Botox® Cosmetic Before and after photos in Houston, TX, Patient 59236 Botox® Cosmetic before and after, frontal. Botox® Cosmetic before and after, frontal. Prev Next Patient Info Gender: Female Procedure: Botox® Cosmetic Plastic Surgeon Paul Vitenas, Jr., M.D., F.A.C.S. Physician View profile page * Each patient is unique and individual results may vary.