at Monarch MD.

All neuromodulators work by temporarily relaxing targeted muscles — but each has its own formulation, onset profile, and diffusion characteristics. Dr. Akbari will recommend the right product based on the treatment area and your individual anatomy.

I
Botox
OnabotulinumtoxinA
The original and most widely studied neuromodulator. A trusted benchmark with a long clinical track record. Suitable for most treatment areas and facial types.
II
Xeomin
IncobotulinumtoxinA
"Naked" toxin — no accessory proteins, which reduces the chance of developing antibody resistance over time. A good choice for patients who've noticed diminishing returns with other products.
III
Dysport
AbobotulinumtoxinA
Tends to have a slightly faster onset and spreads more broadly from the injection site. Often preferred for larger muscle groups like the frontalis, where even diffusion is beneficial.
IV
Nuceiva
PrabotulinumtoxinA
A newer-generation neuromodulator with a precise, more localized diffusion profile. Popular for areas where precision matters — such as the periorbital region and lip flip — with results comparable to Botox.

Note: dosing equivalencies vary between products — unit counts are not directly interchangeable. Dr. Akbari will account for product-specific dosing when building your treatment plan.

Patient Experiences

What our patients
say.

"Dr. Eli Akbari is the best. She and her staff have a special way of making you feel important, cared for, and safe. She is truly passionate about enhancing your natural beauty, not changing your appearance."

Amanda B. — Patient

"Everything about this experience was beyond positive. An incredibly client-centred team with so much expertise and knowledge — you truly feel like you're in the best hands possible."

Sarah J. — Patient

"Dr. Eli is amazing — like a sculptor. She treated me like family, yet was so professional and talented. As always, attentive, knowledgeable, and took time to explain every procedure in detail."

Emily R. — Patient

"Dr. Akbari was very attentive, professional, and knowledgeable — and took time to explain procedures in detail while being caring and understanding. Highly recommend for any beauty or cosmetic needs."

Mark T. — Patient
Frequently Asked

Your questions,
answered.

Botox is a neuromodulator that temporarily relaxes muscles by blocking nerve signals. It reduces the appearance of fine lines and wrinkles — especially on the forehead, between the brows, and around the eyes. The treatment is FDA-approved and has been used safely for decades, with a well-established clinical record.
Results typically last 3 to 4 months, depending on individual factors such as metabolism, lifestyle, and treatment area. Regular treatments help maintain results. Many patients schedule maintenance sessions seasonally — every 3 to 4 months — for consistent, long-term improvement.
Most patients describe the sensation as a slight pinch. The needles used are ultra-fine, and Dr. Akbari's technique is designed to minimize discomfort. A topical numbing cream can be applied beforehand for those with more sensitivity.
Improvements typically begin within 3 to 5 days, with full results appearing after 1 to 2 weeks as the muscles gradually relax. A follow-up is scheduled at the 2-week mark to assess results and perform any touch-ups needed.
No significant downtime. You can return to your regular routine immediately. We recommend avoiding strenuous activity, lying down, and rubbing the treated area for 24 hours to ensure optimal results and even settling.
Avoid alcohol, aspirin, and anti-inflammatory medications for a few days before treatment to minimize the risk of bruising. Disclose any medications or health conditions to Dr. Akbari during your consultation so she can tailor your plan accordingly.
Yes. Botox is also used clinically to treat chronic migraines, excessive sweating (hyperhidrosis), teeth grinding (bruxism), and muscle spasms. Speak with Dr. Akbari during your consultation to see if Botox could address a specific medical concern.
Not when administered by an expert. Dr. Akbari specializes in natural, subtle results that preserve your expressions and unique features. The goal is always to refresh and soften — never to freeze or overcorrect. Her approach is informed by surgical-level anatomy knowledge that most injectors simply don't have.
Yes. Botox pairs very well with dermal fillers, laser treatments, and skin rejuvenation procedures. During your consultation, Dr. Akbari can recommend a combination approach tailored to your aesthetic goals for comprehensive, complementary results.

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